フィンランドの小児における一次侵襲性肺炎球菌病の危険因子
1National Public Health Institute, Department of Infectious Disease Epidemiology, Helsinki, Finland.
JAMA
|March 15, 1995
まとめ
日中保育の出席は,2歳未満の子供における侵入性肺炎球菌疾患のリスクを大幅に増加させる. 頻繁な中耳炎もリスクをもたらしますが,若い兄弟姉妹を持つことは,年上の子供にとってリスクを高めます.
科学分野:
- 小児科は小児科です.
- 感染症 感染症は感染症です.
- エピデミオロジー エピデミオロジー
背景:
- 侵襲性肺炎球菌病 (IPD) は,子供における重要な公衆衛生上の懸念事項であり続けています.
- 変更可能な危険因子を特定することは,効果的な予防戦略にとって極めて重要です.
研究 の 目的:
- 子どもにおける侵入性肺炎球菌病 (IPD) に関連する危険因子を調査する.
- 異なる保育施設やその他の潜在的な要因によって生じるリスクを比較する.
主な方法:
- フィンランドでは,1986年から1989年まで,人口を対象としたケース・コントロール研究が行われました.
- 149人のIPD症例と284人のマッチングした対照群 (0歳から15歳までの子供) を含む.
- リスク要因は,家族に郵送されたアンケートを通じて評価されました.
主要な成果:
- デイケアセンターの出席は,2歳未満の子供においてIPDのリスクを大幅に増加させることが示された (OR=36).
- 家庭のデイケア (OR=4.4) と,中耳炎の頻発歴 (OR=8.8) も,幼い子供にとって重要なリスク因子でした.
- 2歳以上の子では,弟弟のいる場合,IPDのリスクが増加した (OR=2.2).
結論:
- 託児所への出勤は,2歳未満の子供のIPDの主な危険因子です.
- 正式なデイケアセンターに関連するリスクは,家族デイケアよりも顕著に高い.
- 危険にさらされている子どもの早期発見は,公衆衛生上の介入に役立つ.
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