Breastfeeding and aspects of the baby's oral health and its relationship with infant hospitalization and use of antibiotics
DOI:
https://doi.org/10.33448/rsd-v10i4.14178Keywords:
Breastfeeding; Oral health; Anti-bacterial agents; Hospitalization.Abstract
The present study aimed to verify the influence of breastfeeding on children's oral and systemic health, verifying children's hospitalization, use, indication and type of antibiotics used. This is a cross-sectional longitudinal study with a sample of 42 children at 30 months of age. The logistic regression test was used at a significance level of 5% for statistical analysis. Among the children, 64.28% had already been weaned before reaching 6 months of age; 11.90% had caries lesion. Simplified Oral Hygiene Index (OHI-S) was performed in 38 children, from which 92.10% had regular OHI-S and 07.90% had poor OHI-S. Of the 42 children, the indication for antibiotics use was 50% for pharyngitis, 28.83% for pneumonia, 08.33% for cold, 04.17% for sinusitis, 04.17% for bronchitis, 04.17% for stomatitis, 04.17 % for virus and 04.17% for ocular cellulitis. In this study, there was no relationship between early weaning, oral health conditions, hospitalization and antibiotics use. Presence of caries in early childhood was found in 11.90% of children. All children presented unsatisfactory OHI-S and there was no relationship between this variable and the others. Much of the indication for the use of antibiotics was for the treatment of respiratory tract infections, with beta lactams being the most used.
References
ALAT Work Group (2004). Update to the Latin American Thoracic Society (ALAT) Recommendations on Community-Acquired Pneumonia. Archivos de Bronconeumología, 40(8), 364-374. https://doi.org/10.1016/S1579-2129(06)60322-4
Andreas, N. J., Kampmann, B., & Mehring Le-Doare, K. (2015). Human breast milk: a review on its composition and bioactivity. Early Human Development, 91(11), 629-635. https://doi.org/10.1016/j.earlhumdev.2015.08.013
Awano, S., Ansai, T., Takata, Y, Soh, I, Akifusa, S., Hamasaki, T., Yoshida, A., Sonoki, K., Fujisawa, K., & Takehara, T. (2008). Oral health and mortality risk from pneumonia in the elderly. Journal of Dental Research, 87(4), 334–339. https://doi.org/10.1177/154405910808700418
Bertolini, M., & Dongari-Bagtzoglou, A. (2019). The relationship of candida albicans with the oral bacterial microbiome in health and disease. In G. N. Belibasakis, G. Hajishengallis, N. Bostanci, & M. A. Curtis (Eds.), Oral mucosal immunity and microbiome (pp. 69–78). Cham: Springer. https://doi.org/10.1007/978-3-030-28524-1_6
Biesbroek, G., Bosch, A. A. T. M., Wang, X., Keijser, B. J. K., Veenhoven, R. H., Sanders, E. A. M., & Bogaert, D. (2014). The impact of breastfeeding on nasopharyngeal microbial communities in infants. American Journal of Respiratory and Critical Care Medicine, 190(3), 298−308. https://doi.org/10.1164/rccm.201401-0073OC
Boccolini, C. S., Carvalho, M. L., Oliveira, M. I. C., & Boccolini, P. M. (2011). Breastfeeding can prevent hospitalization for pneumonia among children under 1 year old. Jornal de Pediatria, 87(5), 399-404. https://doi.org/10.2223/JPED.2136
Brasil (2001). Projeto SB2000: condições de saúde bucal da população brasileira no ano 2000. http://bvsms.saude.gov.br/bvs/publicacoes/condSB_man_exam.pdf
Brasil (2012). Resolução n. 466, de 12 de dezembro de 2012. Aprova diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. https://bvsms.saude.gov.br/bvs/saudelegis/cns/2013/res0466_12_12_2012.html
Cabinian, A., Sinsimer, D., Tang, M., Zumba, O., Mehta, H., Toma, A., Sant'Angelo, D., Laouar, Y., & Laouar, A. (2016). Transfer of maternal immune cells by breastfeeding: maternal cytotoxic T Lymphocytes present in breast milk localize in the peyer’s patches of the nursed infant. PLoS One, 11, e0156762. https://doi.org/10.1371/journal.pone.0156762
