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BEBEKLİK DÖNEMİNDE ALT SOLUNUM YOLU ENFEKSİYONU SIKLIĞI VE ETKİLEYEN FAKTÖRLER"1

Frequency of Lower Respiratory Tract Infection and Influencing Factors

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Abstract (2. Language): 
Objective: To determine the frequency of lower respiratory tract infections in I nfants and to investigate nutritional, environmental and socioeconomic risk factors. Material and Method: The study is a prospective cohort study that was carried out in two Primary Health Units' areas, among all infants born between Ol.11.1997 -31.12.1997. Subjects of this study (204infants) were followed until they were one year old periodically every two months. In each visit, anthropometric measurement was carried out and information about respiratory symptoms during last two weeks was gathered. Relative risks of factors influencing lower respiratory disease and 95 % confidence intervals was calculated. The logistic regression analysis was carried out to determine factors related to lower respiratory tract infections. Results: The lower respiratory trac t infections incidence was 1.80 episode/child year. Risk factors for lower respiratory tract infections were associated with mother's education, preterm birth, height for age and crowding in residence.
Abstract (Original Language): 
Amaç: Bebeklik döneminde alt solunum yolu enfeksiyonu sıklığını ve bunu etkileyen nütrisyOonel, çevresel ve sosyoekonomik faktörleri belirlemektedir. Gereç ve yöntem: Çalışma 01.11.1997 ile 31.12.1997 tarihleri arasında iki sağlık ocağı bölgesinde doğan tüm bebekleri kapsayan prospektif kohort tipinde bir araştırmadır. Araştırma grubunu oluşturan 204 bebek bir yaşına gelene kadar ayda iki kez izlenmiştir. Her iz/emde antropometrik ölçümler ve son 15 günde alt solunum yolu enfeksiyonuna ilişkin bilgi toplanmıştır. Alt solunum yolu enfeksiyonu insidansını etkileyen faktörlerin rölatif riski ve güven aralığı hesaplanmıştır. Bebeklik döneminde alt solunum yolu enfeksiyonu olma olasılığını etkileyen faktörleri belirlemek için lojistik regresyon analizi yapılmıştır. Bulgular: Çalışma sonucunda alt solunum yolu enfeksiyonu insidansı 1.80 episod/bebek yılı olarak saptanmıştır. Alt solunum yolu enfeksiyonunu etkileyen faktörler olarak annenin eğitimsiz olması, erken doğmuş olması, yaşa göre boyun 1-standart sapmanın altında olması, oda başına düşen kişi sayısının üçten fazla olması saptanmıştır. Yapılan lojistik regresyon analizinde bebeğin erken doğması ve annenin eğitim aldığı yılın bebeklik döneminde alt solunum yolu enfeksiyonu olma olasılığını arttırdığı belirlenmiştir.
208-214

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