Exploring Atopy and Bronchiolitis as Predictor Indicators for Childhood Asthma-Oral

Abstract: This study seeks to enhance early detection and parental education by emphasizing the pivotal role of documenting atopic dermatitis in early infancy and the onset of acute bronchiolitis as potential indicators for childhood asthma. The objective is to establish the correlation between childhood asthma and the influence of atopic dermatitis and acute bronchiolitis on its early onset in children aged 0-3 years. Material and Methods: A retrospective case report study collected data from health records at the "Vitalino" Policlinic- Primary Health Care Practice in Veles, North Macedonia, encompassing 414 children aged 0-3. Rigorous analysis explored associations between atopic dermatitis, acute bronchiolitis, and the early onset of childhood asthma. Results: Among 414 children aged 0-3, statistical analysis revealed a significant association between atopic dermatitis and bronchiolitis and recurrent wheezing and childhood asthma. The prevalence of recurrent wheezing was 26.0%, and childhood asthma was 7.97%. Discussion: Accurate identification and treatment of childhood asthma is imperative. Children with an atopic constitution are prone to frequent viral infections, exacerbating underlying conditions. The study's analyses affirmed the significant association between atopic dermatitis and recurrent wheezing (p<0.05), suggesting its potential role as a precursor to childhood asthma. Conclusion: This study underscores the intricate nature of atopic dermatitis and acute bronchiolitis in children, revealing their interconnectedness with early-onset childhood asthma. These conditions, not isolated but part of a broader spectrum of atopic diseases, impact children's quality of life and extend repercussions to the wider family unit. Atopic dermatitis and acute bronchiolitis emerge as vital indicators in understanding the multifaceted landscape of childhood asthma. Keywords: atopic dermatitis, bronchiolitis, childhood asthma