印尼雅加达的伤寒和甲状腺热的危险因素,印尼雅加达,印尼
Albert M Vollaard1, Soegianto Ali, Henri A G H van Asten
1Department of Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
JAMA
|June 3, 2004
概括
伤寒风险因素包括不良卫生和共享盘子等家庭问题,而偏伤寒风险因素与街头食品消费和流行地区的洪水等外部因素有关.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 城市化和对街头食品的依赖可能会改变相对于伤寒发烧而言,偏伤寒发烧的发病率.
- 由于不同的风险因素和疫苗的无效性,需要针对甲状腺发烧和伤寒发烧采取不同的制策略.
- 了解传播途径对于有效的疾病控制至关重要.
研究的目的:
- 识别和比较与风和型发烧相关的风险因素,在一个流行城市环境中.
- 为这些肠道疾病提供有针对性的公共卫生干预信息.
主要方法:
- 在印尼雅加达进行了一项基于社区的病例控制研究.
- 分析了1019名患有长期发烧的患者,包括确诊的沙门氏菌类型 (伤寒) 和沙门氏菌类型A (偏型) 病例,以及发烧和社区对照.
- 风险因素通过采访和统计分析 (odds比率和置信区间) 来评估.
主要成果:
- 寄生虫发烧与食用街头食品 (OR 3.34-5.17) 和洪水 (OR 3.25-4.52) 相关.
- 伤寒风险因素包括家庭相关的问题:最近的伤寒病例 (OR 2.38),不经常洗手 (OR 1.91),共享盘子 (OR 1.93) 和缺乏家庭所 (OR 2.20).
- 伤寒发烧也与年轻的年龄 (OR 0.96),冰块消费 (OR 2.27) 和女性性别 (OR 1.79) 有关.
结论:
- 雅加达的伤寒和副伤寒发烧表现出不同的传播模式.
- 伤寒热主要与家庭内部的传播途径有关.
- 甲状腺疹发烧主要与家庭以外的传播途径有关,例如家外受污染的食物和水源.
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