Cabral, C., Ingram, J., Lucas, P. J., Redmond, N. M., Kai, J., Hay, A. D., & Horwood, J. (2016). Influence of clinical communication on parents' antibiotic expectations for children with respiratory tract infections. Annals of Family Medicine, 14(2), 141–147. https://doi.org/10.1370/afm.1892
Caetano, M. C., Ortiz, T. T., Silva, S. G., Souza, F. I., & Sarni, R. O. (2010). Complementary feeding: inappropriate practices in infants. Jornal de Pediatria, 86(3), 196-201. https://doi.org/10.1590/S0021-75572010000300006
Carvalho Baptista, I. M., Martinho, F. C., Nascimento, G. G., Rocha Santos, C. E., Prado, R., & Valera, M. C. (2018). Colonization of oropharynx and lower respiratory tract in critical patients: risk of ventilator-associated pneumonia. Archives of Oral Biology, 85, 64–69. https://doi.org/10.1016/j.archoralbio.2017.09.029
Castellote, C., Casillas, R., Ramírez-Santana, C., Pérez-Cano, F. J., Castell, M., Moretones, M. G., López-Sabater, M. C., & Franch, A. (2011). Premature delivery influences the immunological composition of colostrum and transitional and mature human milk. The Journal of Nutrition, 141(6), 1181-1187. https://doi.org/10.3945/jn.110.133652
Cavalcanti, N. B., Silva, A. C. M. da, & Nascimento, J. W. A. do (2021). Fatores associados ao desmame precoce no Brasil: uma revisão integrativa. Pesquisa, Sociedade e Desenvolvimento , 10 (1), e58010111630. https://doi.org/10.33448/rsd-v10i1.11630
César, J. A., Victora, C. G., Barros, F. C., Santos, I. S., & Flores, J. A. (1999). Impact of breast feeding on admission for pneumonia during postneonatal period in Brazil: nested case-control study. BMJ, 318, 1316–1320. https://doi.org/10.1136/bmj.318.7194.1316
Cruz, J. R., Gil, L., Cano, F., Caceres, P., & Pareja, G. (1988). Breast milk anti-Escherichia coli heat-labile toxin IgA antibodies protect against toxin-induced infantile diarrhea. Acta Paediatrica Scandinavica, 77(5), 658-662. https://doi:10.1111/j.1651-2227.1988.tb10726.x
Dewhirst, F. E., Chen, T., Izard, J., Paster, B. J., Tanner, A. C., Yu, W. H., Lakshmanan, A., & Wade, W. G. (2010). The human oral microbiome. Journal of Bacteriology, 192, 5002–5017. https://doi.org/10.1128/JB.00542-10
Echeverría, A., Durante, A. G., Arechavala, A., & Negroni, R. (2002). Estudio comparativo de dos medios de cultivo para la detección de la actividad fosfolipasa en cepas de Candida albicans y Cryptococcus neoformans. Revista Iberoamericana de Micología, 19: 95-98.
Gaetti-Jardim, E., Setti, J. S., Cheade, M. F. M., & Mendonça, J. C. G. (2013). Atenção odontológica a pacientes hospitalizados: revisão da literatura e proposta de protocolo de higiene oral. Revista de Atenção à Saúde, 11(35), 31-36. https://doi.org/10.13037/rbcs.vol11n35.1769
Glass, R. I., Svennerholm, A. M., Stoll, B. J., Khan, M. R., Hossain, K. M., Huq, M. I., & Holmgren, J. (1983). Protection against cholera in breast-fed children by antibodies in breast milk. The New England Journal of Medicine, 308(23), 1389-1392. https://doi.org/10.1056/NEJM198306093082304
Goldman, A. S. (2000). Modulation of the gastrointestinal tract of infants by human milk: interfaces and interactions: an evolutionary perspective. The Journal of Nutrition, 130(2), 426S–431S. https://doi.org/10.1093/jn/130.2.426S
Hanson, L. A. (1999). Human milk and host defence: immediate and long-term effects. Acta Paediatrica, 88(430), 42–46. https://doi.org/10.1111/j.1651-2227.1999.tb01299.x
Hanson, L. A., Hahn-Zoric, M., Berndes, M., Ashraf, R., Herias, V., Jalil, F., Bhutta, T. I., Laeeq, A., & Mattsby-Baltzer, I. (1994). Breast feeding: overview and breast milk immunology. Pediatrics International, 36(5), 557–561. https://doi.org/10.1111/j.1442-200x.1994.tb03246.x
Hurley, W. L., & Theil, P. K. (2011). Perspectives on immunoglobulins in colostrum and milk. Nutrients, 3(4), 442–474. https://doi.org/10.3390/nu3040442
Instituto Brasileiro de Geografia e Estatística (2010). Brasil / São Paulo / Araçatuba. https://cidades.ibge.gov.br/brasil/sp/aracatuba/panorama
Jackson, K. M., & Nazar, A. M. (2006). Breastfeeding, the immune response, and long-term health. The Journal of the American Osteopathic Association, 106(4), 203–207.
