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婴儿期呼吸道疾病:狗和猫接触的影响。

Respiratory tract illnesses during the first year of life: effect of dog and cat contacts.

机构信息

Department of Pediatrics, Kuopio University Hospital, Puijonlaaksontie 2, 70210 Kuopio, Finland.

出版信息

Pediatrics. 2012 Aug;130(2):211-20. doi: 10.1542/peds.2011-2825. Epub 2012 Jul 9.

Abstract

OBJECTIVES

To investigate the effect of dog and cat contacts on the frequency of respiratory symptoms and infections during the first year of life.

METHODS

In this birth cohort study, 397 children were followed up from pregnancy onward, and the frequency of respiratory symptoms and infections together with information about dog and cat contacts during the first year of life were reported by using weekly diaries and a questionnaire at the age of 1 year. All the children were born in eastern or middle Finland between September 2002 and May 2005.

RESULTS

In multivariate analysis, children having dogs at home were healthier (ie, had fewer respiratory tract symptoms or infections) than children with no dog contacts (adjusted odds ratio, [aOR]: 1.31; 95% confidence interval [CI]: 1.13-1.52). Furthermore, children having dog contacts at home had less frequent otitis (aOR: 0.56; 95% CI: 0.38-0.81) and tended to need fewer courses of antibiotics (aOR: 0.71; 95% CI: 0.52-0.96) than children without such contacts. In univariate analysis, both the weekly amount of contact with dogs and cats and the average yearly amount of contact were associated with decreased respiratory infectious disease morbidity.

CONCLUSIONS

These results suggest that dog contacts may have a protective effect on respiratory tract infections during the first year of life. Our findings support the theory that during the first year of life, animal contacts are important, possibly leading to better resistance to infectious respiratory illnesses during childhood.

摘要

目的

研究狗和猫接触对生命第一年呼吸道症状和感染频率的影响。

方法

在这项出生队列研究中,对 397 名儿童从怀孕开始进行了随访,并通过每周日记和 1 岁时的问卷调查报告了生命第一年的呼吸道症状和感染频率,以及有关狗和猫接触的信息。所有儿童均于 2002 年 9 月至 2005 年 5 月期间在芬兰东部或中部出生。

结果

在多变量分析中,家中有狗的儿童比没有狗接触的儿童更健康(即呼吸道症状或感染较少)(调整后的优势比 [aOR]:1.31;95%置信区间 [CI]:1.13-1.52)。此外,家中有狗接触的儿童患中耳炎的频率较低(aOR:0.56;95% CI:0.38-0.81),并且需要抗生素治疗的疗程也较少(aOR:0.71;95% CI:0.52-0.96)。在单变量分析中,与狗和猫每周接触量和平均年接触量均与呼吸道传染病发病率降低有关。

结论

这些结果表明,狗接触可能对生命第一年的呼吸道感染具有保护作用。我们的研究结果支持这样一种理论,即在生命的第一年,动物接触很重要,可能会导致儿童时期对传染性呼吸道疾病的抵抗力增强。

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