Remes Sami T, Korppi Matti
The Department of Pediatrics, Kuopio University Hospital, Kuopio, Finland.
Ann Med. 2005;37(1):26-32. doi: 10.1080/07853890510007223.
The prevalence of childhood asthma has increased throughout the last decades, but the reasons for the increase still remain unresolved. However, the debate has recently focused on the role of infections, and microbial exposure in general, in the development of childhood asthma. Many studies have suggested that there is an inverse relation between certain infections and the risk of asthma. This article outlines the contemporary role of childhood asthma in public health, reviews the importance of topical respiratory pathogens in the development of childhood asthma, and provides an example how selection bias may have caused controversy in previous studies assessing the role of infections in the development of childhood asthma.
在过去几十年中,儿童哮喘的患病率一直在上升,但其上升原因仍未得到解决。然而,最近的争论焦点集中在感染以及一般意义上的微生物暴露在儿童哮喘发病过程中的作用。许多研究表明,某些感染与哮喘风险之间存在反比关系。本文概述了儿童哮喘在公共卫生中的当代作用,回顾了局部呼吸道病原体在儿童哮喘发病中的重要性,并举例说明了在先前评估感染在儿童哮喘发病中作用的研究中,选择偏倚可能是如何引发争议的。