洗手对儿童健康的影响:一项随机对照试验
Stephen P Luby1, Mubina Agboatwalla, Daniel R Feikin
1Division of Bacterial and Mycotic Diseases, National Centers for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. sluby@icddrb.org
Lancet (London, England)
|July 19, 2005
概括
促进用肥洗手显著减少了儿童肺炎,腹和肺炎. 这种简单的干预是防止全球重大儿童疾病和死亡的关键.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 儿科 儿科 儿科
背景情况:
- 腹和急性下呼吸道感染每年导致超过350万名5岁以下儿童死亡.
- 促进洗手是一种潜在的低成本干预措施,以减少儿童死亡率.
研究的目的:
- 评估推广用肥洗手对幼儿急性呼吸道感染,肺炎和腹发生率的影响.
- 为了比较普通肥与抗菌肥在洗手干预中的有效性.
主要方法:
- 在巴基斯坦卡拉奇进行了一项随机对照试验,涉及25个被分配到促进洗手的社区和11个作为对照的社区.
- 促销区的家庭获得普通肥或抗菌肥,每周访问一年,鼓励洗手和记录症状.
- 主要结局包括腹,肺炎和急性呼吸道感染的发病率,按治疗意图分析.
主要成果:
- 与对照组相比,使用普通肥促进洗手减少了5岁以下儿童肺炎发病率的50%.
- 在使用普通肥的15岁以下儿童中,腹发病率降低了53%和腹发病率降低了34%.
- 在普通肥组和抗菌肥组之间没有观察到疾病发病率的显著差异.
结论:
- 用肥洗手是预防腹和急性下呼吸道感染的高度有效的干预措施,这是儿童死亡的主要原因.
- 每天用肥洗也证明了在预防impetigo的有效性.
- 该研究强调了促进用肥洗手对儿童生存的公共卫生的重要性.
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