Management of Acute Respiratory Infections (ARI) in Children and Environmental Risk Factors: A Literature Review
PDF

Keywords

ARI in Children
Simple Inhalation Therapy
Environmental Risk Factors
ARI Management

How to Cite

Management of Acute Respiratory Infections (ARI) in Children and Environmental Risk Factors: A Literature Review. (2025). Nursing Genius Journal , 2(2), 45-55. https://journal.nursinggeniuscare.co.id/index.php/nursinggeniusjournal/article/view/96

Abstract

Background: Acute Respiratory Infections (ARI) are among the leading health problems contributing to the high mortality rate in children under five, both globally and in developing countries. ARI is a common respiratory disease that poses significant global concern due to its high morbidity and mortality rates, especially among children and the elderly. Common respiratory infections include the common cold, upper respiratory tract infections, influenza-like illnesses, and flu, which are caused by bacterial, viral, and fungal pathogens.

Purpose:  The purpose of this review is to examine Acute Respiratory Infections (ARI) in children and to identify associated environmental risk factors.

Methods:  A systematic literature search was conducted using several databases, including ScienceDirect and Google Scholar. The selected articles provided information on study sample size, research findings, and levels of evidence.

Results:  The search process yielded 10 eligible journals that met the predetermined keywords and inclusion criteria.

Conclusion:   ARI affects both the upper and lower respiratory tracts, with viral and bacterial infections being the primary causes, which are easily transmitted through airborne particles or direct contact. Environmental factors such as air pollution, exposure to cigarette smoke, the use of fossil fuels for household needs, and poor sanitation conditions are significant risk factors that exacerbate the incidence of ARI.

PDF

References

Amadu, I., Seidu, A. A., Mohammed, A., Duku, E., Miyittah, M. K., Ameyaw, E. K., Hagan, J. E., Musah, M. H., & Ahinkorah, B. O. (2023). Assessing the combined effect of household cooking fuel and urbanicity on acute respiratory symptoms among under-five years in sub-Saharan Africa. Heliyon, 9(6), e16546.

Andas, A. M., Harahap, D., Purnamasari, A., & Prima, A. (2022). Effectiveness of cognitive behaviour therapy (CBT) to improve the sleep quality of the elderly in hospital. International Journal of Health Sciences, 1669–1678. https://doi.org/10.53730/ijhs.v6nS4.6320

Andas, A. M., Romantika, I. W., Silaswati, S., Prima, A., Purnamasari, A., & Lisnawati, L. (2024). Determinants Of Loneliness, Resilience, And Mental Health In Elderly Patients At Long Term Care In Jakarta: Loneliness, Resilience, And Mental Health. INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD), 6(2), 63–73. https://doi.org/10.36566/ijhsrd/Vol6.Iss2/251

Andrup, L., Krogfelt, K. A., Stephansen, L., Hansen, K. S., Graversen, B. K., Wolkoff, P., & Madsen, A. M. (2024). Reduction of acute respiratory infections in day-care by non-pharmaceutical interventions: a narrative review. Frontiers in Public Health, 12(February), 1–18.

Hadju, L., Said, F. M., Nambiar, N., Purnamasari, A., & Lisnawati, L. (2024). Exploring The Influence Of The QSEN Model On Patient Safety: Insights From Hospitals In Southeast Sulawesi, Indonesia. Journal of Scientific Research in Medical and Biological Sciences, 5(4). https://doi.org/10.47631/jsrmbs.v5i4.844

Isaeva, E., Bloch, J., Akylbekov, A., Skov, R. L., Poulsen, A., Kurtzhals, J. A. L., Reventlow, S., Sreenivasan, N., Mademilov, M., Siersma, V. D., Sooronbaev, T., Kjærgaard, J., & Aabenhus, R. M. (2025). C-reactive protein testing in primary care and antibiotic use in children with acute respiratory tract infections in Kyrgyzstan: an open-label, individually randomised, controlled trial. The Lancet Regional Health - Europe, 51(Lmic), 101184.

Islam, M., Islam, K., Dalal, K., & Hossain Hawlader, M. D. (2024). In-house environmental factors and childhood acute respiratory infections in under-five children: A hospital-based matched case-control study in Bangladesh. BMC Pediatrics, 24(1), 1–10. https://doi.org/10.1186/s12887-024-04525-4

Kalayou, M. H., Kassaw, A. A. K., & Shiferaw, K. B. (2024). Empowering child health: Harnessing machine learning to predict acute respiratory infections in Ethiopian under-fives using demographic and health survey insights. BMC Infectious Diseases, 24(1), 1–13.

Kasmadi, H., Tosepu, R., Kasmadi, H., & Tenggara, S. (2025). The Influence of Physical Environmental Conditions and Maternal Practices on Acute Respiratory Infections in Toddlers: Evidence from Lailangga Community Health Center , Indonesia. 2(1), 107–116.

Kamin, W., Seifert, G., Zwiauer, K., Bonhoeffer, J., De Ketelaere, V., D’Avino, A., Štádler, J., Bustamante-Ogando, J. C., & Kara, A. (2025). Phytotherapy for acute respiratory tract infections in children: a systematically conducted, comprehensive review. Frontiers in Pediatrics, 13(May).

Li, J., Cai, Y. S., Kelly, F. J., Wooster, M. J., Han, Y., Zheng, Y., Guan, T., Li, P., Zhu, T., & Xue, T. (2023). Landscape fire smoke enhances the association between fine particulate matter exposure and acute respiratory infection among children under 5 years of age: Findings of a case-crossover study for 48 low- and middle-income countries. Environment International, 171(November 2022), 107665.

Li, Y., Shi, X., Ma, T., Hu, W., Jin, H., Zhang, H., Liong, M. T., & Sun, Z. (2024). Bifidobacterium lactis Probio-M8 relieved acute respiratory tract infections in children possibly by modulating the gut microbes and metabolites. Journal of Functional Foods, 115(February), 106111.

Purnamasari, A., Saragih, H., Pannyiwi, R., & Makualaina, F. N. (2024). Empowering Students in Improving Knowledge of Healthy Toothbrushing Techniques in The Use of The Tongue Scraper. International Journal of Health Sciences, 2(2), 687–695. https://doi.org/10.59585/ijhs.v2i2.362

Siregar, S. D., & Zaluchu, S. O. (2024). Analysis Of Factors Related To The Incidence Of Acute Respiratory Infection In Toddlers In The Area Of Tuntungan Community Health Center , Deli Serdang Regency 2024. 2023, 216–223.

Wahyuni, S, Purnamasari, A, Said, F. M, & Nambiar, N. (2022). Effectiveness of Occupational Therapy on Improving Eating Independence in School Age Children With Down Syndrome at Kendari Autism Service Center, Indonesia. https://openurl.ebsco.com/EPDB%3Agcd%3A11%3A20672043/detailv2?sid=ebsco%3Aplink%3Ascholar&id=ebsco%3Agcd%3A155092877&crl=c&link_origin=www.google.com

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Copyright (c) 2025 Nursing Genius Journal