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护理人员的不良童年经历和儿童感染相关的结果
Melissa E Day1, Qing Duan2, Mary Carol Burkhardt3,4
1Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
某些护理人员的不良童年经历 (ACE) 与年幼儿童的抗生素处方和感染相关访问增加有关. 需要进一步的研究来理解这些联系.
科学领域:
- 儿科健康 儿科健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 护理人员的不良童年经历 (ACE) 与儿童的负面健康结果有关.
- 护理人员ACE和儿科感染性结果 (如抗生素使用) 之间的关联仍未得到充分研究.
研究的目的:
- 研究0-3岁儿童护理人员ACE和抗生素处方之间的关系.
- 检查幼儿护理人员ACE和与感染有关的临床接触之间的关联.
主要方法:
- 来自两个儿科初级保健中心的1465名儿童 (0-3岁) 的回顾性队列研究.
- 结果包括从电子健康记录中提取的抗生素处方和与感染有关的门诊访问.
- 照顾者ACE (高≥4vs低≤3) 和个人ACE是暴露;使用多变量后勤和Cox比例危险回归.
主要成果:
- 高护理人员ACE与儿童整体抗生素暴露没有关联.
- 照顾者目睹的父母虐待与更高的抗生素暴露率 (OR 1.90) 和更早的暴露率 (HR 1.77) 相相关.
- 护理人员的性虐待与第一次感染相关的临床访问的时间更长有关 (HR 1.27).
结论:
- 特定的护理人员ACE,如目击父母虐待和性虐待,与儿科抗生素使用和与感染相关的访问有关.
- 这些发现凸显了护理人员创伤对儿童健康的潜在间接影响.
- 建议进行进一步的研究,以探索潜在的机制并开发临床干预措施.
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