Katsube, T., Saisho, Y., Shimada, J., & Furuie, H. (2019). Intrapulmonary pharmacokinetics of cefiderocol, a novel siderophore cephalosporin, in healthy adult subjects. Journal of Antimicrobial Chemotherapy, 74(7), 1971–1974. https://doi.org/10.1093/jac/dkz123
Kianmehr, H., Sabounchi, N. S., Seyedzadeh Sabounchi, S., & Cosler, L. E. (2019). Patient expectation trends on receiving antibiotic prescriptions for respiratory tract infections: a systematic review and meta-regression analysis. International Journal of Clinical Practice, 73(7), e13360. https://doi.org/10.1111/ijcp.13360
Krenz-Niedbała, M., Kościński, K., Puch, E. A., Zelent, A., & Bręborowicz, A. (2015). Is the relationship between breastfeeding and childhood risk of asthma and obesity mediated by infant antibiotic treatment? Breastfeeding Medicine, 10(6), 326–333. https://doi.org/10.1089/bfm.2014.0173
Kuiper, S., Muris, J. W., Dompeling, E., Kester, A. D., Wesseling, G., Knottnerus, J. A., & van Schayck, C. P. (2007). Interactive effect of family history and environmental factors on respiratory tract-related morbidity in infancy. Health Care Education, Delivery, and Quality, 120(2), 388–395. https://doi.org/10.1016/j.jaci.2007.03.038
Marques, V. G. P. da S., Silva, M. P. B., Silva, P. I. de O., Alves, R. S. S., Jesus, G. de L. S. de, Sousa , A. B. de, Silva , A. B. F. da, Sousa, C. da S., Porto, M. de J., Soares, I. L., Bandeira, J. M. A., Silva, M. H. da, Fagundes, G. R. S., Oliveira, J. R. A., Carneiro, G. F. da C., Rocha, F. da S., Ferreira Júnior, S. M. da S., Torres, B. V. dos S., Havenstrin, V. C. de L., Silva, W. B. da, Lima, M. S., Carvalho, G. da S., Lima, R. de S., Pereira, L. O. R., Oliveira, B. de L., Silva, E. R. da, Silva, E. de J., Nascimento, A. M. V. do, Meneses , K. A., Brito, V. A., Silva , A. M. N. dos S., Sousa, F. L. L. de, Gomes, T. B., Paiva, M. T. G., Silva , A. B. A. da, Silva, L. I. de L. P., & Vale, J. R. L. do. (2020). Breastfeeding: importance and benefits of breastfeeding. Research, Society and Development, 9(10), e2299108405. https://doi.org/10.33448/rsd-v9i10.8405
Mattos-Graner, R. O., Zelante, F., Line, R. C., & Mayer, M. P. (1998). Association between caries prevalence and clinical, microbiological and dietary variables in 1.0 to 2.5-year-old Brazilian children. Caries Research, 32(5), 319–323. https://doi.org/10.1159/000016466
Mendes, C., Hsiung, A., Dencer, C., Felmingham, D., Rossi, F., Segura, A. J. A., Zoccoli, C. M., Sader, H., & Mimica, I. (2003). Infecções do trato respiratório: principais agentes bacterianos e padrões de resistência: dados brasileiros do estudo internacional PROTEKT. @rquivos de Otorrinolaringologia, 7(2), 97-107.
