Skip to main content
Erschienen in: European Journal of Pediatrics 10/2017

28.08.2017 | Original Article

Caregivers’ education vs rhinopharyngeal clearance in children with upper respiratory infections: impact on children’s health outcomes

verfasst von: Ana Silva Alexandrino, Rita Santos, Cristina Melo, José Mesquita Bastos, Guy Postiaux

Erschienen in: European Journal of Pediatrics | Ausgabe 10/2017

Einloggen, um Zugang zu erhalten

Abstract

Upper Respiratory Tract Infections (URTI) are very common in children having no effective pharmacological treatment. This study aimed to compare the effect of caregivers’ health education regarding children’s respiratory infections and the effect of a rhinopharyngeal clearance protocol in children with URTI. A factorial trial was conducted in 138 children up to 3 years, attending day-care centres. Children were distributed into four groups: control group (CG) (n = 38); education group (EG) (n = 34); intervention group (IG) (n = 35); and education and intervention group (E + IG) (n = 31). A Diary of Records was kept by caregivers during 1 month. There were significant differences between groups concerning: Lower Respiratory Tract Infections (CG = 29.4%; EG = 10.7%; IG = 3.8%; E + IG = 0.0%; p = 0.014); acute otitis media (CG = 32.4%; EG = 7.1%; IG = 11.5%; E + IG = 7.7%; p = 0.014); medical consultations (CG = 70.6%; EG = 42.9%; IG = 38.5%; E + IG = 30.8%; p = 0.021); antibiotics (CG = 44.1%; EG = 7.1%; IG = 23.1%; E + IG = 15.4%; p = 0.006); days missed from day-care (CG = 55 days; EG = 22 days; IG = 14 days; E + IG = 6 days; p = 0.020); days missed from employment (CG = 31 days; EG = 20 days; IG = 5 days; E + IG = 1 day; p = 0.021); and nasal clearance techniques (CG = 41.4%; EG = 78.6%; IG = 57.7%; E + IG = 84.6%; p = 0.011).
Conclusion: This study showed that the most positive impact on children’s health outcomes occurred when combining health education of caregivers, regarding children’s respiratory infections, with a rhinopharyngeal clearance protocol in children with URTI.
What is Known:
Upper Respiratory Tract Infections are very common in children but still do not have an effective pharmacological treatment.
This generates a great burden of disease for the child and families, increasing the use of antibiotics.
What is New:
This study is the first one that aims to analyze the effects of caregivers’ health education in comparison to non-pharmacological intervention in acute respiratory infections in children.
It shows a positive impact on children’s health outcomes, empowering caregivers regarding their child’s health and reducing the burden of disease, medical consultations and the use of antibiotics.
Literatur
1.
Zurück zum Zitat Alexandrino AS, Santos R, Melo C, Bastos JM (2016) Risk factors for respiratory infections among children attending day care centres. Fam Pract 33:161–166CrossRefPubMed Alexandrino AS, Santos R, Melo C, Bastos JM (2016) Risk factors for respiratory infections among children attending day care centres. Fam Pract 33:161–166CrossRefPubMed
2.
Zurück zum Zitat Alexandrino AS, Santos R, Melo C, Bastos JM (2016) Designing and evaluating a health education session on respiratory infections among children under 3 years old attending day-care centres in Porto, Portugal: a randomised trial. Manuscript submitted for publication Alexandrino AS, Santos R, Melo C, Bastos JM (2016) Designing and evaluating a health education session on respiratory infections among children under 3 years old attending day-care centres in Porto, Portugal: a randomised trial. Manuscript submitted for publication
3.
