Effect of infection control measures on the frequency of upper respiratory infection in child care: A randomized, controlled trial
Effect of infection control measures on the frequency of upper respiratory infection in child care: A randomized, controlled trial
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DOI：
10.1542/peds.105.4.738
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发表时间：
2000-04-01
期刊：
影响因子：
8
通讯作者：
McGilchrist, C
中科院分区：
文献类型：
--
作者：
Roberts, L;Smith, W;McGilchrist, C
背景资料。急性上呼吸道感染在接受儿童护理的儿童中很常见，在这种情况下防止疾病传播取决于儿童护理人员的行动。我们着手研究是否可以通过改进感染控制程序来减少儿童护理中呼吸道感染的传播。我们在澳大利亚1个城市的儿童护理中心进行了一项感染控制干预的整群随机对照试验。干预措施是对儿童护理人员进行关于感染传播、洗手和无菌擦鼻技术的培训。一名观察员记录了干预措施的执行情况。通过每2周电话访谈中的家长报告来评估病情。有311个儿童年的呼吸道症状监测。通过多变量分析，干预中心的儿童在整个年龄范围内患感冒的人数没有显著减少。然而，在24个月及以下的儿童中，呼吸道疾病的发生率显著减少。当对感染控制措施的依从性较高时，这些儿童的感冒减少了17%。这项试验支持在幼儿中直接传播感冒在儿童保育中的作用。感染控制技术减少托儿所儿童感冒发作的能力仅限于24个月及以下儿童。
Background. Acute upper respiratory infections are common in children who attend child care, and preventing transmission of disease in this setting depends on actions by child care staff. We set out to discover whether transmission of respiratory infections in child care could be reduced by improved infection control procedures.Methods. We performed a cluster, randomized, controlled trial of an infection control intervention conducted in child care centers in 1 city in Australia. The intervention was training of child care staff about transmission of infection, handwashing, and aseptic nose-wiping technique. Implementation of the intervention was recorded by an observer. Illness was measured by parent report in telephone interviews every 2 weeks.Results. There were 311 child-years of surveillance for respiratory symptoms. By multivariable analysis, there was no significant reduction in colds in intervention center children across the full age range. However, a significant reduction in respiratory illness was present in children 24 months of age and younger. When compliance with infection control practices was high, colds in these children were reduced by 17%.Conclusions. This trial supports the role of direct transmission of colds in young children in child care. The ability of infection control techniques to reduce episodes of colds in children in child care was limited to children 24 months of age and under.