Zeru Teklay, Berihu Hagos, Buruh Gerezgiher, Gebrehiwot Haftom
Department of Nursing, College of Health Sciences, Aksum University, Aksum, Ethiopia.
Department of Nursing, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.
Pan Afr Med J. 2020 Aug 19;36:307. doi: 10.11604/pamj.2020.36.307.17849. eCollection 2020.
upper respiratory tract infection is a leading cause of morbidity among under-five, particularly in the developing countries. Delays in the identification and treatment of under-fives are among the main contributors to the complication. The aim of this study was to assess the magnitude and to identify factors associated with upper respiratory tract infection among under-five children, in public health institutions of Aksum City, Tigray Region, North Ethiopia, 2016.
institutional based cross-sectional study was done. Cases were under-five children who had get service. The study participants were selected using Systematic random sampling technique. Data were entered, using Epi-info version 7 and analyzed using SPSS version 22.0. Clinical data from the chart were used to diagnose upper respiratory tract infection types. The binary logistic regression model was used to test the association between dependent and independent variables and multivariable logistic regression was used to identify the associated factors to upper respiratory tract infections.
out of 213 study participants 52.6% identified as having at least one type of upper respiratory tract infection, i.e. sinusitis 22 (10.3%), 37 (17.4%) otitis media, 39 (18.3%) tonsillitis and common cold 83 (39.0%). Multivariable logistic regression analysis shows that rural residence 7.6 [AOR (95%CI) (2.49, 23.58)], civil servant father's children 4.49 [AOR (95%CI) (1.57, 12.83)], non-immunization 6.0 [AOR(95%CI) (1.38, 26.8)], mud house wall 4.58 [AOR (95%CI) (1.74, 12.0)], rental house 5.1 [AOC (95% CI) (1.82, 14.6] and large family size 5.3 [AOC (95%CI) (2.3, 12.1 )], were found to be statistically associated.
socioeconomic, maternal and environmental factors had contributed to the upper respiratory tract infection. Strengthening of the existing disease prevention policy as well as improvement of institutional health service behavior is crucial.
上呼吸道感染是五岁以下儿童发病的主要原因，在发展中国家尤为如此。五岁以下儿童在识别和治疗方面的延误是导致并发症的主要因素之一。本研究的目的是评估2016年埃塞俄比亚北部提格雷地区阿克苏姆市公共卫生机构中五岁以下儿童上呼吸道感染的严重程度，并确定与之相关的因素。
开展了一项基于机构的横断面研究。病例为接受服务的五岁以下儿童。研究参与者采用系统随机抽样技术选取。数据使用Epi-info 7版本录入，并使用SPSS 22.0版本进行分析。利用病历中的临床数据诊断上呼吸道感染类型。采用二元逻辑回归模型检验因变量和自变量之间的关联，并使用多变量逻辑回归确定上呼吸道感染的相关因素。
在213名研究参与者中，52.6%被确定至少患有一种上呼吸道感染，即鼻窦炎22例（10.3%）、中耳炎37例（17.4%）、扁桃体炎39例（18.3%）和普通感冒83例（39.0%）。多变量逻辑回归分析显示，农村居住7.6 [调整后比值比（95%置信区间）（2.49，23.58）]、公务员父亲的子女4.49 [调整后比值比（95%置信区间）（1.57，12.83）]、未接种疫苗6.0 [调整后比值比（95%置信区间）（1.38，26.8）]、泥墙房屋4.58 [调整后比值比（95%置信区间）（1.74，12.0）]、出租屋5.1 [调整后比值比（95%置信区间）（1.82，14.6）]和大家庭规模5.3 [调整后比值比（95%置信区间）（2.3，12.1）]，均具有统计学相关性。
社会经济、母亲及环境因素导致了上呼吸道感染。加强现有疾病预防政策以及改善机构卫生服务行为至关重要。
