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Effectiveness of non-pharmaceutical measures in preventing pediatric influenza: a case-control study

tetano

Editor, Senior Moderator
BMC Public Health. 2015 Jun 9;15:543. doi: 10.1186/s12889-015-1890-3.
[h=1]Effectiveness of non-pharmaceutical measures in preventing pediatric influenza: a case-control study.[/h] Torner N[SUP]1,[/SUP][SUP]2,[/SUP][SUP]3[/SUP], Soldevila N[SUP]4[/SUP], Garcia JJ[SUP]5[/SUP], Launes C[SUP]5[/SUP], Godoy P[SUP]6,[/SUP][SUP]7[/SUP], Castilla J[SUP]7,[/SUP][SUP]8[/SUP], Dom?nguez A[SUP]7,[/SUP][SUP]4[/SUP]; CIBERESP Cases and Controls in Pandemic Influenza Working Group, Spain.
[h=3]Author information[/h]

[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Hygiene behavior plays a relevant role in infectious disease transmission. The aim of this study was to evaluate non-pharmaceutical interventions (NPI) in preventing pediatric influenza infections.
[h=4]METHODS:[/h] Laboratory confirmed influenza cases occurred during 2009-10 and 2010-11 seasons matched by age and date of consultation. NPI (frequency of hand washing, alcohol-based hand sanitizer use and hand washing after touching contaminated surfaces) during seven days prior to onset of symptoms were obtained from parents of cases and controls.
[h=4]RESULTS:[/h] Cases presented higher prevalence of underlying conditions such as pneumonia [OR = 3.23; 95 % CI: 1.38 - 7.58 p = 0.007], asthma [OR = 2.45; 95 % CI: 1.17 - 5.14 p = 0.02] and having more than 1 risk factor [OR = 1.67; 95 % CI: 0.99 - 2.82 p = 0.05]. Hand washing more than 5 times per day [aOR = 0.62; 95 % CI: 0.39 - 0.99 p = 0.04] was the only statistically significant protective factor. When considering two age groups (pre-school age 0-4 yrs and school age 5-17) yrs , only the school age group showed a negative association for influenza infection for both washing more than 5 times per day [aOR = 0.47; 95 % CI: 0.22 - 0.99 p = 0.04] and hand washing after touching contaminated surfaces [aOR = 0.19; 95 % CI: 0.04 - 0.86 p = 0.03].
[h=4]CONCLUSION:[/h] Frequent hand washing should be recommended to prevent influenza infection in the community setting and in special in the school age group.


PMID: 26055522 [PubMed - in process] PMCID: PMC4459072 Free PMC Article
 
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