在兄弟姐妹之间传播Helicobacter pylori
1School of Public Health, University of Texas Health Science Center, Houston 77225, USA. kgoodman@utsph.sph.uth.tmc.edu
Lancet (London, England)
|February 9, 2000
概括
杆菌感染很容易在年轻的兄弟姐妹之间传播,特别是当他们年龄相近,当年长的兄弟姐妹被感染时. 家庭规模和出生顺序显著增加了儿童感染风险.
科学领域:
- 传染性疾病 传染性疾病
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 杆菌感染是一个重要的公共卫生问题,导致慢性消化系统疾病.
- 了解传播途径对于制定有效的预防策略至关重要.
- 关于H. pylori在家族结构中的传播动态的知识有限.
研究的目的:
- 调查家庭构成对哥伦比亚农村2-9岁儿童H. pylori患病率的影响.
- 为了确定影响H. pylori传播的特定家族因素.
- 为预防H. pylori提供公共卫生干预信息.
主要方法:
- 使用13C-尿素呼吸测试对684名儿童进行了H. pylori的查.
- 收集了关于出生顺序,出生间隔,兄弟姐妹数量和感染兄弟姐妹数量的数据.
- 采用后勤回归分析,控制卫生,社会经济地位和家庭规模.
主要成果:
- 增加H. pylori感染的几率与2至9岁的兄弟姐妹的数量增加相关 (ORs 1.4-4.3).
- 与初生相比,第二个和第三个出生的孩子的感染率更高 (ORs 1.8,2.2).
- 出生距离很短 (4年内) 显著增加了感染的可能性 (OR 4.1);感染的兄弟姐妹构成了很大的风险 (ORs 1.5-7.1).
结论:
- 在安第斯农村地区的幼儿 (10岁以下) 中,H. pylori的传播主要是由兄弟姐妹之间的相互作用驱动的.
- 兄弟姐妹之间年龄相近有利于H. pylori的传播.
- 老年感染的兄弟姐妹是传染给年轻儿童的主要来源.
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