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Association between previous enterobiasis and current wheezing: Evaluation of 1018 children

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Abstract:

The aim of this study was to investigate the association between parasitosis and allergy. We surveyed all children aged 4–12 years living in poor hygienic conditions in a shantytown of Istanbul. After obtaining data from the International Study of Asthma and Allergies in Childhood (ISAAC) and an additional questionnaire, performing a skin-prick test (SPT), and determining total IgE, stool and perianal tape specimens were obtained from 1018 participating children. The prevalence of past episodes of wheezing, current wheezing, asthma, and rhinitis was 31, 14.6, 10.7, and 26.2%, respectively. Parasitosis was present in 49.1%, Enterobius vermicularis (23.3%), being the most common. A history of treatment for enterobiasis was present in 37%. Comparison of children with and without current enterobiasis revealed no significant difference in allergic manifestations and SPT results, except for serum total IgE level (p = 0.018), whereas children with previous enterobiasis were more likely to have current wheezing (p = 0.012). Current wheezers were more likely to have previous enterobiasis (p = 0.01) and a higher maternal employment level (p = 0.036) when compared with those without. According to logistic regression analysis, covariables significantly positively related with current wheezing were previous enterobiasis (p = 0.003) and being ≤5 years of age (p = 0.043), whereas being the first child of the family (p = 0.043) was negatively related. A previous infection with E. vermicularis was found to potentiate current wheezing in a population living in a shantytown in Istanbul.

Keywords: ALLERGY; ASTHMA; CHILDREN; ENTEROBIUS VERMICULARIS; HELMINTH INFECTION; INTESTINAL; ISAAC; PARASITOSIS; RISK FACTOR; WHEEZING

Document Type: Research Article

DOI: http://dx.doi.org/10.2500/aap.2007.27.2904

Affiliations: 1: Pediatric Allergy and Immunology Division, Marmara University, School of Medicine, Istanbul, Turkey 2: Department of Pediatrics, Marmara University, School of Medicine, Istanbul, Turkey 3: Department of Microbiology, Marmara University, School of Medicine, Istanbul, Turkey 4: Pediatric Infectious Diseases Division, Marmara University, School of Medicine, Istanbul, Turkey 5: Pediatric Allergy and Immunology Division,

Publication date: March 1, 2007

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  • Allergy and Asthma Proceedings is a peer reviewed publication dedicated to distributing timely scientific research regarding advancements in the knowledge and practice of allergy, asthma and immunology. Its primary readership consists of allergists and pulmonologists.

    The goal of the Proceedings is to publish articles with a predominantly clinical focus which directly impact quality of care for patients with allergic disease and asthma.

    Featured topics include asthma, rhinitis, sinusitis, food allergies, allergic skin diseases, diagnostic techniques, allergens, and treatment modalities. Published material includes peer-reviewed original research, clinical trials and review articles.

    Articles marked "F" offer free full text for personal noncommercial use only.

    The journal is indexed in Thomson Reuters Web of Science and Science Citation Index Expanded, plus the National Library of Medicine's PubMed service.
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