About: Breastfeeding and Respiratory Infections in the First 6 Months of Life: A Case Control Study

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Breastfeeding and Respiratory Infections in the First 6 Months of Life: A Case Control Study
Creator	Rizzo, Caterina Villani, Alberto Concato, Carlo Campagna, Ilaria Carloni, Emanuela Ferretti, Beatrice Gesualdo, Francesco Linardos, Giulia Pandolfi, Elisabetta Russo, Luisa Tozzi, Alberto Rostenberghe, Hans
Source	Medline; PMC
abstract	Background: Viral respiratory tract infections (VRI) are a major reason for hospitalization in children younger than 5 years. A case control study was conducted to investigate the potential role of breastfeeding in protecting children <1 year of age from VRI. Methods: Patients admitted for a respiratory tract infections routinely underwent a nasopharyngeal aspirate, which was tested with an RT-PCR for 14 respiratory viruses. Hospitalized infants positive for viruses were enrolled as cases; healthy controls were enrolled among patients admitted for ultrasound hip screening. The effect of breastfeeding on pertussis was investigated through multivariable analysis. Results: We enrolled a total of 496 patients: 238 cases and 258 healthy controls. Among cases, eighty-six patients (36.1%) had a rinovirus, 78 (32.8%) an RSV, 22 (9.2%) an adenovirus, and 37 (15.5%) a coinfections with multiple viruses. The number of households was significantly higher in cases (mean in cases 4.5; mean 3.7 in controls, p < 0.001) and the proportion of infants having siblings (79% in cases vs. 43% in controls, p < 0.001). Proportion of smoking mothers was higher in cases than in controls (21.4 vs. 10.1%, p = 0.001). Among cases 44.5% were exclusively breastfed at symptoms onset vs. 48.8% of healthy controls. According to the multivariable analysis, being exclusively breastfed at symptom onset was associated with a higher risk of viral respiratory infection (3.7; 95% CI 1.64–8.41), however a longer breastfeeding duration was protective (OR 0.98; 95% CI 0.97–0.99). Also having at least one sibling was associated to a higher risk (OR 3.6; 95% CI 2.14–5.92) as well as having a smoking mother (OR 2.6; 95% CI 1.33–4.89). Conclusions: Breastfeeding remains a mainstay of prevention for numerous diseases and its protective role increases with duration. However, being breastfed when mothers carry a respiratory infection may increase the risk of transmission, acting as a proxy for closer contacts. In future studies, potential confounding variables as pattern of contacts with other individuals, should be taken into account.
has issue date	2019-04-24(xsd:dateTime)
bibo:doi	10.3389/fped.2019.00152
bibo:pmid	31106183
has license	cc-by
sha1sum (hex)	1d44b78805f7baf17f811f8e5957c546c020abbc
schema:url	https://doi.org/10.3389/fped.2019.00152
resource representing a document's title	Breastfeeding and Respiratory Infections in the First 6 Months of Life: A Case Control Study
has PubMed Central identifier	PMC6492465
has PubMed identifier	31106183
schema:publication	Front Pediatr
resource representing a document's body	covid:1d44b78805f7baf17f811f8e5957c546c020abbc#body_text
is schema:about of	named entity 'hospitalization' named entity 'Respiratory' named entity 'TO INVESTIGATE' named entity 'ROLE' named entity 'REASON FOR HOSPITALIZATION' named entity 'POTENTIAL' named entity 'VRI' named entity 'MONTHS' named entity 'RESPIRATORY INFECTIONS' named entity 'CASE CONTROL STUDY' named entity 'BREASTFEEDING' named entity 'LIFE' named entity 'AGE' named entity 'CASE CONTROL STUDY' named entity 'BREASTFEEDING' named entity 'A MAJOR' named entity 'PROTECTING' named entity 'YEAR' named entity 'YOUNGER' named entity 'YEARS' named entity 'BACKGROUND' named entity 'RESPIRATORY TRACT INFECTIONS' named entity 'VIRAL' named entity 'CHILDREN' covid:arg/1d44b78805f7baf17f811f8e5957c546c020abbc named entity 'respiratory tract infections' named entity 'age' named entity 'case control study' named entity 'breastfeeding' named entity 'Respiratory Infections' named entity '6 Months' named entity 'gestational age' named entity 'exclusive breastfeeding' named entity 'breastfeeding' named entity 'exclusively breastfed' named entity 'developing countries' named entity 'breast milk' named entity 'pertussis vaccine' named entity 'developed countries' named entity 'Center for Disease Control and Prevention' named entity 'variance inflation factor' named entity 'breastfeeding' named entity 'respiratory infections' named entity 'multivariable analysis' named entity 'statistical analysis' named entity 'Fisher exact test' named entity 'breastfed' named entity 'confidence level' named entity 'symptom' named entity 'exclusively breastfed' named entity 'Microsoft Access' named entity 'breastfeeding' named entity 'Epidemiological data' named entity 'severe diseases' named entity 'breastfeeding' named entity 'pediatric' named entity 'risk factors' named entity 'immunoglobulins' named entity 'prolonged breastfeeding' named entity 'risk factors' named entity 'developed countries' named entity 'breastfeeding' named entity '2.0' named entity 'long term' named entity 'viral infections' named entity 'symptom' named entity 'exclusive breastfeeding' named entity 'respiratory infection' named entity 'nicotine' named entity 'morbidity'

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