head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing
ISSN: 1312-773X (Online)
Issue: 2018, vol. 24, issue1
Subject Area: Medicine
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DOI: 10.5272/jimab.2018241.1918
Published online: 07 March 2018

Original article

J of IMAB. 2018 Jan-Mar;24(1):1918-1922
PROTECTIVE EFFECT OF BREAST MILK ON URINARY TRACT INFECTION IN CHILDREN AGED 0-3 YEARS
Rositsa Chamova1ORCID logo Corresponding Autoremail, Rouzha Pancheva1ORCID logo, Teodora Dimitrova1ORCID logo, Dimitrichka Bliznakova2,
1) Department of Hygiene and Epidemiology, Faculty of Public Health, Medical University - Varna, Bulgaria.
2) Medical College - Varna, Medical University - Varna, Bulgaria.

ABSTRACT:
Background: Urinary tract infections (UTIs) are some of the most common infections in childhood. It is well established that breastfeeding reduces the risk of some respiratory tract infections in childhood, but it is still questionable if it has an effect on the rate and severity of UTI.
Aim: To investigate the role of breastfeeding on the occurrence and severity of UTIs in children aged 0-3 years in Varna, Bulgaria.
Methods: A case-control study was performed in Varna between 2013 and 2015. The frequency, duration and type of breastfeeding practices were assessed in children (from birth till 3 years) diagnosed with UTIs (cases) and in healthy children (controls). Descriptive analysis, parametric and nonparametric methods were used to analyse the collected data. SPSS version 17 was applied. For statistically significant differences a p-value of less than 0.05 was accepted.
Results: 216 controls and 108 cases were included in the statistical analysis. The average age of patients and controls was 17.7 ± 1 months. The median of the duration of breastfeeding and exclusive breastfeeding for the cases was 3.5 and 0 months respectively compared to the significantly longer duration in the controls - 6 months and 2 months respectively. Controls were breastfed and exclusively breastfed 2 times longer, and the UTI was not accompanied by high temperature in breastfed cases compared to non- breastfed cases (p <0.05).
Conclusions: Longer breastfeeding and exclusive breastfeeding contributes to protection against the development and lowers severity of UTIs in infants and small children.

Keywords: breastfeeding, urinary tract infections, protection, infants, small children,

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Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Chamova R, Pancheva R, Dimitrova T, Bliznakova D. Protective effect of breast milk on urinary tract infection in children aged 0-3 years. J of IMAB. 2018 Jan-Mar;24(1):1918-1922. DOI: 10.5272/jimab.2018241.1918

Corresponding AutorCorrespondence to: Rositsa Chamova, Department of Hygiene and Epidemiology, Faculty of Public Health, Medical University – Varna; 55, Marin Drinov Str., 9000 Varna, Bulgaria; E-mail: rositsa.chamova@mu-varna.bg