Zurück zum Zitat AMFdS A, Santos RIGV, MCDAd M, Bastos JAM, Postiaux G (2017) Subjective and objective parameters in paediatric respiratory conditions: cultural adaptation to Portuguese population. Fisioterapia em Movimento 30:49–58CrossRef AMFdS A, Santos RIGV, MCDAd M, Bastos JAM, Postiaux G (2017) Subjective and objective parameters in paediatric respiratory conditions: cultural adaptation to Portuguese population. Fisioterapia em Movimento 30:49–58CrossRef
4.
Zurück zum Zitat Andermann A, Pang T, Newton JN, Davis A, Panisset U (2016) Evidence for health I: producing evidence for improving health and reducing inequities. Health Research Policy and Systems 14:1CrossRef Andermann A, Pang T, Newton JN, Davis A, Panisset U (2016) Evidence for health I: producing evidence for improving health and reducing inequities. Health Research Policy and Systems 14:1CrossRef
5.
Zurück zum Zitat Andrews T, Thompson M, Buckley DI, Heneghan C, Deyo R, Redmond N, Lucas PJ, Blair PS, Hay AD (2012) Interventions to influence consulting and antibiotic use for acute respiratory tract infections in children: a systematic review and meta-analysis. PLoS One 7:e30334CrossRefPubMedPubMedCentral Andrews T, Thompson M, Buckley DI, Heneghan C, Deyo R, Redmond N, Lucas PJ, Blair PS, Hay AD (2012) Interventions to influence consulting and antibiotic use for acute respiratory tract infections in children: a systematic review and meta-analysis. PLoS One 7:e30334CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat Azor-Martínez E, Gonzalez-Jimenez Y, Seijas-Vazquez ML, Cobos-Carrascosa E, Santisteban-Martínez J, Martínez-López JM, Jimenez-Noguera E, del Mar G-RM, Garrido-Fernández P, Strizzi JM (2014) The impact of common infections on school absenteeism during an academic year. Am J Infect Control 42:632–637CrossRefPubMed Azor-Martínez E, Gonzalez-Jimenez Y, Seijas-Vazquez ML, Cobos-Carrascosa E, Santisteban-Martínez J, Martínez-López JM, Jimenez-Noguera E, del Mar G-RM, Garrido-Fernández P, Strizzi JM (2014) The impact of common infections on school absenteeism during an academic year. Am J Infect Control 42:632–637CrossRefPubMed
7.
Zurück zum Zitat Baraldi E, Lanari M, Manzoni P, Rossi GA, Vandini S, Rimini A, Romagnoli C, Colonna P, Biondi A, Biban P (2014) Inter-society consensus document on treatment and prevention of bronchiolitis in newborns and infants. Ital J Pediatr 40:1–13CrossRef Baraldi E, Lanari M, Manzoni P, Rossi GA, Vandini S, Rimini A, Romagnoli C, Colonna P, Biondi A, Biban P (2014) Inter-society consensus document on treatment and prevention of bronchiolitis in newborns and infants. Ital J Pediatr 40:1–13CrossRef
8.
Zurück zum Zitat Chirico G, Quartarone G, Mallefet P (2014) Nasal congestion in infants and children: a literature review on efficacy and safety of non-pharmacological treatments. Minerva Pediatr 66:549–557PubMed Chirico G, Quartarone G, Mallefet P (2014) Nasal congestion in infants and children: a literature review on efficacy and safety of non-pharmacological treatments. Minerva Pediatr 66:549–557PubMed
9.
Zurück zum Zitat Francis NA, Butler CC, Hood K, Simpson S, Wood F, Nuttall J (2009) Effect of using an interactive booklet about childhood respiratory tract infections in primary care consultations on reconsulting and antibiotic prescribing: a cluster randomised controlled trial. BMJ:339 Francis NA, Butler CC, Hood K, Simpson S, Wood F, Nuttall J (2009) Effect of using an interactive booklet about childhood respiratory tract infections in primary care consultations on reconsulting and antibiotic prescribing: a cluster randomised controlled trial. BMJ:339
10.
Zurück zum Zitat Gomes ÉL, Postiaux G, Medeiros DR, Monteiro KK, Sampaio LM, Costa D (2012) Chest physical therapy is effective in reducing the clinical score in bronchiolitis: randomized controlled trial. Braz J Phys Ther 16:241–247CrossRef Gomes ÉL, Postiaux G, Medeiros DR, Monteiro KK, Sampaio LM, Costa D (2012) Chest physical therapy is effective in reducing the clinical score in bronchiolitis: randomized controlled trial. Braz J Phys Ther 16:241–247CrossRef
