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生命最初几个月的抗生素消费:一个横截面研究
Nerea Mourino1, Leonor Varela-Lema2, María Isolina Santiago-Pérez3
1Área de Medicina Preventiva y Salud Pública, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain.
Anales de pediatria
|February 14, 2024
概括
婴儿的抗生素使用量在14个月后显著增加,托儿所和老年兄弟姐妹是关键因素. 其中一些婴儿抗生素消费因素可用于公共卫生干预.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 婴儿的抗生素消费模式尚不清楚.
- 了解这些模式对于公共卫生倡议至关重要.
研究的目的:
- 评估从出生到16个月的婴儿消费抗生素的累积发病率.
- 确定与4至16个月龄的婴儿消费抗生素相关的因素.
主要方法:
- 在西班牙加利西亚 (2016年) 接受18882名妇女的横截面研究.
- 母亲报告用于确定婴儿从出生到14个月的抗生素消耗.
- 嵌套病例对照研究 (1:1比),以确定相关因素.
主要成果:
- 在14个月内,抗生素消费的累积发病率从7.5%上升到66.0%.
- 增加消费的因素:托儿所,年长的兄弟姐妹,私人诊所,被动吸烟.
- 消费量下降的因素:出生时母亲的年龄为30-39岁或40岁以上.
结论:
- 婴儿抗生素消费受到几个因素的影响.
- 一些已识别的因素是可以修改的.
- 这些可修改的因素应该为公共卫生战略提供信息,以减少婴儿使用抗生素.
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