2021—2023年淄博市某医院小儿A组轮状病毒感染的发生情况及影响因素分析  

Analysis of incidence and influencing factors of group A rotavirus infection in children in a hospital of Zibo City from 2021 to 2023

作　　者：孙文娟 徐攀 高芳芳 SUN Wenjuan;XU Pan;GAO Fangfang(Department of Pediatrics,Zibo Maternal and Child Health Hospital,Shandong Province,Zibo 255000,China)

机构地区：[1]山东省淄博市妇幼保健院儿科,山东淄博255000

出　　处：《妇儿健康导刊》2024年第20期75-79,共5页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的调查2021—2023年淄博市某医院小儿A组轮状病毒(RV)感染的发生情况并分析影响因素。方法收集2021年1月至2023年12月淄博市妇幼保健院儿科4330例腹泻儿童的粪便标本,通过胶体金法检测其A组RV抗原,统计阳性病例数并纳入观察组;另选取同期在淄博市妇幼保健院进行健康体检的100例无腹泻症状儿童作为对照组。收集两组一般资料,对A组RV感染发生进行单因素及多因素分析。结果纳入的4330例腹泻儿童中,有120例(2.77%)确诊为A组RV感染,其中男76例(63.33%),女44例(36.67%);年龄<5岁110例(91.67%),≥5岁10例(8.33%);两组主要看护人文化程度、入院前1周是否有腹泻接触史、主要看护人喂养前是否注意手卫生、餐具消毒情况、玩具消毒情况、有无良好洗手习惯、RV疫苗接种情况及不洁饮食情况比较,差异有统计学意义(P<0.05);logistic回归分析显示,主要看护人文化程度低、入院前1周有腹泻接触史及不洁饮食是小儿A组RV感染发生的危险因素(P<0.05),主要看护人喂养前注意手卫生、餐具消毒、玩具消毒、良好洗手习惯及接种RV疫苗为小儿A组RV感染发生的保护因素(P<0.05)。结论小儿A组RV感染率较高,与主要看护人文化程度、腹泻接触史、卫生习惯密切相关,有关部门需加强对看护人的健康宣教,引导儿童养成良好的卫生习惯。Objective To investigate the incidence of group A rotavirus(RV)infection in children in a hospital of Zibo City from 2021 to 2023,and analyze the influencing factors.Methods From January 2021 to December 2023,fecal specimens of 4330 children with diarrhea were collected from the Department of Pediatrics,Zibo Maternal and Child Health Hospital.Group A RV antigen was detected using colloidal gold method,and the number of positive cases was counted and included in the observation group.In addition,100 children who underwent health examination without diarrhea in Zibo Maternal and Child Health Hospital during the same period were selected as the control group.The general data of the two groups were collected,and the single and multiple factors of group A RV infection were analyzed.Results Among the 4330 children with diarrhea,120(2.77%)were diagnosed with group A RV infection,including 76 boys(63.33%)and 44 girls(36.67%).There were 110 cases(91.67%)<5 years old,and 10 cases(8.33%)≥5 years old.There were significant differences between the two groups in the education level of the main caregivers,whether they had contact history of diarrhea one week before admission,whether the main caregivers paid attention to hand hygiene before feeding,disinfection of tableware,disinfection of toys,good hand washing habits,RV vaccination,and unclean diet(P<0.05).The logistic regression analysis showed that low educational level of main caregivers,contact history with diarrhea one week before admission,and unclean diet were risk factors for group A RV infection in children(P<0.05).The main caregivers paid attention to hand hygiene before feeding,tableware disinfection,toy disinfection,good hand washing habits,and RV vaccination were protective factors for group A RV infection in childre(P<0.05).Conclusion The group A RV infection in children is higher,which is closely related to the education level of main caregivers,contact history with diarrhea and health habits of the main caregivers.Relevant departments should strengthen the he

关 键 词：儿童 A组轮状病毒 感染 影响因素 

分 类 号：R725.7[医药卫生—儿科]