11.
Zurück zum Zitat de Hoog ML, Venekamp RP, van der Ent CK, Schilder A, Sanders EA, Damoiseaux RA, Bogaert D, Uiterwaal CS, Smit HA, Bruijning-Verhagen P (2014) Impact of early daycare on healthcare resource use related to upper respiratory tract infections during childhood: prospective WHISTLER cohort study. BMC Med 12:107CrossRefPubMedPubMedCentral de Hoog ML, Venekamp RP, van der Ent CK, Schilder A, Sanders EA, Damoiseaux RA, Bogaert D, Uiterwaal CS, Smit HA, Bruijning-Verhagen P (2014) Impact of early daycare on healthcare resource use related to upper respiratory tract infections during childhood: prospective WHISTLER cohort study. BMC Med 12:107CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Ingram J, Cabral C, Hay AD, Lucas PJ, Horwood J (2013) Parents’ information needs, self-efficacy and influences on consulting for childhood respiratory tract infections: a qualitative study. BMC Fam Pract 14:106CrossRefPubMedPubMedCentral Ingram J, Cabral C, Hay AD, Lucas PJ, Horwood J (2013) Parents’ information needs, self-efficacy and influences on consulting for childhood respiratory tract infections: a qualitative study. BMC Fam Pract 14:106CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Kusel MM, De Klerk N, Holt PG, Landau LI, Sly PD (2007) Occurrence and management of acute respiratory illnesses in early childhood. J Paediatr Child Health 43:139–146CrossRefPubMed Kusel MM, De Klerk N, Holt PG, Landau LI, Sly PD (2007) Occurrence and management of acute respiratory illnesses in early childhood. J Paediatr Child Health 43:139–146CrossRefPubMed
14.
Zurück zum Zitat von Linstow ML, Holst KK, Larsen K, Koch A, Andersen PK, Høgh B (2008) Acute respiratory symptoms and general illness during the first year of life: a population-based birth cohort study. Pediatr Pulmonol 43:584–593CrossRef von Linstow ML, Holst KK, Larsen K, Koch A, Andersen PK, Høgh B (2008) Acute respiratory symptoms and general illness during the first year of life: a population-based birth cohort study. Pediatr Pulmonol 43:584–593CrossRef
15.
Zurück zum Zitat Marchisio P, Picca M, Torretta S, Baggi E, Pasinato A, Bianchini S, Nazzari E, Esposito S, Principi N (2014) Nasal saline irrigation in preschool children: a survey of attitudes and prescribing habits of primary care pediatricians working in northern Italy. Ital J Pediatr 40:1–8CrossRef Marchisio P, Picca M, Torretta S, Baggi E, Pasinato A, Bianchini S, Nazzari E, Esposito S, Principi N (2014) Nasal saline irrigation in preschool children: a survey of attitudes and prescribing habits of primary care pediatricians working in northern Italy. Ital J Pediatr 40:1–8CrossRef
16.
Zurück zum Zitat Merzel C, D'afflitti J (2003) Reconsidering community-based health promotion: promise, performance, and potential. Am J Public Health 93:557–574CrossRefPubMedPubMedCentral Merzel C, D'afflitti J (2003) Reconsidering community-based health promotion: promise, performance, and potential. Am J Public Health 93:557–574CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Moody SA, Alper CM, Doyle WJ (1998) Daily tympanometry in children during the cold season: association of otitis media with upper respiratory tract infections. Int J Pediatr Otorhinolaryngol 45:143–150CrossRefPubMed Moody SA, Alper CM, Doyle WJ (1998) Daily tympanometry in children during the cold season: association of otitis media with upper respiratory tract infections. Int J Pediatr Otorhinolaryngol 45:143–150CrossRefPubMed
18.