Moimaz, S. A. S., Amaral, M. A., Miotto, A. M. M., Costa, I. C. C., & Garbin, C. A. S. (2016). Análise qualitativa do aleitamento materno com o uso do software IRAMUTEQ. Saúde e Pesquisa, 9(3), 567-577. https://doi.org/10.17765/2176-9206.2016v9n3p567-577
Mucha, A. M., Lohmann, P. M., Laste, G., & Marchese, C. (2020). Orientation of breastfeeding in hospital high: an integrative review. Research, Society and Development, 9(7), e219974119. https://doi.org/10.33448/rsd-v9i7.4119
Ngocho, J. S., Jonge, M. I., Minja, L. G. A., Mahande, M. J., Msuya, S. E., & Mambaga, B. T. (2019). Modifiable risk factors for community acquired pneumonia in children under 5 years of age in resource poor settings: a case–control study. Tropical Medicine & International Health, 24(4), 484–492. https://dx.doi.org/10.1111/tmi.13211
Oddy, W. H., Sly, P. D., de Klerk, N. H., Landau, L. I., Kendall, G. E., Holt, P. G., Stanley, F. (2003). Breast feeding and respiratory morbidity in infancy: a birth cohort study. Archives of Disease in Childhood, 88(3), 224–228. https://doi.org/10.1136/adc.88.3.224
Palmeira, P., & Carneiro-Sampaio, M. (2016). Immunology of breast milk. Revista da Associação Médica Brasileira, 62(6), 584-593. https://doi.org/10.1590/1806-9282.62.06.584
Parker, E. M., O'Sullivan, B. P., Shea, J. C., Regan, M. M., & Freedman, S. D. (2004). Survey of breast-feeding practices and outcomes in the cystic fibrosis population. Pediatric Pulmonology, 37(4), 362–367. https://doi.org/10.1002/ppul.10450
Payne, S., & Quigley, M. (2017). Breastfeeding and infant hospitalisation: analysis of the UK 2010 Infant Feeding Survey. Maternal & Child Nutrition, 13(1), e12263. https://doi.org/10.1111/mcn.12263
Penders, J., Thijs, C., Vink, C., Stelma, F. F., Snijders, B., Kummeling, I., van den Brandt, P. A., & Stobberingh, E. E. (2006). Factors influencing the composition of the intestinal microbiota in early infancy. Pediatrics, 118(2), 511–521. https://doi.org/10.1542/peds.2005-2824
Petrechen, L. N., Zago, F. H., Sesso, M. L., Bertoldo, B. B., Silva, C. B., Azevedo, K. P., de Lima Pereira, S. A., Geraldo-Martins, V. R., Ferriani, V. P., & Nogueira, R. D. (2015). Levels and complexity of IgA antibody against oral bacteria in samples of human colostrum. Immunobiology, 220(1), 142–146. https://doi.org/10.1016/j.imbio.2014.08.009
Rocha, N. B., Garbin, A. J. I., Garbin, C. A. S., & Moimaz, S. A. S. (2010). O ato de amamentar: um estudo qualitativo. Physis: Revista de Saúde Coletiva, 20(4), 1293-1305. https://doi.org/10.1590/S0103-73312010000400012
Rocha, N. B., Garbin, A. J. I., Garbin, C. A. S., Saliba, O., & Moimaz S. A. S. (2013). Estudo Longitudinal sobre a prática de aleitamento materno e fatores associados ao desmame precoce. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 13(4), 337-342. https://doi:10.4034/PBOCI.2013.134.06
Ruiz-Palacios, G. M., Calva, J. J., Pickering, L. K., Lopez-Vidal, Y., Volkow, P., Pezzarossi, H., & West, M. S. (1990). Protection of breast-fed infants against Campylobacter diarrhea by antibodies in human milk. The Journal of Pediatrics, 116(5), 707–713. https://doi.org/10.1016/s0022-3476(05)82652-6
Sears, M. R., Greene, J. M., Willan, A. R., Taylor, D. R., Flannery, E. M., Cowan, J. O., Herbison, G. P., & Poulton, R. (2002). Long-term relation between breastfeeding and development of atopy and asthma in children and young adults: a longitudinal study. Lancet, 360(9337), 901–907. https://doi.org/10.1016/S0140-6736(02)11025-7
Silva, B. de C. F., Barros, G. C., Silva, L. P. da, Nascimento, M. M. do, Preto, V. A., Pereira, S. de S., & Silva, M. M. da. (2020). Amamentação: fator primordial para a preservação da saúde ambiental. Research, Society and Development , 9 (8), e857986554. https://doi.org/10.33448/rsd-v9i8.6554
