| Autor: |
Mohle-Boetani, Janet C., Stapleton, Margaret, Finger, Reginald, Bean, Nancy H., Poundstone, John, Blake, Paul A., Griffin, Patricia M. |
| Předmět: |
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| Zdroj: |
American Journal of Public Health; Jun95, Vol. 85 Issue 6, p812-816, 5p, 1 Chart, 1 Graph |
| Abstrakt: |
Objectives. The study's objectives were to assess (1) control of a community outbreak of shigellosis through the promotion of handwashing, (2) risk factors in day-care centers, and (3) shigellosis attributable to attendance at a day-care center. Methods. In 1991, an outbreak of Shigella sonnei infections occurred in Lexington-Fayette County, Ky: 14 licensed child day-care centers were involved. Communitywide promotion of hand washing was instituted along with diarrhea surveillance. A case-control study compared day-care centers that had confirmed cases of shigellosis with centers that had none. A family transmission study determined those cases attributable to attendance at day-care centers. Results. The outbreak abated 3 weeks after the interventions' initiation. Day-care centers with outbreaks were more likely than those with no cases to have a food handler who changed diapers and to provide transportation for children from their home to the center. These centers also had a higher toddler-to-toilet ratio than control centers (21 vs 12). In 58% of families with shigellosis, the first person with diarrhea during the outbreak was a child younger than 6 years; 92% of diarrheal illnesses among these children were attributable to day-care attendance. Conclusions. Community involvement in increasing hand washing most likely resulted in control of this shigelosis outbreak. Diarrhea prevention strategies in day-care centers could prevent substantial communitywide disease. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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