Kids with lung disease prone to serious infections at daycare

Washington: A new study has revealed that exposure to common viruses in daycare puts children with a chronic lung condition caused by premature birth at risk for serious respiratory infections.

Johns Hopkins Children`s Center researchers say their findings should prompt pediatricians to monitor their prematurely born patients, regardless of age, for signs of lung disease and to discuss the risks of daycare-acquired infections with the children`s parents.

These risks, the researchers found, include increased emergency room visits and medication use and more days with breathing problems.

"Daycare can be a breeding ground for viruses and puts these already vulnerable children at risk for prolonged illness and serious complications from infections that are typically mild and short-lived in children with healthy lungs," said lead investigator Sharon McGrath-Morrow, MD, MBA, a lung specialist at Hopkins Children`s.

Investigators interviewed the parents of 111 children ages 3 and under with chronic lung disease of prematurity (CLDP) about their child`s daycare attendance, infections, symptoms, emergency room visits, hospitalisations and use of medications.

Among the 22 children with CLDP who attended daycare, 37 percent went to the ER for worsening symptoms since their last day in daycare, compared to 12 percent of children who did not attend daycare. More than 15 percent of those who attended daycare were hospitalized for viral illness, compared to 6 percent among those who didn``t attend daycare.

Thirty-nine percent of those in daycare needed corticosteroids for their illness and 50 percent of them required antibiotics, compared to 19 percent and 26 percent, respectively, for those who were not in daycare. Children in daycare had more respiratory episodes in the week before their visit to the doctor. More than half of the children in daycare had respiratory symptoms in the week before their visit, compared to 29 percent of those not enrolled in daycare.

CLDP develops in about a quarter of babies born at or before 26 weeks of gestation, according to the investigators, but even those born as late as 32 weeks of gestation can develop the condition, the researchers say.

The study has been published in the October issue of Pediatrics.


Bangalore: A sandalwood poacher, part of a
three-member gang, was today shot dead while another was
injured when an industrialist opened fire at his farm in
Hulimavu near here, police said.

The 25 year-old deceased, who is a native of Salem in Tamil
Nadu, succumbed to his injuries while trying to escape while
the other two, including the injured, managed to flee under
the cover of darkness, police said.

The industrialist Jayaramu saw the gang felling a sandalwood
tree at around 1.30 am and fired in the air using his single
barrel breech loading gun to scare them. But one of the
poachers tried to attack him with a sickle following which he
opened fire, injuring him and another poacher, police said.

The injured poacher succumbed as he was trying to climb
the compound wall of the farm to escape, the sources said.


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