Risk factors for hospital admission of Brazilian children with non-rotavirus diarrhoea: a case control-study
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2015 |
| Outros Autores: | , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/13753 |
Resumo: | Universidade Federal da Bahia. Instituto da Saúde Coletiva. Salvador, BA, Brasil |
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Ichihara, Maria Yury TravassosRodrigues, Laura CSantos, Carlos Antonio de Souza TelesTeixeiraa, Maria da Glória Lima CruzBarreto, Maurício Lima2016-04-13T18:51:09Z2016-04-13T18:51:09Z2015ICHIHARA, M. Y. T. et al. Risk factors for hospital admission of Brazilian children with non-rotavirus diarrhoea: a case control-study. Transactions of The Royal Society of Tropical Medicine and Hygiene, v. 109, n. 7, p. 454-461, 2015.0035-9203https://www.arca.fiocruz.br/handle/icict/13753engOxford University PressRisk factors for hospital admission of Brazilian children with non-rotavirus diarrhoea: a case control-studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade Federal da Bahia. Instituto da Saúde Coletiva. Salvador, BA, BrasilLondon School of Hygiene & Tropical Medicine. London, United KingdomState University of Feira de Santana. Feira de Santana, BA, Brasil / Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilUniversidade Federal da Bahia. Instituto da Saúde Coletiva. Salvador, BA, BrasilUniversidade Federal da Bahia. Instituto da Saúde Coletiva. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilBackground: Rotavirus has been the leading cause of severe cases of acute diarrhoea (AD) among children worldwide, however, in the same areas, a large reduction in AD related to rotavirus has been observed after the introduction of the rotavirus vaccine. In Brazil, where there is a high rotavirus vaccine coverage, AD caused by pathogens other than rotavirus is still a frequent cause of outpatient visits and hospitalizations among children under 5 years. Methods: A hospital-based case-control study enrolled children aged 4 to 24 months admitted to 10 hospitals from all five Brazilian Regions. Cases (n¼1178) were children admitted with diarrhoea who tested negative for rotavirus in a stool sample. Controls (n¼2515) were children admitted without diarrhoea, frequency matched to cases by sex and age group.We estimated odds ratios using logistic regression, in a hierarchical approach according to a previously defined conceptual framework. Population-attributable fractions (PAF) were estimated for each variable, each block and for all significant variables in the latter model adjusted. Results: The factors studied accounted for 41% of the non-rotavirus AD hospital admissions and the main risk factors included lack of adequate excreta disposal (PAF¼12%), untreated drinking water (PAF¼11%) and a history of previous hospitalization due to AD (PAF¼21%). Low socio-economic conditions, no public water supply, crowding and low weight-for-age made smaller contributions. Conclusions: These findings further our knowledge of risk factors associated with severe AD in the post-rotavirus vaccination era. We recommend further increase in coverage of basic sanitation, improvements in water quality and further expansion of primary healthcare coverage to reduce the occurrence of non-rotavirus severe diarrhoea and subsequent hospitalization of Brazilian children.Child hospitalizationDiarrhoeaNon-rotavirus diarrheaRisk factors for diarrheaDiarreiaHospitalizaçãoBrasil/epidemiologiaEstudos de Casos e ControlesCriançaPré-escolarDiarreia/epidemiologiaFemininoHospitalização/estatística & dados numéricosHumanosLactenteModelos LogísticosMasculinoRazão de ChancesFatores de RiscoSaneamento/normasinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/13753/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALIchihara MYT Risk factors....pdfIchihara MYT Risk 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| dc.title.pt_BR.fl_str_mv |
Risk factors for hospital admission of Brazilian children with non-rotavirus diarrhoea: a case control-study |
| title |
Risk factors for hospital admission of Brazilian children with non-rotavirus diarrhoea: a case control-study |
| spellingShingle |
Risk factors for hospital admission of Brazilian children with non-rotavirus diarrhoea: a case control-study Ichihara, Maria Yury Travassos Child hospitalization Diarrhoea Non-rotavirus diarrhea Risk factors for diarrhea Diarreia Hospitalização Brasil/epidemiologia Estudos de Casos e Controles Criança Pré-escolar Diarreia/epidemiologia Feminino Hospitalização/estatística & dados numéricos Humanos Lactente Modelos Logísticos Masculino Razão de Chances Fatores de Risco Saneamento/normas |
| title_short |
Risk factors for hospital admission of Brazilian children with non-rotavirus diarrhoea: a case control-study |
| title_full |
Risk factors for hospital admission of Brazilian children with non-rotavirus diarrhoea: a case control-study |
| title_fullStr |
Risk factors for hospital admission of Brazilian children with non-rotavirus diarrhoea: a case control-study |
| title_full_unstemmed |
Risk factors for hospital admission of Brazilian children with non-rotavirus diarrhoea: a case control-study |
| title_sort |
Risk factors for hospital admission of Brazilian children with non-rotavirus diarrhoea: a case control-study |
| author |
Ichihara, Maria Yury Travassos |
| author_facet |
Ichihara, Maria Yury Travassos Rodrigues, Laura C Santos, Carlos Antonio de Souza Teles Teixeiraa, Maria da Glória Lima Cruz Barreto, Maurício Lima |
| author_role |
author |
| author2 |
Rodrigues, Laura C Santos, Carlos Antonio de Souza Teles Teixeiraa, Maria da Glória Lima Cruz Barreto, Maurício Lima |
| author2_role |
author author author author |
| dc.contributor.author.fl_str_mv |
Ichihara, Maria Yury Travassos Rodrigues, Laura C Santos, Carlos Antonio de Souza Teles Teixeiraa, Maria da Glória Lima Cruz Barreto, Maurício Lima |
| dc.subject.en.pt_BR.fl_str_mv |
Child hospitalization Diarrhoea Non-rotavirus diarrhea Risk factors for diarrhea |
| topic |
Child hospitalization Diarrhoea Non-rotavirus diarrhea Risk factors for diarrhea Diarreia Hospitalização Brasil/epidemiologia Estudos de Casos e Controles Criança Pré-escolar Diarreia/epidemiologia Feminino Hospitalização/estatística & dados numéricos Humanos Lactente Modelos Logísticos Masculino Razão de Chances Fatores de Risco Saneamento/normas |
| dc.subject.decs.pt_BR.fl_str_mv |
Diarreia Hospitalização Brasil/epidemiologia Estudos de Casos e Controles Criança Pré-escolar Diarreia/epidemiologia Feminino Hospitalização/estatística & dados numéricos Humanos Lactente Modelos Logísticos Masculino Razão de Chances Fatores de Risco Saneamento/normas |
| description |
Universidade Federal da Bahia. Instituto da Saúde Coletiva. Salvador, BA, Brasil |
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2015 |
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2015 |
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2016-04-13T18:51:09Z |
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2016-04-13T18:51:09Z |
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ICHIHARA, M. Y. T. et al. Risk factors for hospital admission of Brazilian children with non-rotavirus diarrhoea: a case control-study. Transactions of The Royal Society of Tropical Medicine and Hygiene, v. 109, n. 7, p. 454-461, 2015. |
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https://www.arca.fiocruz.br/handle/icict/13753 |
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0035-9203 |
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ICHIHARA, M. Y. T. et al. Risk factors for hospital admission of Brazilian children with non-rotavirus diarrhoea: a case control-study. Transactions of The Royal Society of Tropical Medicine and Hygiene, v. 109, n. 7, p. 454-461, 2015. 0035-9203 |
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