Article: The association of early infections and atopic dermatitis. A retrospective case-control study in Chinese children in primary care in Hong Kong

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TitleThe association of early infections and atopic dermatitis. A retrospective case-control study in Chinese children in primary care in Hong Kong
AuthorsLee, A2
Chuh, A1 2
Wong, W2
KeywordsAtopic dermatitis
Early infections
Hygiene hypothesis
Issue Date2006
CitationEuropean Journal Of Pediatric Dermatology, 2006, v. 16 n. 2, p. 101-104 [How to Cite?]
AbstractThe increasing prevalence of atopic dermatitis (AD) in developed countries has been postulated to be related to better hygiene leading to lack of exposure of infants to infections. The objective of this study is to investigate the association of early infections with AD in Chinese children in Hong Kong. Our setting were two primary care surgeries run by a family physician with training and qualifications in pediatrics and in dermatology. Most children were under our continuous care since early infancy. We searched our database and retrieved 132 medical records of infants and children (below eight) with AD fulfilling the United Kingdom Working Party diagnostic criteria of AD seen by us in 12 months. Children with a label of AD but not fulfilling the diagnostic criteria were excluded. Children who were not continuously cared by us since they were born were also excluded. For each child with AD, we retrieved the medical record of the next age-and-sex pair-matched child who did not have skin problems as controls. The number of children with infection before the age of six months, the number of infections, the number of hospitalizations, and the number of children having prescribed antibiotics before six months were insignificantly different in the study and control subjects. We conclude that there is no significant association between early infections and the risk of AD for Chinese children in Hong Kong.
ISSN1122-7672
2011 SCImago Journal Rankings: 0.027
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorLee, A
dc.contributor.authorChuh, A
dc.contributor.authorWong, W
dc.date.accessioned2011-03-28T09:24:36Z
dc.date.available2011-03-28T09:24:36Z
dc.date.issued2006
dc.description.abstractThe increasing prevalence of atopic dermatitis (AD) in developed countries has been postulated to be related to better hygiene leading to lack of exposure of infants to infections. The objective of this study is to investigate the association of early infections with AD in Chinese children in Hong Kong. Our setting were two primary care surgeries run by a family physician with training and qualifications in pediatrics and in dermatology. Most children were under our continuous care since early infancy. We searched our database and retrieved 132 medical records of infants and children (below eight) with AD fulfilling the United Kingdom Working Party diagnostic criteria of AD seen by us in 12 months. Children with a label of AD but not fulfilling the diagnostic criteria were excluded. Children who were not continuously cared by us since they were born were also excluded. For each child with AD, we retrieved the medical record of the next age-and-sex pair-matched child who did not have skin problems as controls. The number of children with infection before the age of six months, the number of infections, the number of hospitalizations, and the number of children having prescribed antibiotics before six months were insignificantly different in the study and control subjects. We conclude that there is no significant association between early infections and the risk of AD for Chinese children in Hong Kong.
dc.description.naturelink_to_subscribed_fulltext
dc.identifier.citationEuropean Journal Of Pediatric Dermatology, 2006, v. 16 n. 2, p. 101-104 [How to Cite?]
dc.identifier.epage104
dc.identifier.issn1122-7672
2011 SCImago Journal Rankings: 0.027
dc.identifier.issue2
dc.identifier.scopuseid_2-s2.0-33749494375
dc.identifier.spage101
dc.identifier.urihttp://hdl.handle.net/10722/132437
dc.identifier.volume16
dc.languageeng
dc.relation.ispartofEuropean Journal of Pediatric Dermatology
dc.relation.referencesReferences in Scopus
dc.subjectAtopic dermatitis
dc.subjectEarly infections
dc.subjectHygiene hypothesis
dc.titleThe association of early infections and atopic dermatitis. A retrospective case-control study in Chinese children in primary care in Hong Kong
dc.typeArticle
Author Affiliations
  1. Bonham Surgery
  2. Prince of Wales Hospital Hong Kong