Base de dados : MEDLINE
Pesquisa : N06.850.780.200 [Categoria DeCS]
Referências encontradas : 18110 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 1811 ir para página                         

  1 / 18110 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29191896
[Au] Autor:Emerson C; James S; Littler K; Randazzo FF
[Ad] Endereço:Institute on Ethics and Policy for Innovation, McMaster University, Hamilton, Ontario L8S 4L8, Canada.
[Ti] Título:Principles for gene drive research.
[So] Source:Science;358(6367):1135-1136, 2017 12 01.
[Is] ISSN:1095-9203
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Tecnologia de Impulso Genético/ética
Tecnologia de Impulso Genético/normas
Pesquisa em Genética/ética
Guias como Assunto
[Mh] Termos MeSH secundário: Controle de Doenças Transmissíveis/métodos
Seres Humanos
National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171202
[St] Status:MEDLINE
[do] DOI:10.1126/science.aap9026


  2 / 18110 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28457673
[Au] Autor:Lu PJ; O'Halloran A; Kennedy ED; Williams WW; Kim D; Fiebelkorn AP; Donahue S; Bridges CB
[Ad] Endereço:Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Atlanta, GA 30333, USA. Electronic address: lhp8@cdc.gov.
[Ti] Título:Awareness among adults of vaccine-preventable diseases and recommended vaccinations, United States, 2015.
[So] Source:Vaccine;35(23):3104-3115, 2017 05 25.
[Is] ISSN:1873-2518
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Adults are recommended to receive select vaccinations based on their age, underlying medical conditions, lifestyle, and other considerations. Factors associated with awareness of vaccine-preventable diseases and recommended vaccines among adults in the United States have not been explored. METHODS: Data from a 2015 internet panel survey of a nationally representative sample of U.S. adults aged ≥19years were analyzed to assess awareness of selected vaccine-preventable diseases and recommended vaccines for adults. A multivariable logistic regression model with a predictive marginal approach was used to identify factors independently associated with awareness of selected vaccine-preventable infections/diseases and corresponding vaccines. RESULTS: Among the surveyed population, from 24.6 to 72.1% reported vaccination for recommended vaccines. Awareness of vaccine-preventable diseases among adults aged ≥19years ranged from 63.4% to 94.0% (63.4% reported awareness of HPV, 71.5% reported awareness of tetanus, 72.0% reported awareness of pertussis, 75.4% reported awareness of HZ, 75.8% reported awareness of hepatitis B, 83.1% reported awareness of pneumonia, and 94.0% reported awareness of influenza). Awareness of the corresponding vaccines among adults aged ≥19years ranged from 59.3% to 94.1% (59.3% HZ vaccine, 59.6% HPV vaccine, 64.3% hepatitis B vaccine, 66.2% pneumococcal vaccine, 86.3% tetanus vaccines, and 94.1% influenza vaccine). In multivariable analysis, being female and being a college graduate were significantly associated with a higher level of awareness for majority of vaccine-preventable diseases, and being female, being a college graduate, and working as a health care provider were significantly associated with a higher level of awareness for majority of corresponding vaccines. CONCLUSIONS: Although adults in this survey reported high levels of awareness for most vaccines recommended for adults, self-reported vaccination coverage was not optimal. Combining interventions known to increase uptake of recommended vaccines, such as patient reminder/recall systems and other healthcare system-based interventions, and ensuring patients' vaccination needs are assessed, are needed to improve vaccination of adults.
[Mh] Termos MeSH primário: Controle de Doenças Transmissíveis/estatística & dados numéricos
Conhecimentos, Atitudes e Prática em Saúde
Programas de Imunização
Vacinação/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Idoso
Escolaridade
Feminino
Hepatite B/prevenção & controle
Vacinas contra Hepatite B/administração & dosagem
Seres Humanos
Vacinas contra Influenza/administração & dosagem
Modelos Logísticos
Masculino
Meia-Idade
Vacinas contra Papillomavirus/administração & dosagem
Vacinas Pneumocócicas/administração & dosagem
Fatores Sexuais
Tétano/prevenção & controle
Estados Unidos
Vacinação/psicologia
Coqueluche/prevenção & controle
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Hepatitis B Vaccines); 0 (Influenza Vaccines); 0 (Papillomavirus Vaccines); 0 (Pneumococcal Vaccines)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


