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Published on: January 28, 2019
A study of infectious intestinal disease in England: risk factors associated with group A rotavirus in children
D Sethi1, P Cumberland, M J Hudson
1London School of Hygiene and Tropical Medicine, England, UK.
Insights
Living in rented council housing and contact with sick individuals are key risk factors for rotavirus infectious intestinal disease (IID) in children. Breastfeeding offers protection for infants against this common childhood illness.
Area of Science:
- Pediatric infectious diseases
- Epidemiology of viral gastroenteritis
- Public health and environmental factors
Background:
- Infectious intestinal disease (IID) caused by rotavirus group A is a significant cause of childhood illness.
- Identifying specific risk factors is crucial for developing targeted prevention strategies.
Purpose of the Study:
- To determine risk factors associated with rotavirus group A infectious intestinal disease (IID) in children under 16 years.
- To investigate environmental, social, and feeding-related factors influencing rotavirus infection.
Main Methods:
- A case-control study design was employed.
- Cases of rotavirus IID were identified through general practitioners and community cohorts.
- Matched controls were selected for comparison.
Main Results:
- Living in rented council housing (adjusted OR = 3.78) and contact with individuals ill with IID (OR = 3.45) were significant risk factors.
- Larger accommodations (more than five rooms, OR = 0.72) were associated with a reduced risk.
- Bottle feeding (with or without breastfeeding) in infants increased risk (OR = 9.06).
Conclusions:
- Sporadic rotavirus IID in children is linked to specific housing conditions and social contact.
- Preventive measures should consider household crowding and transmission routes.
- Breastfeeding demonstrates a protective effect in infants against rotavirus infection.
Objective:
To identify risk factors for infectious intestinal disease (IID) due to rotavirus group A in children aged under 16 years.
Methods:
Case-control study of cases of IID with rotavirus infection presenting to general practitioners (GPs) or occurring in community cohorts, and matched controls.
Results:
There were 139 matched pairs. In children under 16 years the following risk factors were significantly associated with rotavirus IID: living in rented council housing (adjusted OR = 3.78, P = 0.022), accommodation with more than five rooms (OR = 0.72, P = 0.002), contact with someone ill with IID (OR = 3.45, P < 0.001). Some foods were associated with decreased risk. In infants, bottle feeding with or without breast feeding was associated with increased risk (OR = 9.06, P < 0.05).
Conclusions:
Contact with persons with IID, living in rented council housing and accommodation with fewer rooms, were significant risk factors for sporadic rotavirus IID in children whereas breast feeding is protective in infants.
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