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Pediatrics Conference 2018
Journal of Pediatric Care
ISSN: 2471-805X
Page 21
March 26-27, 2018
Edinburgh, Scotland
2
nd
Edition of International Congress on
Pediatrics
Background:
Asthma is one of the most common chronic
childhood illnesses with rapidly increasing prevalence in
low income countries. For planning effective intervention to
reverse this condition we need a better understanding of the
risk factors for asthma in early life.
Objectives:
This study aimed to identify the risk factors
associated with childhood asthma and its morbidity patterns.
Methods:
The case control study was conducted in the
Pediatric Department of Dhulikhel Hospital, Kathmandu
University hospital, Dhulikhel from March 2016 to March
2017. The control group was composed of 175 age matched
children attending the outpatient clinic with non pulmonary
health problem. Data was collected through Performa and
analyzed using SPSS version 23. The association of asthma
with genetic and environmental risk factors was evaluated
by univariant (chi-square or Fisher’s exact test) and binomial
logistic regression.
Results:
Childhood asthma was more common in male
children between 1-5 years. Majority of children 77 (44%) were
graded as mild persistent asthma. In multivariate analysis the
following factors were associated with asthma: family history
of asthma (OR0.06; 95%CI .005-0.94, p=0.04), exclusive
breast feeding (OR18.42; 95%CI 2.56-132.3, p=0.004), allergic
disorder in children (OR0.003; 95%CI 0.000-0.037, p=0.0001).
Conclusion:
Family history of asthma, allergic history in the
patient and nonexclusive breast feeding were significantly
associated with asthma. Proper treatment and follow up
with good drug compliance and avoidance of risk factor can
significantly reduce the morbidity pattern of asthma in c hildren
Biography
Singh D S is an Associate Professor of Pediatric Department in Kathmandu
University Hospital, Dhulikhel, Kavre, Nepal. She has done her Postgradua-
tion in Pediatric Nutrition (Boston University). She has studied her Medicine
(MBBS) in University of Science and Technology, Chittagong, Bangladesh.
She is MD (Pediatrics), Kathmandhu University, Dhulikhel, Kavre, Nepal. Her
research works include: Risk factor of low birth weight babies born in Dhu-
likhel Hospital; Incidence, risk factor and outcome of birth asphyxia cases
born in Dhulikhel Hospital; Outcome of meconium stain liquor babies born
in Dhulikhel Hospital; Incidence, clinical profile and antibiotic sensitivity in
urinary tract infection in Dhulikhel Hospital; Incidence, clinical profile and an-
tibiotic sensitivity in enteric fever in Dhulikhel Hospital; and clinical profile,
radiological resolution and risk factor associated with fatal pneumonia. She
has attended conferences on Pediatric Epilepsy in Nationwide Children’s
Hospital, Columbus, USA; Subspecialty conference of Pediatric organized by
Nepal Pediatric Society, workshop on curriculum review on Pediatric Nutri-
tion organized by Child Health Division of Government of Health, curriculum
review of MBBS; workshop on Database Management of newborn child.
She has done paper presentations in Nepal Pediatric Society Conference
on the following topics: Incidence, clinical profile and antibiotic sensitivity
in urinary tract infection in Dhulikhel Hospital; Incidence, clinical profile and
antibiotic sensitivity in enteric fever in Dhulikhel Hospital; and clinical profile,
radiological resolution and risk factor associated with fatal pneumonia.
docsrijana@yahoo.comRisk factors associated with childhood asthma – a case
control study
Srijana Dongol Singh
and
Shrestha A
Dhulikhel Hospital, Nepal
Srijana Dongol Singh et al., J Pediatr Care, Volume 4
DOI: 10.21767/2471-805X-C1-005