Recurrent respiratory infections in Barranquilla, Colombia

Is it normal for a child to get sick so often?

To a point, yes. Young children, especially in daycare, can have six to ten colds a year because their immune system is meeting viruses for the first time. This usually improves after age five or six.

When is it no longer normal?

With repeated pneumonia, infections requiring hospitalization or IV antibiotics, infections from unusual germs, very frequent and severe ear or sinus infections, poor weight gain or growth, or relatives with immunodeficiency. Also when the child never fully recovers between episodes.

Which causes are considered?

Asthma or allergic rhinitis mistaken for infections, enlarged adenoids, reflux with aspiration, tobacco smoke exposure, nutritional deficiencies, immunodeficiency, cystic fibrosis, ciliary disorders and airway malformations.

What helps prevent them?

Keeping vaccines up to date, including influenza, handwashing, breastfeeding, balanced nutrition, good sleep and a smoke-free home. If infections are frequent or severe, a pediatric pulmonologist or immunologist should evaluate the child.

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