Association of mutans streptococci between caregivers and their children.

Association of mutans streptococci between caregivers and their children.
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护理人员与其孩子之间的变形链球菌关联。

DOI:
--
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发表时间:
2008
影响因子:
1.6
通讯作者:
N. Tinanoff
N. Tinanoff
中科院分区:
医学4区
文献类型:
--
作者:
J. Douglass;Yihong Li;N. Tinanoff

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本文献综述的目的是:(1)回顾儿童MS定植的来源以及主要照顾者MS水平对儿童MS定植的影响;(2)评估旨在减少MS从照顾者传染给孩子的干预措施的研究。我们回顾了46项研究。强有力的证据表明,母亲是其子女MS定植的主要来源。一些调查显示了儿童多发性硬化症的其他潜在来源,尤其是父亲。其他影响传播的因素,如社会经济地位(SES)和特定的文化或行为习惯的作用尚不清楚。至少有12份微生物干预的报告,以减少MS从照顾者传播给他们的孩子。尽管大多数研究发现儿童多发性硬化症减少,2项研究显示龋齿明显减少,但这些研究通常在龋齿减少方面得出一致的结果,样本量小,对照组不足,并且锁定了研究者和受试者的盲目性。微生物疗法对护理人员降低儿童龋齿风险的效果仍需要通过更严格设计的临床试验来确定。
The purposes of this literature review were to: (1) review the sources of mutans streptococci (MS) colonization in children and the effect of MS levels of primary caregivers on children's MS colonization; and (2) evaluate studies examining interventions to reduce transmission of MS from caregivers to their children. Forty-six studies were reviewed. Strong evidence demonstrated that mothers are a primary source of MS colonization of their children. A few investigations showed other potential sources of children's MS colonization, notably fathers. The role of other factors influencing transmission, such as socioeconomic status (SES) and specific cultural or behavioral practices, are unclear. There were at least 12 reports of microbiological interventions to reduce transmission of MS from caregivers to their children. Even though most studies found a reduction of MS in the children and 2 showed significant caries reduction, these studies generally lock consistent findings regarding caries reduction, hove a small sample size and inadequate control groups, and lock blindness of investigators and subjects. The efficacy of microbiological approaches on the caregivers to reduce caries risk in children still needs to be established through more rigorously designed clinical trials.
DOI: --
发表时间: 1995
期刊: Dental clinics of North America.
影响因子: --
作者:
Tinanoff,N
通讯作者: Tinanoff,N