Campo DC | Valor | Idioma |
dc.contributor.author | Ichihara, Maria Yury T. | - |
dc.contributor.author | Rodrigues, Laura C. | - |
dc.contributor.author | Santos, Carlos Antonio de Souza Teles | - |
dc.contributor.author | Teixeira, Maria da Glória Lima Cruz | - |
dc.contributor.author | Barreto, Mauricio Lima | - |
dc.creator | Ichihara, Maria Yury T. | - |
dc.creator | Rodrigues, Laura C. | - |
dc.creator | Santos, Carlos Antonio de Souza Teles | - |
dc.creator | Teixeira, Maria da Glória Lima Cruz | - |
dc.creator | Barreto, Mauricio Lima | - |
dc.date.accessioned | 2016-05-03T19:53:45Z | - |
dc.date.available | 2017-05-04T03:01:03Z | - |
dc.date.issued | 2015-06 | - |
dc.identifier.issn | 1878-3503 | - |
dc.identifier.uri | http://repositorio.ufba.br/ri/handle/ri/19056 | - |
dc.description.abstract | Background: Rotavirus has been the leading cause of severe cases of acute diarrhoea (AD) among children world wide, 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 (n¼
1178) were children admitted with diarrhoea who tested negative for rotavirus in a stool sample. Controls (n¼ 2515) were children admitted without diarrhoea, frequency matched to cases bysex 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 (PAF ¼12%), untreated drinking water (PAF ¼11%) and a history of previous hospitalization due to AD (PAF
¼ 21%). 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 furtherexpansion of primary healthcare coverage to reduce the occurrence of non-rotavirus severe diarrhoea and subsequent hospitalization of Brazilian children. | pt_BR |
dc.language.iso | en | pt_BR |
dc.publisher | Oxford University Press | pt_BR |
dc.rights | Acesso Aberto | pt_BR |
dc.subject | Child Hospitalization | pt_BR |
dc.subject | Diarrhoea | pt_BR |
dc.subject | Non-rotavirus Diarrhea | pt_BR |
dc.subject | Risk Factors for Diarrhea | pt_BR |
dc.title | Risk factors for hospital admission of Brazilian children with non-rotavirus diarrhoea: a case control-study | pt_BR |
dc.title.alternative | Trans. R. Soc. Trop. Med. Hyg. | pt_BR |
dc.type | Artigo de Periódico | pt_BR |
dc.description.localpub | Oxford | pt_BR |
dc.identifier.number | v.109, n.7, p.454-61. | pt_BR |
dc.publisher.country | Brasil | pt_BR |
Aparece nas coleções: | Artigo Publicado em Periódico Nacional (ISC)
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