  3 / 18110 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28455174
[Au] Autor:Prins W; Butcher E; Hall LL; Puckrein G; Rosof B
[Ad] Endereço:National Quality Forum, 1030 15th Street NW, Suite 800, Washington DC 20005, United States. Electronic address: wprins@qualityforum.org.
[Ti] Título:Improving adult immunization equity: Where do the published research literature and existing resources lead?
[So] Source:Vaccine;35(23):3020-3025, 2017 05 25.
[Is] ISSN:1873-2518
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Evidence suggests that disparities in adult immunization (AI) rates are growing. Providers need adequate patient resources and information about successful interventions to help them engage in effective practices to reduce AI disparities. The primary purposes of this paper were to review and summarize the evidence base regarding interventions to reduce AI disparities and to scan for relevant resources that could support providers in their AI efforts to specifically target disparities. First, building on a literature review conducted by the U.S. Centers for Disease Control and Prevention, we searched the peer-reviewed literature to identify articles that either discussed interventions to reduce AI disparities or provided reasons and associations for disparities. We scanned the articles and conducted an internet search to identify tools and resources to support efforts to improve AI rates. We limited both searches to resources that addressed influenza, pneumococcal, hepatitis B, Tdap, and/or herpes zoster vaccinations. We found that most articles characterized AI disparities, but several discussed strategies for reducing AI disparities, including practice-based changes, communication and health literacy approaches, and partnering with community-based organizations. The resources we identified were largely fact sheets and handouts for patients and journal articles for providers. Most resources pertain to influenza vaccination and Spanish was the most prevalent language after English. More evaluation is needed to assess the health literacy levels of the materials. We conclude that additional research is needed to identify effective ways to reduce AI disparities and more resources are needed to support providers in their efforts. We recommend identifying best practices of high performers, further reviewing the appropriateness and usefulness of available resources, and prioritizing which gaps should be addressed.
[Mh] Termos MeSH primário: Equidade em Saúde
Alfabetização em Saúde
Recursos em Saúde
Imunização/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Centers for Disease Control and Prevention (U.S.)/estatística & dados numéricos
Controle de Doenças Transmissíveis/estatística & dados numéricos
Competência Cultural
Seres Humanos
Vacinas contra Influenza/administração & dosagem
Editoração
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Influenza Vaccines)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE


  4 / 18110 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29330159
[Au] Autor:Whitaker K; Webb D; Linou N
[Ad] Endereço:HIV, Health, and Development Group, Bureau for Policy and Programme Support, UNDP, New York, NY, USA.
[Ti] Título:Commercial influence in control of non-communicable diseases.
[So] Source:BMJ;360:k110, 2018 01 12.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Controle de Doenças Transmissíveis/economia
Indústrias/normas
Doenças não Transmissíveis/epidemiologia
Médicos/psicologia
[Mh] Termos MeSH secundário: Controle de Doenças Transmissíveis/normas
Saúde Global/economia
Saúde Global/legislação & jurisprudência
Política de Saúde/economia
Política de Saúde/legislação & jurisprudência
Seres Humanos
Indústrias/organização & administração
Mortalidade Prematura
Doenças não Transmissíveis/mortalidade
Médicos/ética
Formulação de Políticas
Fatores de Risco
Organização Mundial da Saúde/organização & administração
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180114
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.k110


