Effectiveness of a training program in reducing infections in toddlers attending day care centers
Effectiveness of a training program in reducing infections in toddlers attending day care centers
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DOI：
10.1097/00001648-199905000-00005
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发表时间：
1999-05-01
期刊：
影响因子：
5.4
通讯作者：
Collet, JP
中科院分区：
文献类型：
--
作者：
Carabin, H;Gyorkos, TW;Collet, JP
本研究的目的是评估卫生计划在降低日托中心幼儿呼吸道和呼吸道疾病发病率方面的有效性。1996年9月1日至1997年11月30日，在加拿大魁北克的52个日托中心进行了一项随机田间试验。教育工作者将幼儿因任何原因缺勤以及每日感冒和/或腹泻的发生情况记录在日历上。在三次暗访中，对儿童手上和教育工作者手上的粪大肠菌群数量进行了测量。总的来说，在47个日托中心对1,729名儿童进行了随访，共计153,643个儿童日。监测后腹泻的发生率明显降低（IRR = 0.73，95% CI = 0.54，0.97），干预后上呼吸道感染的发生率明显降低（IRR = 0.80，95% CI = 0.68，0.93）。单独监测也对减少儿童和教育工作者手上的细菌污染水平产生了重要影响。结果表明，干预计划和监测本身在减少日托中心儿童感染方面发挥了作用。
The objective of this study was to assess the effectiveness of a hygiene program in reducing the incidence of respiratory and diarrheal diseases in toddlers attending day care centers. A randomized field trial was conducted in 52 day care centers in Quebec, Canada, between September 1, 1996 and November 30, 1997. Absences for any reasons and the daily occurrence of colds and/or diarrhea in toddlers were recorded on calendars by the educators. The number of fecal coliforms on children's hands and on educators' hands was measured during three unannounced visits. Overall, 1,729 children were followed in 47 day care centers fur a total of 153,643 child-days. The incidence rare of diarrhea was considerably reduced by the effect of monitoring (IRR = 0.73, 95% CI = 0.54,0.97), and the intervention reduced the incidence rate of upper respiratory tract infections (IRR = 0.80, 95% CI = 0.68,0.93). Monitoring alone also had an important effect in reducing the level of bacterial contamination on children's and educators' hands. The results indicate that both an intervention program and monitoring alone play a role in reducing infections in children attending day care centers.