Resumen
Introduction: Atopic diseases (asthma, rhinitis, atopic dermatitis) are one of the most common chronic diseases with a high worldwide prevalence not known in Guatemala. Objectives: The main purpose of the study is to know de prevalence of atopic diseases in children followed as outpatients in a public hospital in Guatemala. Methodology: A population of 386 children was studied and divided in two groups, one ages 5 to 6 years and the second one ages 11 to 12 years. An adapted questionnaire from the study of ISAAC (11) was validated and used. Results: The estimated prevalence of asthma, rhinoconjuntivitis and cutaneous
symptoms in children aged 5 to 6 year old was 13%, 14% and 7%, respectively. In the group ranged 11 to 12 prevalence of symptom of asthma was 16%, rhinoconjuntival 16% and cutaneous 14%. Discussion: A high prevalence of symptoms of the 3 diseases, in both age groups was found, however this prevalence varies compared with other Latin American countries; this is probably due to geographical, demographic, immunological and genetic differences. Fifty-nine (59%) of subjects had no diagnosis or treatment indicating the absence of screening tools for the early detection of atopic diseases.
Citas
Martínez, F y Vercelli D. (2013). Asthma. The Lancet. 382, p1360-1372.
Latin American ISAAC Group. (2010). Regional variation in asthma symptom prevalence in Latin American children. J Asthma. 47 (6), p644-650.
FitzGerald, J et al. (2015). Chapter 1. Definition, description, and diagnosis of asthma. In: Global Strategy for Asthma Management and Prevention (2015 update). US: p1-12.
Thomsen, S. (2015). Epidemiology and natural history of atopic diseases. European Clinical Respiratory Journal. 2 (246142), p1-6.
Weidninger, S y Novak, N. (Published Online September 14, 2015). Atopic Dermatitis. The Lancet, p1-14.
Latin American ISAAC Phase 3 Study Group. (2010). Prevalence of symptoms of eczema in Latin America: results of the International Study of Asthma and Allergies in Childhood (ISAAC) Phase 3. J Investig Allergol Clin Immuno. 20 (4), p311-323.
Chet A. Tharpe, MD, Stephen F. Kemp, MD. (2015). Pediatric Allergic Rhinitis. Immunol Allergy Clin N Am. 35 (.), p185–198.
Latin American ISAAC Study Group. (2010). Prevalence of rhinitis-related symptoms in Latin American children - results of the International Study of Asthma and Allergies in Childhood (ISAAC) phase three. Pediatr Allergy Immunol. 21 (2), p127-136.
DeShazo, R MD y Kemp, S MD. (2014). Allergic rhinitis: Clinical manifestations, epidemiology, and diagnosis. Last accessed 15 Dic 2015.
De la Torre, S y Lee, J. (2014). Población. In: Caracterización República de Guatemala. Guatemala: Instituto Nacional de Estadística. p5-12.
Asher, I et al. (1993). International Study of Asthma and Allergies in Childhood Phase One Manual. 2nd ed. US: p3-46
C. Mata Fernández1, M. Fernández-Benítez, M. Pérez Miranda, F. Guillén Grima. (2005). Validation of the Spanish version of the Phase III ISAAC questionnaire on asthma. J Invest Allergol Clin Immunol. 15 (3), p201-210
Grupo ISAAC Español. (1991). Prevalencia de síntomas sugestivos de rinitis alérgica y de dermatitis atópica en adolescentes (Estudio ISAAC España). An Esp Pediatr. 51 (1), p369-376.
Mallol J et al. (2010). Regional Variation in Asthma Symptom Prevalence in Latin American Children. Journal of Asthma. 47 (1), p644-650.
Subbarao P MD, et al. (9). Asthma: epidemiology, etiology and risk factors. CMJA. 181 (2009), p181-190.
Porter P, et al. (2011). Seeking common pathophysiology in asthma, atopy and sinusitis. Trends in Inmunology. 32 (2), p43-49.
Solé D, et al. (2010). Prevalence of Symptoms of Eczema in Latin America: Results of the International Study of Asthma and Allergies in Childhood (ISAAC) Phase 3. J Investig Allergol Clin Immunol. 20 (4), p311-323.
Rautava S, et al. (2004). The hygiene hypothesis of atopic disease--an extended version. J Pediatr Gastroenterol Nutr. 38 (4), p378-388
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