Respiratory Tract Infections Clinical Trial
Official title:
Prevention of Respiratory Infections Among Children Under 3 Years of Age Attending
The aim of this study is to evaluate the influence of Primary and Secondary Prevention of Respiratory Infections in children up to 3 years-old attending daycare.
Randomized controlled clinical trial including children up-to 3 years-old who attend daycare
centres in O Porto.
To evaluate the Primary Prevention of Respiratory infections it was created and ministered
to children's caregivers an education health session, regarding the prevention of
respiratory infections of children, according to caregivers needs.
It is known that parental perceptions influence their behaviour in respect to the care of
their unwell child. Sometimes misunderstandings occurred because parents' expressions of
concern or requests for additional information were sometimes perceived as a challenge to
the clinicians' diagnosis or treatment decision, which leads to unnecessary and unwanted
prescribing of antibiotics. Health professionals should provide consistent information that
promotes parental self-efficacy in the care of their unwell child.
To evaluate the Secondary Prevention of Respiratory Infections it was applied to children
with signs of upper respiratory infections (rhinorrhea, cough and nasal obstruction) a nasal
clearance protocol, developed by Guy Postiaux. This protocol consists on the application of
physiological serum in the nostrils of the child, followed by forced nasal inspiration. The
protocol is applied for 3 consecutive days, according to established criteria suggested by
Postiaux. This intervention is indicated on Upper Respiratory Infections, such as rhinitis
or rhinopharyngitis, with large amount of secretions in the upper airway and it is an
effective adjuvant for medication. Forced nasal inspiration is able to create sufficient gas
velocity to act on the pressure of the middle ear, through the eustachian tube, and may have
an important role in the prevention of otitis.
;
Allocation: Randomized, Intervention Model: Factorial Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Prevention
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