Vol. 4 No. 02 (2020)
Original Article

Anemia is a risk factor for Bronchiolitis

Rahat Bin Habib
Assistant Professor (Pediatrics), Sayeed Nazrul Islam Medical Collage, Keshoregonj. Bangladesh
A. R. M. Luthful Kabir
Professor of Pediatrics, Department of Pediatrics, Ad Din Medical Collage & Hospital, Dhaka
Sunirmal Roy
Associate Professor, Department of Neonatology, Sir Salimullah Medical College and Mitford Hospital, Dhaka
Md. Kamrul Ahsan Khan
Assistant Professor (Neonatology), Sheikh Sayera Khatun Medical Collage, Gopalganj
Mohammad Abdul Wahab
Asisstent Professor, Department of Anaethesiology, Saheed Sayed Nazrul Islam Medical Collage, Kishoreganj
Md.Ali Akbar Khan
Medical Officer, Department of Medicine, Dhaka Medical Collage Hospital, Dhaka
Md.Mahbubur Rahman Shaheen
Asisstent Professor, Department of Ophthalmology, President Abdul Hamid Medical Collage Hospital, Kishoreganj
Taslim Ara Nila
Junior Consultant, Department of Gynae and Obstetrics, Saheed Sayed Nazrul Islam Medical Collage, Kishoreganj
Sujit Das
Asisstent Professor, Department of Pediatrics, Saheed Sayed Nazrul Islam Medical Collage, Kishoreganj

Published 20-09-2021

Keywords

  • Anemia,
  • Bronchiolitis,
  • Infants

How to Cite

1.
Anemia is a risk factor for Bronchiolitis. Planet (Barisal) [Internet]. 2021 Sep. 20 [cited 2024 Nov. 23];4(02):6. Available from: https://bdjournals.org/index.php/planet/article/view/17

Abstract

Introduction: The bronchiolitis outbreak is common in Bangladesh. The infantile period is the transitional period for weaning, when inadequate & inappropriate supplementary food has eaten, then a child starts to decline hemoglobin level. In this period incidence and prevalence of bronchiolitis become high. There are very few studies on anemia with bronchiolitis in this country, whereas this is very important to disclose any relation between them in the aspect of our society. Possibly it is one of the few studies between anemia with bronchiolitis which conducted in Bangladesh and only on infants. Methods: This descriptive type of cross-sectional study was conducted in the Pediatric department of Institute of Child & Mother Health (ICMH), Dhaka, Bangladesh, on 165 infants selected by simple random sampling. Face to face interview with parents, physical examination on infants, chest X-ray and complete blood count was done and noted in a semi-structured questionnaire. Results: Most samples were up to 3 months, whereas data collected up to 12 months, most were male (75%), 71% came from the rural area and more the half (58%) were middle class. One fifth (20%) were anemic according to Hemoglobin level (less than 11 gm/dl). Prevalence of bronchiolitis was more in anemic children (P<0.03). Conclusion & Recommendation: Anemic children were suffered by bronchiolitis more, which indicates anemia is a risk factor for bronchiolitis. There need multi-centric study, control group to understand the real picture of the disease prevalence of bronchiolitis and relation with anemia. This study has provided a baseline for future intervention studies which could inform policy formulation and review in Bangladesh towards bronchiolitis prevention and control.

References

  1. Kabir L. Research Compendium; Dhaka. 2017: 46-49.
  2. Justice NA, Le JK. Bronchiolitis. [Updated 2020 Jul 3]. In: Stat Pearls [Internet]. Treasure Island (FL): Stat Pearls Publishing; 2020 Jan-. Available from:
  3. https://www.ncbi.nlm.nih.gov/books/NBK441959/.
  4. Kabir L. Text book on Pediatric practice on parent’s presentation; Dhaka. 162.
  5. Glader B. The anemias. In: Behrman RE, Kliegman RM, Jenson HB, Hal B. (eds). Nelson Text book of pediatrics. 18th ed. Philadelphia, WB Saunders co. 2003; 2017-30.
  6. Kabra SK. Disorders of respiratory system. In: Paul VK, Bagga A (Eds) Ghai Essential Paediatrics. CBS Publishers and Distributors Pvt. Ltd; New Delhi. 2013: 371-95.
  7. Enarson P. Challenges to improving case management of childhood pneumonia at health facilities in resource-limited setting. Bull WHO. 2008; 86: 349-55.
  8. Shibuya K. WHO estimates of the causes of death in children. Lancet. 2005; 365: 1147-52.
  9. Campbel H. Risk factors for severe acute lower respiratory infections in children–a systematic review and meta-analysis. Croat Med J. 2013; 54: 110-21.
  10. Kotecka PV. Nutritional Anemia in Young Children with Focus on Asia and India. Indian J Community Med. 2011; 36: 8–16.
  11. Nagaraj S. Determinants of Anemia Among Young Children in Rural India. Pediatrics. 2010; 126: e140-49.
  12. Iron Deficiency Anaemia: Assessment, Prevention and Control. A Guide for Programme Managers. WHO, 2001:234. Available at:
  13. tp://www.who.int/nutrition/publications/micronutrients/anaemia_iron_deficiency/WHO_NHD_01.3/en/index.htm
  14. [accessed on December12.2020]
  15. Koch A, Molbak K, Homoe P, Sorensen P, Hjuler T, Olesen ME, Pedersen FK, Olsen OR, Melbye M. Risk factors for acute respiratory tract infections in young Greenlandic children. Am J Epidemiol. 2003; 158: 374-84.
  16. Malla KK, Pathak OK, Malla T. Is low haemoglobin level a risk factor for lower respiratory tract infection. Indian J Pediatr. 2006; 73: 881-3.
  17. de Silva A, Atokorala S, Ahluwalia N, Weerasinghe I. Iron supplementation improves iron status and reduces morbidity in children with or without upper respiratory tract infections: a randomized controlled study in Colombo, Sri Lanka1-3. American J of Clinical Nutrition. 2003;77(1):234-41.
  18. Mourad S, Rajab M, Alameddine A, Fares M, Ziade F, Merhi BA. Hemoglobin level as a risk factor for lower respiratory tract infections in Lebanese children. N Am J Med Sci. 2010 Oct;2(10):461-6. doi: 10.4297/najms.2010.2461.
  19. Ramakrishnan K, Harish PS. Hemoglobin level as a risk factor for lower respiratory tract infections. Indian J Pediatr. 2006; 73: 881-3.
  20. Oppenheimer SJ. et al Iron and Its Relation to Immunity and Infectious Disease. J. Nutr. 2001; 131: 616S-35