Zurück zum Zitat NICE CfCPa (2008) Respiratory tract infections—antibiotic prescribing: prescribing of antibiotics for self-limiting respiratory tract infections in adults and children in primary care NICE CfCPa (2008) Respiratory tract infections—antibiotic prescribing: prescribing of antibiotics for self-limiting respiratory tract infections in adults and children in primary care
19.
Zurück zum Zitat Nokso-Koivisto J, Hovi T, Pitkäranta A (2006) Viral upper respiratory tract infections in young children with emphasis on acute otitis media. Int J Pediatr Otorhinolaryngol 70:1333–1342CrossRefPubMed Nokso-Koivisto J, Hovi T, Pitkäranta A (2006) Viral upper respiratory tract infections in young children with emphasis on acute otitis media. Int J Pediatr Otorhinolaryngol 70:1333–1342CrossRefPubMed
20.
Zurück zum Zitat Pönkä A, Poussa T, Laosmaa M (2004) The effect of enhanced hygiene practices on absences due to infectious diseases among children in day care centers in Helsinki. Infection 32:2–7CrossRefPubMed Pönkä A, Poussa T, Laosmaa M (2004) The effect of enhanced hygiene practices on absences due to infectious diseases among children in day care centers in Helsinki. Infection 32:2–7CrossRefPubMed
21.
Zurück zum Zitat Postiaux G (2001) Quelles sont les techniques de désencombrement bronchique et des voies aériennes supérieures adaptées chez le nourrisson? Arch Pediatr 8:117–125CrossRef Postiaux G (2001) Quelles sont les techniques de désencombrement bronchique et des voies aériennes supérieures adaptées chez le nourrisson? Arch Pediatr 8:117–125CrossRef
22.
Zurück zum Zitat Postiaux G, Souza Pinto V, Vieira DR, Carvalho CM (2004) Fisioterapia respiratória pediátrica: o tratamento guiado por ausculta pulmonar. Artmed Editora, Porto Alegre Postiaux G, Souza Pinto V, Vieira DR, Carvalho CM (2004) Fisioterapia respiratória pediátrica: o tratamento guiado por ausculta pulmonar. Artmed Editora, Porto Alegre
23.
Zurück zum Zitat Postiaux G, Louis J, Labasse HC, Gerroldt J, Kotik A-C, Lemuhot A, Patte C (2011) Evaluation of an alternative chest physiotherapy method in infants with respiratory syncytial virus bronchiolitis. Respir Care 56:989–994CrossRefPubMed Postiaux G, Louis J, Labasse HC, Gerroldt J, Kotik A-C, Lemuhot A, Patte C (2011) Evaluation of an alternative chest physiotherapy method in infants with respiratory syncytial virus bronchiolitis. Respir Care 56:989–994CrossRefPubMed
24.
Zurück zum Zitat Rabago D, Zgierska A (2009) Saline nasal irrigation for upper respiratory conditions. Am Fam Physician 80:1117–1119PubMed Rabago D, Zgierska A (2009) Saline nasal irrigation for upper respiratory conditions. Am Fam Physician 80:1117–1119PubMed
25.
Zurück zum Zitat Ralston SL, Lieberthal AS, Meissner HC, Alverson BK, Baley JE, Gadomski AM, Johnson DW, Light MJ, Maraqa NF, Mendonca EA (2014) Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis. Pediatrics 134:e1474–e1502CrossRefPubMed Ralston SL, Lieberthal AS, Meissner HC, Alverson BK, Baley JE, Gadomski AM, Johnson DW, Light MJ, Maraqa NF, Mendonca EA (2014) Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis. Pediatrics 134:e1474–e1502CrossRefPubMed
26.
Zurück zum Zitat Revai K, Patel JA, Grady JJ, Chonmaitree T (2008) Tympanometric findings in young children during upper respiratory tract infections with and without acute otitis media. Pediatr Infect Dis J 27:292–295CrossRefPubMed Revai K, Patel JA, Grady JJ, Chonmaitree T (2008) Tympanometric findings in young children during upper respiratory tract infections with and without acute otitis media. Pediatr Infect Dis J 27:292–295CrossRefPubMed
27.
Zurück zum Zitat Shaikh N, Wald ER (2014) Decongestants, antihistamines and nasal irrigation for acute sinusitis in children. Cochrane Database Syst Rev 10 Shaikh N, Wald ER (2014) Decongestants, antihistamines and nasal irrigation for acute sinusitis in children. Cochrane Database Syst Rev 10
