Abstract:Objective To investigate the knowledge, attitude and practice (KAP) about rotavirus gastroenteritis (RVGE) among caregivers of children aged 5 years below in Baoan District, Shenzhen City, and to evaluate the effect of community intervention on RVGE. Methods We selected two non-adjacent streets with similar incidence rate of RVGE, population characteristics, medical level and economic level in Baoan District, Shenzhen City to respectively serve as the intervention street and the control street. Medical institutions in the intervention street were sterilized and disinfected according to the norms; meanwhile, health education about RVGE was conducted in the medical institutions and communities. The caregivers’ KAP about RVGE in the two streets was investigated before and after the intervention, and then the incidence rates of RVGE in the children of the two streets were surveyed after the intervention. Results After the intervention, the awareness rate of RVGE in the caregivers of the intervention street(χ2=14.897,P<0.001), the proportion of the caregivers performing baby-feeding bottle disinfection by boiling water(χ2=7.978, P=0.046), the frequency of tableware disinfection(Z=2.358, P=0.018)and the proportion of performing tableware disinfection by boiling water(χ2=20.608,P<0.001)were all increased. After the intervention, the proportion of vaccination was higher in the intervention street than in the control street(χ2=4.334,P=0.037). After the epidemic season, the incidence rate of RVGE was lower in the intervention street than in the control street, with a statistically significant difference(χ2=4.927,P=0.026). Conclusions The intervention about standardizing the disinfection of medical institutions and strengthening health education in medical institutions and communities raises the caregivers’ awareness of knowledge about RVGE, promotes the formation of a healthy care habit and finally reduces the incidence rate of RVGE in young children. The Results show that the above-mentioned countermeasures are viable ways for community intervention of RVGE.
刘晓玲, 吴泰顺. 深圳市宝安区5岁以下婴幼儿轮状病毒胃肠炎的社区干预研究[J]. 实用预防医学, 2018, 25(5): 557-560.
LIU Xiao-ling, WU Tai-shun. Community intervention of rotavirus gastroenteritis among young children aged 5 years below in Baoan District, Shenzhen City. , 2018, 25(5): 557-560.
[1] Diggle L. Rotavirus diarrhoea and future prospects for prevention[J]. Br J Nurs,2007,16(16):970-974. [2] WHO, Rotavirus vaccines. WHO position paper - January 2013[J]. Wkly Epidemiol Rec,2013,88(5):49-64. [3] Kawai K, O'Brien MA, Goveia MG, et al. Burden of rotavirus gastroenteritis and distribution of rotavirus strains in Asia: a systematic review[J]. Vaccine,2012,30(7):1244-1254. [4] 刘晓玲,陈青山,吴泰顺. 2010-2014年深圳市宝安区其他感染性腹泻流行病学特征[J]. 实用预防医学,2017,24(1):120-123. [5] 刘晓玲,王卫云,陈青山,等. 深圳市宝安区5岁以下儿童轮状病毒腹泻发病危险因素分析[J]. 华南预防医学,2016,57(2):147-150. [6] 中华人民共和国卫生部. 医疗机构消毒技术规范[Z]. 2012. [7] 中华人民共和国国家质量监督检验检疫总局. 疫源地消毒总则[Z]. 2004. [8] 杨绍基,任红. 传染病学[M]. 第7版. 北京:人民卫生出版社,2008:52-57. [9] 詹志强,叶发忠,彭敬,等. 深圳市宝安区计划免疫工作人员现状分析[J].华南预防医学,2015,56(3):297-298. [10] 鲍建敏,任建华,胡红艳. 广州市部分流动儿童家长对第2类疫苗的认知程度、儿童疫苗接种情况及其影响因素[J]. 职业与健康,2013,29(2):223-225. [11] 方琼,王永刚,蔡琳,等. 2013年深圳市福田区本地和流动儿童一类与二类疫苗接种现况调查分析[J]. 实用预防医学,2015,22(3):322-323. [12] Agocs MM, Serhan F, Yen C, et al. WHO global rotavirus surveillance network: a strategic review of the first 5 years, 2008-2012[J]. MMWR Morb Mortal Wkly Rep,2014,63(29):634-637.