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Centro de Investigaciones Regionales Dr. Hideyo Noguchi, Universidad Autónoma de Yucatán
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2003, Number 3

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Rev Biomed 2003; 14 (3)

Time of attendance and diarrhea incidence in infants who attended a day care center

Alonzo-Salomón J, García-Roque O, Heredia-Navarrete R
Full text How to cite this article

Language: English
References: 16
Page: 153-157
PDF size: 29.94 Kb.


Key words:

Day-care center, infantile diarrhea, cohort studies.

ABSTRACT

Objective. To examine the relationship between the Time of Attendance (TA) and the Incidence Rate of Diarrhea (IRD) in a group of infants who attended a Day-Care Center (DCC) in Merida, Yucatan, Mexico.
Design. Observational, and prospective epidemiological study.
Subjects. Infants from 1.5 to 23 months old, who attended a DCC since the 1st of August 1996 until the 31st of July 1997.
Measurements. The number of episodes of diarrhea, and the time at risk of diarrhea in a group of infants classified as exposed if TA£30 days, and as unexposed if TA›30 days.
Results. Taking into account the age variable, the IRD is 41% higher in the exposed group compared to the unexposed, and the Incidence Rate Ratio of Diarrhea (IRRD) has an average decrement of 49% across the groups of age when the IRRD from a Group of Age (GA) is compared to the IRRD of the next group of older age.
Conclusions. TA has a detrimental effect over the IRD in infants with TA£30 days, and GA has a protective effect over the IRD when infants change from a GA to the next group of older age.


REFERENCES

  1. Holmes SJ, Morrow AL, Pickering LK. “Child carepractices: effects of social change on the epidemiology of infectious diseases and antibiotics resistance. Epidemiologic Rev 1996; 18: 10-28.

  2. Wald ER, Dashefsky B, Byers C, Guerra N, Taylor F. Frequency and severity of infections in day care. J Pediatr 1988; 112: 540-6.

  3. Bartlett AV, Moore M, Gary GW, Karen M S, Erben JJ, Betty AM. Diarrheal illness among infants and toddlers in day care centers. I Epidemiology and pathogens. Pediatrics 1985; 107: 495-502.

  4. Pickering LK, Evans DG, DuPont HL, Volled JJI, Evans DJJ. Diarrhea caused by Shigella, Rotavirus, and Giardia in day-care centers: prospective study. J Pediatr 1981; 99: 51-6.

  5. Pickering LK, Hadler SC. Management and prevention of infectious diseases in day care. In Feigin RD; Cherry JD. Editors. Textbook of Pediatric Infectious Diseases, Philadelphia: WB Saunders, 1987: 2343-62.

  6. Alexander CS, Zinzeleta EM, Mackenzie EJ, Vernon A. Acute gastrointestinal illness and child care arrangements. Am J Epidemiol 1990; 131: 124-31.

  7. Barros AJ. Child –care attendance and common morbidity: evidence of association in the literature and questions of design. Rev Saude Publica 1999; 33: 98-106.

  8. Churchill RB, Pickering LK. Infection control challenges in child-care centers. Infect Dis Clin North Am 1997; 11: 347-65.

  9. Louhiala PJ, Jaakkola NJ, Ruotsalainene R, Jaakkola JJK. Day-care centers and diarrhea: A public health perspective. Pediatrics 1997; 131: 476-9.

  10. Rory V, Morrow AL, Reves RR, Pickerng LK. Environmental contamination en child day-care centers. Am J Epidemiol 1991; 133: 460-70.

  11. Hillis SD, Miranda CM, McCann M, Bender D, Weigle K. Day care attendance and diarrheal morbidity in Colombia. Pediatrics 1992; 90: 582-8.

  12. Yang KD, Hill HR. Immune responses to infectious diseases: an evolutionary perspective. Pediatr Infect Dis J 1996; 15: 355-64.

  13. Kotch JB, Weigle KA, Weber JD, Clifford RM, Harms TO, et al. Evaluation of hygienic intervention in child daycare centers. Pediatrics 1992; 93 (suppl): 991-994.

  14. Staad MA, Morrow AL, Reves RR, Bartlett AV, Pickering LK. Diarrhea in children newly enrolled in day-care centers in Houston. Pediatr Infect Dis J 1991; 10: 282-6.

  15. Stata Corporation. Stata Statistical Software: Release 6.0. College Station, TX: Stata Corporation, 1999.

  16. Alonzo-Salomón J, Roque-Rodríguez O. Incidencia de diarrea infantil en una guardería. Rev Biomed 2001; 12:256-61.




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Rev Biomed. 2003;14