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Tabakrauchexposition von Kindern und Jugendlichen

Folgen und Präventionsstrategien

Tobacco smoke exposure in children and adolescents

Effects and preventive strategies

  • Leitthema
  • Published:
Monatsschrift Kinderheilkunde Aims and scope Submit manuscript

Zusammenfassung

Es wird versucht, in möglichst prägnanter Form die wesentlichen Schadwirkungen durch Tabakrauchexposition auf die Gesundheit von Kindern und Jugendlichen zu beschreiben, Präventionsstrategien vorzuschlagen, um diese vor den Auswirkungen des Tabakrauchs zu schützen, und die wichtige Rolle des Pädiaters hierbei hervorzuheben. Passivrauchexposition, „third hand smoking“ und aktives Rauchen bedrohen in vielfältiger Weise die Gesundheit von Kindern und Jugendlichen. Präpartale Schädigungen im Sinne des fetalen Tabaksyndroms werden ebenso wie die postpartalen Folgen beschrieben. Präventionsmaßnahmen für Jugendliche sind von entscheidender Bedeutung, um den besonders gefährlichen frühen Einstieg zu verhindern. Schutz unserer Patienten vor Tabakrauch muss ein fester Bestandteil der Aufklärung von Eltern und Erziehungsberechtigten sein. Der Stellenwert des Pädiaters bei der Tabakprävention kann dabei nicht deutlich genug hervorgehoben werden.

Abstract

The aim is to describe the main detrimental effects of tobacco exposure on the health of children and adolescents in a concise manner, to suggest prevention strategies to protect children and adolescents against these effects and to stress the important role of pediatricians regarding protection from these harmful effects. Secondary and tertiary smoke exposure as well as active smoking threaten the health of children and adolescents in many different ways. Prenatal damage, such as the fetal tobacco syndrome and postnatal effects are described. Smoking prevention strategies for adolescents are crucial especially in order to prevent the particularly dangerous early start of smoking. Protection from tobacco exposure for patients has to be a permanent part of every consultation with parents and caregivers. The pediatrician plays a key role in tobacco prevention.

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  1. Abteilung für Kinder und Jugendheilkunde, Kinderklinik Glanzing, Akademisches Lehrkrankenhaus Wilhelminenspital Wien, Wien, Österreich

    A. Zacharasiewicz

  2. Abteilung für Pädiatrische Pulmologie, Allergologie und Endokrinologie, Universitätsklinik für Kinder- und Jugendheilkunde, Medizinische Universität Wien, Wien, Österreich

    F. Horak

  3. Allergiezentrum Wien West, Wien, Österreich

    F. Horak

  4. St. Anna Kinderspital, Universitätsklinik für Kinder- und Jugendheilkunde, Medizinische Universität Wien, Wien, Österreich

    T. Fazekas

  5. Abteilung für Kinder- und Jugendheilkunde, Kardinal Schwarzenberg’sches Krankenhaus, Kardinal-Schwarzenbergstraße 2–6, 5620, Schwarzach, Österreich

    J. Riedler

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  1. A. Zacharasiewicz
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  2. F. Horak
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  3. T. Fazekas
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Zacharasiewicz, A., Horak, F., Fazekas, T. et al. Tabakrauchexposition von Kindern und Jugendlichen. Monatsschr Kinderheilkd 160, 447–454 (2012). https://doi.org/10.1007/s00112-011-2572-6

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