.
Acta Biomed. 2020 Nov 10;91(4):e2020179. doi: 10.23750/abm.v91i4.8585.
Recurrent respiratory infections (RRI) are very frequent in childhood. RRI are commonly associated with some co-morbidities and typical clinical features. This study aimed to test the hypothesis whether an ENT visit could identify predicting factors for IRR.Globally, 1,002 children (550 males, mean age 5.77 years) were consecutively visited at an ENT clinic. Clinical visit, nasal endoscopy, and skin prick test were performed in all patients. RRI were present in 633 (63.5%) children. Some parameters were predicting factor for RRI: male gender (OR=1.68), tonsil and adenoid volume, even if partially for some volume grading. On the other hand, familiar atopy (OR=0.68), acute otitis media (OR=0.29), and certain tonsil and adenoid size (OR range 0.61-0-47) seemed to be protecting factor for RRI. This real-life study showed that during an ENT visit it is possible to identify some predictive factors involved in RRI: some seem to be protective, whereas other seem to be predisposing.
反复呼吸道感染（RRI）在儿童中非常常见。RRI 通常与一些合并症和典型的临床特征有关。本研究旨在检验 ENT 就诊是否可以识别 RRI 的预测因素这一假设。
在耳鼻喉科诊所，共有 1002 名儿童（550 名男性，平均年龄 5.77 岁）连续就诊。所有患者均进行了临床检查、鼻内窥镜检查和皮肤点刺试验。633 名（63.5%）儿童存在 RRI。一些参数是 RRI 的预测因素：男性（OR=1.68）、扁桃体和腺样体体积，即使对于某些体积分级来说也是部分预测因素。另一方面，家族性特应性（OR=0.68）、急性中耳炎（OR=0.29）和某些扁桃体和腺样体大小（OR 范围 0.61-0.47）似乎是 RRI 的保护因素。这项真实世界的研究表明，在 ENT 就诊期间，可以识别出一些与 RRI 相关的预测因素：有些似乎具有保护作用，而另一些似乎具有易感性。
