RESPIRATORY INFECTIONS FROM 90 - 98 AT CHILDRENS DEPARTMENT IN KUMANOVO

G.Efremovska ¹, V.Dzartovska ²

Medical Center - Kumanovo, Macedonia

¹ Bosko Buha 11, 91300 Kumanovo, Macedonia

² 11 Oktomvri 7 - II/2, 91300 Kumanovo, Macedonia

Respiratory Infections are the most common diseas during childhood years, from birth to puberty. The most frequent causes are of bacterial and virus origin, but recently our attention has been drawn to chemical agens, i.e. airpollution.

The aim of this study is to show an accidency to all cases treated at the Children’s Department from 90 - 98 with a special review to Bronchitis - Bronchopneumonia - Bronchitis obstructive values, shown on the chart, in months with the least occurrence of respiratory infections imply that from 90 -93 this disease was from 2% - 10%, while in 94 until 97 was 13% - 40%..

Bronchopneumonia cases do not show significant differences. During winter and spring this relation is 17% - 20% against 24% - 38% for the years 90 - 93 and 94 - 97, while for Bronchopneumonia there are no significant differences. If we take for instance, city - village relation, it is 66% - 33% for Bronchitis obstructive, while for Bronchopneumonia the percentage is the same for both.

The age group that is mostly affected by this disease are children of 1-3 years. The most frequent cause nonbacterial origin and this is supported by high percentage of negative smears and drainage secretions, probably virus which almost always occurs during winter months. Fact that percentage of Bronchitis - obstructive cases is being increased during the last fewyears, with of course obvious differences in summer months, has made us think that there must be another cause, i.e. constant increasing of air pollution.

Although Kumanovo is in the group of less polluted towns, the evidence given by Car Association shows that the average age of cars is above 15 years which is an additional cause for air pollution, which, again, should be constantly followed.

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