Role of adenoidectomy in otitis media and respiratory function

Treatment principles of children with pharyngeal tonsil pathology in the background of allergic rhinitis (literature review): A review

This article provides a review of different treatment for children with adenoids against a background of allergic rhinitis. An analysis of 35 papers published in Scopus and PubMed was carried out. Evaluation of the research results has shown that treatment of patients with pathology of lymphoid structures of the pharynx on the background of allergic rhinitis should be complex and individual in each clinical case.

[The immunological consequences and risks of adenoidectomy]

The objective of the present review article was the analysis of the potential risks and negative consequences associated with the surgical treatment of adenoids and the comparison of the potential harm to health and effectiveness of adenoidectomy for the children. It is concluded, based on the currently available information, that adenoidectomy provides an efficient surgical method for the management of the problems associated with adenoid pathology. The application of this technique based on the proper medical indications has no adverse effects on the children's health conditions and the mechanisms of immune protection. Moreover, it contributes to the improvement of the quality of life of the patients, fosters their physical and mental development.

Risks for upper respiratory infections in infants during their first months in day care included environmental and child-related factors

AIM

We examined the frequency and potential risk factors for respiratory infections, diarrhoea and absences in infants during their first months in day care.

METHODS

This prospective cohort study comprised 269 Danish infants aged eight months to 14 months and was part of a study that examined how probiotics affected absences from day care due to respiratory and gastrointestinal infections. The risk factors examined were the household, child characteristics and type of day care facility. Parents registered upper respiratory tract infections (URTIs), lower respiratory tract infections (LRTIs), diarrhoea and day care absences on web-based questionnaires.

RESULTS

Over a mean of 5.6 months in day care, 36% and 20% of the infants had at least one URTI or LRTI, and 60% had diarrhoeal episodes. The risk of at least one URTI was increased by previous respiratory infections, with an odds ratio (OR) of 2.65, but was inversely associated with having a pet (OR: 0.43), being cared for by registered child minders compared to day care centres (OR: 0.36), birthweight (OR 0.40) and age at day care enrolment (OR: 0.64). No significant risk factors for LRTIs and diarrhoea were found.

CONCLUSION

Infection risks were associated with environmental factors and factors related to the child.