28.
Zurück zum Zitat Simasek M, Blandino DA (2007) Treatment of the common cold. Am Fam Physician 75:515–520PubMed Simasek M, Blandino DA (2007) Treatment of the common cold. Am Fam Physician 75:515–520PubMed
29.
Zurück zum Zitat Smith BJ, Tang KC, Nutbeam D (2006) WHO health promotion glossary: new terms. Health Promot Int 21:340–345CrossRefPubMed Smith BJ, Tang KC, Nutbeam D (2006) WHO health promotion glossary: new terms. Health Promot Int 21:340–345CrossRefPubMed
30.
Zurück zum Zitat Stockwell MS, Catallozzi M, Larson E, Rodriguez C, Subramony A, Martinez RA, Martinez E, Barrett A, Meyer D (2014) Effect of a URI-related educational intervention in early head start on ED visits. Pediatrics 133:e1233–e1240CrossRefPubMedPubMedCentral Stockwell MS, Catallozzi M, Larson E, Rodriguez C, Subramony A, Martinez RA, Martinez E, Barrett A, Meyer D (2014) Effect of a URI-related educational intervention in early head start on ED visits. Pediatrics 133:e1233–e1240CrossRefPubMedPubMedCentral
31.
Zurück zum Zitat Thompson M, Vodicka TA, Blair PS, Buckley DI, Heneghan C, Hay AD (2013) Duration of symptoms of respiratory tract infections in children: systematic review. BMJ 347:f7027CrossRefPubMedPubMedCentral Thompson M, Vodicka TA, Blair PS, Buckley DI, Heneghan C, Hay AD (2013) Duration of symptoms of respiratory tract infections in children: systematic review. BMJ 347:f7027CrossRefPubMedPubMedCentral
32.
Zurück zum Zitat Tomooka LT, Murphy C, Davidson TM (2000) Clinical study and literature review of nasal irrigation. Laryngoscope 110:1189–1193CrossRefPubMed Tomooka LT, Murphy C, Davidson TM (2000) Clinical study and literature review of nasal irrigation. Laryngoscope 110:1189–1193CrossRefPubMed
33.
Zurück zum Zitat Venekamp RP, Sanders S, Glasziou PP, Del Mar CB, Rovers MM (2013) Antibiotics for acute otitis media in children. The Cochrane Library Venekamp RP, Sanders S, Glasziou PP, Del Mar CB, Rovers MM (2013) Antibiotics for acute otitis media in children. The Cochrane Library
34.
Zurück zum Zitat Wang Y-H, Yang C-P, Ku M-S, Sun H-L, Lue K-H (2009) Efficacy of nasal irrigation in the treatment of acute sinusitis in children. Int J Pediatr Otorhinolaryngol 73:1696–1701CrossRefPubMed Wang Y-H, Yang C-P, Ku M-S, Sun H-L, Lue K-H (2009) Efficacy of nasal irrigation in the treatment of acute sinusitis in children. Int J Pediatr Otorhinolaryngol 73:1696–1701CrossRefPubMed
35.
Zurück zum Zitat Winther B, Hayden FG, Arruda E, Dutkowski R, Ward P, Hendley JO (2002) Viral respiratory infection in schoolchildren: effects on middle ear pressure. Pediatrics 109:826–832CrossRefPubMed Winther B, Hayden FG, Arruda E, Dutkowski R, Ward P, Hendley JO (2002) Viral respiratory infection in schoolchildren: effects on middle ear pressure. Pediatrics 109:826–832CrossRefPubMed
36.
Zurück zum Zitat Wormald PJ, Cain T, Oates L, Hawke L, Wong I (2004) A comparative study of three methods of nasal irrigation. Laryngoscope 114:2224–2227CrossRefPubMed Wormald PJ, Cain T, Oates L, Hawke L, Wong I (2004) A comparative study of three methods of nasal irrigation. Laryngoscope 114:2224–2227CrossRefPubMed
Metadaten
Titel
Caregivers’ education vs rhinopharyngeal clearance in children with upper respiratory infections: impact on children’s health outcomes
verfasst von
Ana Silva Alexandrino
Rita Santos
Cristina Melo
José Mesquita Bastos
Guy Postiaux
Publikationsdatum
28.08.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Pediatrics / Ausgabe 10/2017
Print ISSN: 0340-6199
Elektronische ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-017-3003-z

Weitere Artikel der Ausgabe 10/2017

European Journal of Pediatrics 10/2017 Zur Ausgabe

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.