Sousa Siqueira, L., Stabnow Santos, F., Gomes Nogueira Ferreira, A., Fernandes Oliveira, A.L., Costa Dutra, R., & Santos Neto, M. (2020). A prática da amamentação entre mulheres que trabalham: uma revisão integrativa. Research, Society and Development , 9 (9), e800997778. https://doi.org/10.33448/rsd-v9i9.7778
Sousa, F. L. L. de, Alves, R. S. S., Leite, A. C., Silva, M. P. B., Veras, C. A., Santos, R. C. A., Freitas, R. G., Silva, V. C. R. da, Sisconetto, A. T., Sucupira, K. S. M. B., Silva, L. A. C. da, Santos, S. F. dos, Sousa, S. L. F. de, Galdino, M. A. de M., Fernandes , M. dos S., Silva , D. M. da, Santos, J. R. F. de M., Alencar, V. P., & Ferreira, B. R. (2021). Benefits of breastfeeding for women and newborns. Research, Society and Development, 10(2), e12710211208. https://doi.org/10.33448/rsd-v10i2.11208
Succi, R. C. M. (1998). Aleitamento materno e doenças infecciosas. In C. K. Farhat, E. S. Carvalho, L. H. F. R. Carvalho, & R. C. M. Succi (Eds.), Infectologia pediátrica. (2nd ed., pp. 12-15). São Paulo: Atheneu.
Tazinya, A. A., Halle-Ekane, G. E., Mbuagbaw, L. T., Abanda, M., Atashili, J., & Obama, M. T. (2018). Risk factors for acute respiratory infections in children under five years attending the Bamenda Regional Hospital in Cameroon. BMC Pulmonary Medicine, 18, 7. https://doi.org/10.1186/s12890-018-0579-7
Tromp, I., Kiefte-de Jong, J., Raat, H., Jaddoe, V., Franco, O., Hofman, A., de Jongste, J., & Moll, H. (2017). Breastfeeding and the risk of respiratory tract infections after infancy: The Generation R Study. PloS One, 12, e0172763. https://doi.org/10.1371/journal.pone.0172763
Tyrstrup, M., Melander, E., Hedin, K., Beckman, A., & Mölstad, S. (2017). Children with respiratory tract infections in Swedish primary care; prevalence of antibiotic resistance in common respiratory tract pathogens and relation to antibiotic consumption. BMC Infectious Diseases, 17, 603. https://doi.org/10.1186/s12879-017-2703-3
Wold, A. E., & Adlerberth, I. (1998). Does breastfeeding affect the infant's immune responsiveness? Acta Paediatrica, 87(1), 19–22. https://doi.org/10.1111/j.1651-2227.1998.tb01378.x
World Health Organization (1988). Persistent diarrhea in children in developing countries: memorandum from a WHO meeting. Bulletin of the World Health Organization, 66(6), 709–717.
World Health Organization (2018). Antibiotic resistance. https://www.who.int/news-room/fact-sheets/detail/antibiotic-resistance
Wright, A. L., Holberg, C. J., Taussig, L. M., & Martinez, F. D. (2001). Factors influencing the relation of infant feeding to asthma and recurrent wheeze in childhood. Thorax, 56(3), 192–197. https://doi.org/10.1136/thorax.56.3.192
Yamakawa, M., Yorifuji, T., Kato, T., Inoue, S., Tokinobu, A., Tsuda, T., & Doi, H. (2015). Long-term effects of breastfeeding on children's hospitalization for respiratory tract infections and diarrhea in early childhood in Japan. Maternal and Child Health Journal, 19, 1956–1965. https://doi.org/10.1007/s10995-015-1703-4
Zöllner, M. S., & Jorge, A. O. (2003). Candida spp. occurrence in oral cavities of breastfeeding infants and in their mothers' mouths and breasts. Pesquisa Odontológica Brasileira, 17(2), 151–155. https://doi.org/10.1590/s1517-74912003000200010
Zuanazzi, D., Souto, R., Mattos, M. B., Zuanazzi, M. R., Tura, B. R., Sansone, C., & Colombo, A. P. (2010). Prevalence of potential bacterial respiratory pathogens in the oral cavity of hospitalised individuals. Archives of Oral Biology, 55(1), 21–28. https://doi.org/10.1016/j.archoralbio.2009.10.005
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