REFERENCES:
1. Baraff LJ. Management of infants and young children with fever without source. Pediatr Ann. 2008 Oct;37(10):673-9. [PubMed]
2. Shaikh N, Morone NE, Lopez J, Chianese J, Sangvai S, D'Amico F, et al. Does this child have a urinary tract infection? JAMA. 2007 Dec 26;298(24):2895-904. [PubMed] [CrossRef]
3.  Heffner VA, Gorelick MH.  Pediatric Urinary Tract Infection. Clin Ped Emerg Med. 2008 Dec;9(4):233-37. [CrossRef]
4. Taib F, Jamal B. Diagnostic accuracy on the management of acute paediatric urinary tract infection in a general paediatric unit. J Acute Disease. 2015 Mar;4(1):54-58. [CrossRef]
5. Newman DH, Shreves AE, Runde DP. Pediatric urinary tract infection: does the evidence support aggressively pursuing the diagnosis? Ann Emerg Med. 2013 May;61(5):559-65. [PubMed] [CrossRef]
6. Martin RM,  Gunnell D,  Smith GD. Breastfeeding in Infancy and blood pressure in later life: systematic review and meta-analysis. Am J Epidemiol. 2005 Jan;161(1):15-26. [PubMed] [CrossRef]
7. Ip S, Chung M, Raman G, Chew P, Magula N, DeVine D, et al. Breastfeeding and maternal and infant health outcomes in developed countries. Evid Rep Technol Assess (Full Rep). 2007 Apr;(153):1-186. [PubMed]
8. Sullivan S, Schanler RJ, Kim JH, Patel AL, Trawöger R, Kiechl-Kohlendorfer U, et al. An exclusively human milk-based diet is associated with a lower rate of necrotizing enterocolitis than a diet of human milk and bovine milk-based products. J Pediatr. 2010 Apr;156(4):562-7.e1 [PubMed] [CrossRef]
9. Bode L. The functional biology of human milk oligosaccharides. Early Hum Dev. 2015 Nov; 91(11):619-22. [PubMed] [CrossRef]
10. Breakey AA, Hinde K, Valeggia CR, Sinofsky A, Ellison PT. Illness in breastfeeding infants relates to concentration of lactoferrin and secretory Immunoglobulin A in mother’s milk. Evol Med PublicHealth. 2015 Jan;2015(1):21-31. [PubMed] [CrossRef]
11. Zelikovic I., Adelman RD, Nancarrow PA. Urinary tract infections in children. West J Med. 1992 Nov; 157(5):554-61. [PubMed]
12. Fernandez-Puentes V, Uberos J, Rodriguez-Belmonte R, Nogueras-Ocaña M, Blanca-Jover E, Narbona-López E. Efficacy and safety profile of cranberry in infants and children with recurrent urinary tract infection. An Pediatr (Barc). 2015; 82(6): 397-403. [CrossRef]
13. Khan, J, Vesel L, Bahl R., Martines JC. Timing of breastfeeding initiation and exclusivity of breastfeeding during the first month of life: effects on neonatal mortality and morbidity—a systematic review and meta-analysis. Matern Child Health J. 2015 Mar;19(3):468-79. [PubMed] [CrossRef]
14. Habicht JP, Pelto GH. Addressing epidemiological and public health analytic challenges in outcome and impact research: a commentary on ‘Prechewing Infant Food, Consumption of Sweets and Dairy and Not Breastfeeding are Associated with Increased Diarrhea Risk of Ten Month Old Infants’. Matern Child Nutr. 2016 Jul;12(3):625-31. [PubMed] [CrossRef]
15. Bowatte G, Tham R, Allen KJ, Tan DJ, Lau MXZ, Dai X, et al. Breastfeeding and childhood acute otitis media: a systematic review and meta analysis. Acta Paediatrica. 2015 Dec;104(S467):85-95. [PubMed] [CrossRef]
16. Victora CG, Bahl R, Barros AJ, Franзa GV, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016; 387(10017): 475-490. [PubMed] [CrossRef]
17. Agostoni C, Braegger C, Decsi T, Kolacek S, Koletzko B, Michaelsen KF, et al. Breastfeeding: A Commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr. 2009 Jul;49(1):112-25. [PubMed] [CrossRef]
18. IOM (Institute of Medicine). Child and Adult Care Food Program: Aligning Dietary Guidance for All. Washington, DC: The National Academies Press. 2011. [CrossRef]
19. Pisacane A, Graziano L, Mazzarella G. Scarpellino B, Zona G. Breastfeeding and urinary tract infection. J Pediatr. 1992 Jan;120(1):87-9. [PubMed]
20. Hanson LA. Protective effects of breastfeeding against urinary tract infection. Acta Paediatr. 2004 Feb;93(2):154-6. [PubMed]
21. Agostoni C, Decsi T, Fewtrell M, Goulet O, Kolacek S, Koletzko B, et al. Complementary feeding: A commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr. 2008; Jan;46(1):99-110. [PubMed] [CrossRef]
22. Marild S, Hansson S, Jodal U, Oden A, Svedberg K. Protective effect of breastfeeding against urinary tract infection. Acta Paediatr. 2004; Feb;93(2):164-8. [PubMed] [CrossRef]
23. Levy I, Comarsca J, Davidovits M, Klinger G, Sitora L, Linder N. Urinary tract infection in preterm infants: the protective role of breastfeeding. Pediatr Nephrol. 2009; Mar;24(3):527-31. [PubMed] [CrossRef]
24. Falakaflaki B, Ahmadiafshar A. Protective effect of breast milk against urinary tract infection. HK J Paediatr (New Series). 2008; 13(4):235-238.

Received: 29 November 2017
Published online: 07 March 2018

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