Formative research on hygiene behaviors and geophagy among infants and young children and implications of exposure to fecal bacteria.

Formative research on hygiene behaviors and geophagy among infants and young children and implications of exposure to fecal bacteria.
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DOI:
10.4269/ajtmh.12-0568
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发表时间:
2013-10
期刊:
The American journal of tropical medicine and hygiene
影响因子:
--
通讯作者:
Stoltzfus RJ
Stoltzfus RJ
中科院分区:
其他
文献类型:
--
作者:
Ngure FM;Humphrey JH;Mbuya MN;Majo F;Mutasa K;Govha M;Mazarura E;Chasekwa B;Prendergast AJ;Curtis V;Boor KJ;Stoltzfus RJ

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我们对23对婴儿进行了130小时的直接观察,并记录了与清洗有关的行为,以确定婴儿中细菌粪口传播的途径。除了测试婴儿的手指、食物和饮用水外,3名婴儿在6小时内主动摄入了11.3 ± 9.2(平均值± SD)把土壤,2名婴儿摄入了2 ± 1.4次鸡粪。用肥皂洗手并不常见,一半(22个家庭中有12个)的饮用水被大肠杆菌污染。一岁婴儿每天摄入1克鸡粪和20克厨房洗衣区的土,分别消耗470万~ 2300万和440-4,240个E。大肠杆菌,分别从这些来源。除了标准的洗涤和营养干预措施外,低收入社区的婴儿应避免探索性摄入鸡粪,土壤和食土癖,以获得最佳的儿童健康和生长。
We conducted direct observation of 23 caregiver–infant pairs for 130 hours and recorded wash-related behaviors to identify pathways of fecal–oral transmission of bacteria among infants. In addition to testing fingers, food, and drinking water of infants, three infants actively ingested 11.3 ± 9.2 (mean ± SD) handfuls of soil and two ingested chicken feces 2 ± 1.4 times in 6 hours. Hand washing with soap was not common and drinking water was contaminated with Escherichia coli in half (12 of 22) of the households. A one-year-old infant ingesting 1 gram of chicken feces in a day and 20 grams of soil from a laundry area of the kitchen yard would consume 4,700,000–23,000,000 and 440–4,240 E. coli, respectively, from these sources. Besides standard wash and nutrition interventions, infants in low-income communities should be protected from exploratory ingestion of chicken feces, soil, and geophagia for optimal child health and growth.
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