BACKGROUND Acute respiratory infection is manifested by cough accompanied by short rapid breathing which may be associated with death especially when there are other co-morbidities. From an estimated 5.4 million children under -five years that died in 2017-roughly half of those deaths occurred in sub-Saharan Africa and acute respiratory infection contributed to the highest number of deaths. The current study aimed at evaluating the prevalence of, and risk factors associated with, acute respiratory infection hospitalization in under-five years children hospitalized at the University of Gondar Comprehensive Specialized Hospital. METHOD An institution-based cross-sectional study was carried out from May 01/2019 to July 10/2019. After the selection of participants using simple random sampling, face to face interview was performed using a semi-structured pre-tested questionnaire. Data were also extracted from medical registration charts. We used EPI Info 7 for data entry and exported into SPSS 21 for analysis. Results were presented by simple frequency, percentage and mean for descriptive variables. Binary logistic regression analysis was used to test the association of covariates and outcome variable. Variables with a p < 0.2 during the bivariable binary logistic regression analysis were included in the multivariable logistic regression analysis. Variables with p < 0.05 were considered as significantly associated with acute respiratory infection. This study is reported following the Strengthening the Reporting of Observational Studies in Epidemiology guideline. RESULTS Four hundred and twenty-two under-five years' children attending the Pediatrics ward were included in this study. The prevalence of acute respiratory infection among under-five years' children in this study was 27.3%. Children aged below 12 months (AOR:3.39, 95% CI: 1.19, 9.65), maternal age of 16 to 27 years (AOR: 1.95, 95% CI: 1.03, 3.70), maternal age of 28 to 33 years (AOR: 2.73, 95% CI: 1.40, 5.34), lack of maternal awareness of handwashing (AOR: 2.79, 95% CI: 1.15, 6.76), rural residence (AOR:2.27, 95% CI: 1.18, 4.39), and lack of meningitis (AOR: 0.22, 95% CI: 0.08, 0.55), were significantly associated with acute respiratory infection. CONCLUSION Acute respiratory infection was common among children under-five years. Child and maternal age, residence and maternal hand hygiene information were significant factors identified to be associated with an acute respiratory infection.

中文翻译：

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埃塞俄比亚西北部贡德尔大学综合专科医院的5岁以下儿童就诊的急性呼吸道感染及其相关因素：基于机构的横断面研究。

背景技术急性呼吸道感染表现为咳嗽伴有短促的快速呼吸，这可能与死亡有关，特别是在有其他合并症的情况下。据估计，2017年有540万五岁以下儿童死亡-这些死亡中约有一半发生在撒哈拉以南非洲，而急性呼吸道感染是造成死亡人数最多的原因。当前的研究旨在评估在贡德尔大学综合专科医院住院的5岁以下儿童的急性呼吸道感染住院率和与其相关的危险因素。方法从2019年5月1日至2019年7月10日进行了基于机构的横断面研究。在使用简单的随机抽样选择参与者之后，使用半结构的预先测试问卷进行面对面访谈。数据也从医疗登记表中提取。我们使用EPI Info 7进行数据输入，并导出到SPSS 21中进行分析。结果以简单的频率，百分比和描述变量的平均值表示。二元逻辑回归分析用于检验协变量和结果变量的关联。在双变量二元逻辑回归分析中，p <0.2的变量包括在多变量逻辑回归分析中。p <0.05的变量被认为与急性呼吸道感染显着相关。该研究是根据《加强流行病学观察性研究报告》指南进行报道的。结果522年未满5年 参加儿科病房的儿童包括在这项研究中。在这项研究中，五岁以下儿童的急性呼吸道感染的患病率为27.3％。12个月以下的儿童（AOR：3.39，95％CI：1.19，9.65），孕妇年龄16-27岁（AOR：1.95，95％CI：1.03，3.70），孕妇年龄28-33岁（AOR： 2.73，95％CI：1.40，5.34），产妇缺乏洗手意识（AOR：2.79，95％CI：1.15，6.76），农村居民（AOR：2.27，95％CI：1.18，4.39），缺乏洗手意识脑膜炎（AOR：0.22，95％CI：0.08，0.55）与急性呼吸道感染显着相关。结论急性呼吸道感染在5岁以下的儿童中很常见。儿童和产妇的年龄，住所和产妇的手部卫生信息是被确定与急性呼吸道感染有关的重要因素。