Incidence and outcomes of acute respiratory illness (ARI) with cough in urban Indigenous children

Hall, Kerry, Chang, Anne B., Anderson, Jennie, Arnold, Daniel, Kemp, Anita, & O'Grady, Kerry-Ann (2015) Incidence and outcomes of acute respiratory illness (ARI) with cough in urban Indigenous children. In Thoracic Society of Australia & New Zealand and the Australian & New Zealand Society of Respiratory Science, Annual Scientific Meeting, 1 - 6 April 2016, Perth, W.A..

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Abstract

Introduction

  • Studies suggest that 10% of children with an ARI have persistent cough at day-21. There are no studies in Indigenous children who have a high risk of chronic lung disease. We aimed to identify the incidence and outcomes of ARI with cough as a symptom in urban Indigenous children.

Methods

  • A prospective study of Indigenous children aged <5 years registered with a primary health service. Children are followed for a period of 12 months via monthly contacts. Children who develop cough as a symptom at any time are followed weekly for four weeks to ascertain cough outcomes.

Results

  • To date 162 children are enrolled, totalling 1065 child-months of observation. 200 ARI episodes with cough have been reported (29.6 episodes/100 child months at risk). 34 ARIs (17%) have progressed to persistent cough at day 28 in 24 children. Of these, 15 children had 1 episode, 5 had 2, 4 had 3 and 1 had 4 during the follow-up period. The majority of children with persistent cough were diagnosed (by a respiratory physician) with protracted bacterial bronchitis and/or bronchiectasis.

Conclusions

  • The proportion of children developing persistent cough post ARI is higher than that currently reported (10%) with the majority suggesting protracted bacterial infection.

Grant Support:

A QUT APA award, a QCMRI Program Grant, UQ Foundation Research Excellence Award, a QUT Indigenous Health Research Start-Up Grant and the NHMRC CRE for Lung Health in Aboriginal and Torres Strait Islander Children.

Declaration of interest: None to declare

Impact and interest:

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ID Code: 98792
Item Type: Conference Item (Presentation)
Refereed: No
Additional URLs:
Keywords: Indigenous children, acute respiratory illness, urban, incidence and outcomes
DOI: 10.1111/resp.12754
ISBN: 1440-1843
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2016 [Please consult the author]
Deposited On: 12 Sep 2016 22:38
Last Modified: 12 Sep 2016 22:38

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