| Lower respiratory tract infections among american Indian and Alaska Native children and the general population of U.S. Children. | |
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MedLine Citation:
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PMID: 15818295 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND OBJECTIVE: Lower respiratory tract infections (LRTIs) cause substantial childhood morbidity. This study characterizes and compares LRTI-associated morbidity among American Indian/Alaska Native (AI/AN) children and the general population of U.S. children. METHODS: Hospitalization and outpatient records with a diagnosis indicating LRTIs were evaluated for children aged younger than 5 years during 1990-2001. RESULTS: For 1999-2001, the LRTI-associated hospitalization rate was significantly higher for AI/AN children than for U.S. children (116.1 versus 63.2/1000, respectively), with the disparity being greater for infants than for 1- to 4-year-old children. Also the rate of LRTI-associated outpatient visits among AI/AN infants was higher than that for all U.S. infants (737.7 versus 207.2/1000, respectively). LRTI hospitalization and outpatient visit rates were highest in the Alaska and Southwest Indian Health Service regions. During 1990-2001, the LRTI hospitalization rate among AI/AN infants in the Alaska region and among the general U.S. infant population increased. Bronchiolitis-associated hospitalization rates increased for AI/AN and U.S. infants, whereas the pneumonia-associated hospitalization rate decreased among AI/AN infants and remained stable among U.S. infants. CONCLUSIONS: LRTIs continue to be an important cause of morbidity in children, especially among AI/AN infants in the Alaska and Southwest regions. Strategies to reduce LRTI hospitalizations and outpatient visits are warranted for all infants, but the greatest potential impact would be among AI/AN infants. |
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Authors:
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Angela J Peck; Robert C Holman; Aaron T Curns; Jairam R Lingappa; James E Cheek; Rosalyn J Singleton; Karen Carver; Larry J Anderson |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The Pediatric infectious disease journal Volume: 24 ISSN: 0891-3668 ISO Abbreviation: Pediatr. Infect. Dis. J. Publication Date: 2005 Apr |
Date Detail:
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Created Date: 2005-04-08 Completed Date: 2005-06-21 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8701858 Medline TA: Pediatr Infect Dis J Country: United States |
Other Details:
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Languages: eng Pagination: 342-51 Citation Subset: IM |
Affiliation:
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Respiratory and Enteric Viruses Branch, Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Atlanta, GA, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Age Distribution Alaska / epidemiology, ethnology Bronchiolitis / epidemiology, ethnology Child Child, Preschool Female Hospitalization / statistics & numerical data Humans Indians, North American / statistics & numerical data* Infant Infant, Newborn Inuits / statistics & numerical data* Male Outpatients / statistics & numerical data Pneumonia / epidemiology, ethnology Respiratory Tract Infections / epidemiology*, ethnology* Sex Distribution United States / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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