Evidence map›Paper›PMID 41388382›Full record

Trial reportBMC pediatrics2025

One prospective study of physiologic sea saline nasal care on the incidence of acute upper respiratory tract infections and changes of pharyngeal pathogens in children during kindergarten daycare.

Chunchou Luo, Yanzhen Yang, Qiong Fang, Shuyun Zhang, Xiumei Lin, Xiangui Chen, Ping Zhang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Chunchou LuoNursing Department, Zhangzhou Affiliated Hospital of Fujian medical University, Zhangzhou, Fujian, China.
Yanzhen YangPediatric Respiratory Medicine Department, Zhangzhou Affiliated Hospital of Fujian medical University, Zhangzhou, Fujian, China.
Qiong FangOtolaryngology Department, Zhangzhou Affiliated Hospital of Fujian medical University, Zhangzhou, Fujian, China. 137759787@qq.com.
Shuyun ZhangPediatric Outpatient Clinic, Zhangzhou Affiliated Hospital of Fujian medical University, Zhangzhou, Fujian, China.
Xiumei LinPediatric Respiratory Medicine Department, Zhangzhou Affiliated Hospital of Fujian medical University, Zhangzhou, Fujian, China.
Xiangui ChenPediatric Respiratory Medicine Department, Zhangzhou Affiliated Hospital of Fujian medical University, Zhangzhou, Fujian, China.
Ping ZhangNational Children's Medical Center, Children's Hospital of Fudan University, Shanghai, China. zhang_ping_fd@fudan.edu.cn.

Funding

Natural Science Foundation of Fujian Province No.2023J011812
6 · The paper itself

Abstract

objectiveTo explore the effects of physiologic sea saline nasal spray irrigation on the incidence of acute upper respiratory tract infections (AURTIs) and pharyngeal pathogens during children’s admission to child care, and to provide a theoretical basis for health care in kindergartens.

methodsHealthy children enrolled in a public kindergarten in the region from February to June 2023 were divided into the intervention group and the control group by using cluster random allocation concealment method. The intervention group was given physiological sea saline nasal care twice a day, while the control group received no special intervention. Swab samples were collected for pathogen detection at the time of admission (baseline) and at the time of the first occurrence of AURTIs more than 48 h after admission. The incidence of AURTIs throughout the entire semester of enrollment and the trend of dispersion in different months were compared between the two groups, and the differences of pharyngeal pathogens (bacterial species, colony counts and non-bacterial pathogens) after the first AURTIs during the kindergarten period were compared with the baseline.

resultsA total of 234 children who met the inclusion and exclusion criteria were included in the analysis, with 120 children in the intervention group and 114 children in the control group. The incidence of AURTIs in the intervention group was significantly lower than that in the control group (45.83% vs. 71.05%, x2 = 15.276, P < 0.001), and the occurrence time of the first AURTIs was significantly more dispersed than that in the control group (Z = 25.075, P < 0.01). The number of bacterial species and colonies cultured in the throat swab of children in the intervention group were significantly less than those in the control group after the onset of AURTIs for the first time (t = 8.591, P < 0.001; x2 = 8.432, P = 0.015). Compared with the baseline, the number of pharyngeal bacteria species in the intervention group decreased after the first occurrence of AURTIs, while that in the control group increased, with statistical significance (t = 6.426, P < 0.001; t = 3.28, P = 0.001). There was no significant difference between the two groups in the detection rates of viruses and mycoplasma (x2 = 0.251, P = 0.616; x2 = 0.071, P = 0.790).

conclusionsPhysiologic sea saline water nasal irrigation care can reduce the bacterial loads of pharynx colonization after the onset of AURTIs, reduce the incidence and concentrated incidence trend of AURTIs, but has no effect on the detection rate of non-bacterial pathogens such as viruses and mycoplasma.

Indexed as

Nasal LavagePharynxRespiratory Tract InfectionsSaline SolutionAcute DiseaseChild Day Care CentersChild, PreschoolFemaleHumansIncidenceMaleProspective StudiesSaline SolutionAcute upper respiratory tract infectionNasal spray irrigationPharyngeal pathogenPhysiologic sea salinePreschool

Identifiers

PMID41388382
PMCPMC12817485

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.