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首页> 外文期刊>BMC Family Practice >Impact of community-acquired paediatric rotavirus gastroenteritis on family life: data from the REVEAL study
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Impact of community-acquired paediatric rotavirus gastroenteritis on family life: data from the REVEAL study

机译：社区获得性小儿轮状病毒肠胃炎对家庭生活的影响：来自REVEAL研究的数据

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Background Rotavirus is the leading cause of acute gastroenteritis (AGE) and the most frequent cause of severe diarrhoea in children aged less than 5 years. Although the epidemiology of rotavirus gastroenteritis (RVGE) is well documented, there are few data on the impact of RVGE on the families of affected children. Methods Data associated with the burden of RVGE, including number of working days lost, levels of parental stress, the need for alternative childcare arrangements and additional nappies used, were extracted from questionnaires completed by parents of children participating in a prospective, multicentre, observational study (Rotavirus gastroenteritis Epidemiology and Viral types in Europe Accounting for Losses in public health and society, REVEAL), conducted during 2004-2005 in selected areas of Belgium, France, Germany, Italy, Spain, Sweden, and the United Kingdom to estimate the incidence of RVGE in children aged less than 5 years seeking medical care as a result of AGE. Results 1102 children with RVGE were included in the present analysis. The proportion of RVGE cases that required at least one parent or other person to be absent from work was 39%-91% in the hospital setting, 44%-64% in the emergency department, and 20%-64% in primary care. Self-reported levels of parental stress were generally high (mean stress levels, ≥ 5 on a 10-point visual analogue scale). Additional childcare arrangements were required in up to 21% of RVGE episodes. The mean number of nappies used per day during RVGE episodes was approximately double that used when the child was not ill. Conclusions Paediatric RVGE cases cause disruption to families and parental stress. The burden of RVGE on children and their families could be substantially reduced by routine rotavirus vaccination of infants.
机译：背景轮状病毒是导致5岁以下儿童急性肠胃炎（AGE）的主要原因，也是导致严重腹泻的最常见原因。尽管轮状病毒性肠胃炎（RVGE）的流行病学已被充分记录，但是关于RVGE对患病儿童家庭的影响的数据很少。方法从参与前瞻性，多中心，观察性研究的儿童父母填写的问卷中提取与RVGE负担相关的数据，包括丧失工作日数，父母压力水平，是否需要替代性的育儿安排以及使用其他尿布。 2004年至2005年在比利时，法国，德国，意大利，西班牙，瑞典和英国的部分地区进行的《欧洲轮状病毒肠胃炎流行病学和病毒类型占公共卫生和社会损失的解释，REVEAL》，以估计发病率年龄不足5岁而寻求医疗的儿童中RVGE的比例。结果本分析纳入了1102例RVGE儿童。需要至少一名父母或其他人缺勤的RVGE病例比例在医院中为39％-91％，在急诊科中为44％-64％，在基层医疗中为20％-64％。自我报告的父母压力水平通常很高（平均压力水平，在10点视觉模拟量表上≥5）。高达21％的RVGE发作需要额外的托儿安排。 RVGE发作期间每天使用的尿布平均数约为孩子未患病时使用的尿布的两倍。结论小儿RVGE病例会导致家庭破裂和父母压力。通过对婴儿进行常规轮状病毒疫苗接种，可以大大减轻RVGE对儿童及其家庭的负担。

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