  5 / 18110 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29424216
[Au] Autor:Volodina VV; Proskurina VV; Solokhina TA; Voronina EA; Konkova AV
[Ti] Título:[Fishes from the Volga-Caspian basin - vectors of pathogens of anthropozoonoses].
[So] Source:Gig Sanit;95(6):517-20, 2016.
[Is] ISSN:0016-9900
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:In the Volga-Caspian region there is abundant variety of parasitic species from different systematic groups. Some species ofparasites can be pathogenic not only for fish, but also for human that is why studies on the infection rate of commercial fish species by agents of are very topical for today. The work presents materials on invasiveness by the sanitary-significant helminthes of sheat fish, pike-perch, perch, pike, bream, Caspian roach, red-eye, sabrefish, silver bream, anchovy and ordinary kilka, herring, Caspian shad, black-backed shad. In parasite cenoses of all studied representatives of ichthyofauna there were from one to four species of helminthes which are pathogenic for human and warm-blooded animals. The obtained data indicate to the functioning and active circulation of natural foci of invasion ofAnisacidosis, Eustrongylidosis, apophallosis, rossicotremosis, corynosomosis, opisthorchiasis and pseudamphistomosis in the delta and avan-delta of the Volga River, which, in turn, points to the sanitary trouble of the Volga Caspian region.
[Mh] Termos MeSH primário: Doenças Parasitárias
Rios/parasitologia
[Mh] Termos MeSH secundário: Animais
Controle de Doenças Transmissíveis/métodos
Controle de Doenças Transmissíveis/organização & administração
Reservatórios de Doenças/parasitologia
Vetores de Doenças
Ecossistema
Monitoramento Ambiental/métodos
Peixes/parasitologia
Seres Humanos
Doenças Parasitárias/epidemiologia
Doenças Parasitárias/prevenção & controle
Federação Russa/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE


  6 / 18110 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29370686
[Au] Autor:Lee MS; Kim EY; Lee SW
[Ad] Endereço:Department of Preventive Medicine, Konyang University College of Medicine, Daejeon, Korea.
[Ti] Título:Experience of 16 years and its associated challenges in the Field Epidemiology Training Program in Korea.
[So] Source:Epidemiol Health;39:e2017058, 2017.
[Is] ISSN:2092-7193
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The field epidemiologist system of South Korea, which employs public health doctors who are relatively more readily available, was created in 1999 to ensure a ready supply of experts for epidemiological investigations and enable an effective response for new and reemerging infectious diseases. However, the 2015 outbreak of Middle East Respiratory Syndrome revealed limitations in the existing systems of management of field epidemiologists and communicable diseases. METHODS: The present study aims to evaluate data on current states, administrative reports, and other literature on the field epidemiologist system that has been in place in South Korea for 16 years since 1999 and to suggest appropriate future improvements in this system. RESULTS: By suggesting methods to evaluate the field epidemiologist system and training programs and by suggesting ways for the Korea Centers for Disease Control and Prevention to conduct evaluations on its own, the present study provides supporting evidence for improvement of systems for training of experts in epidemiological investigations. Moreover, based on the findings, this study also suggests methods to systematically train experts in communicable diseases management and a sustainable system to establish the basis of and develop strategies for a systematic and phased management of field epidemiologist training programs. CONCLUSIONS: The present study suggests the possibility of establishing dedicated training facilities, revising the guidelines on training and improvement of the competency of public health experts, while not limiting the scope of application to communicable diseases.
[Mh] Termos MeSH primário: Controle de Doenças Transmissíveis/organização & administração
Doenças Transmissíveis/epidemiologia
Surtos de Doenças/prevenção & controle
Epidemiologia/educação
[Mh] Termos MeSH secundário: Infecções por Coronavirus/epidemiologia
Seres Humanos
Avaliação de Programas e Projetos de Saúde
República da Coreia/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180127
[St] Status:MEDLINE
[do] DOI:10.4178/epih.e2017058


  7 / 18110 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29419684
[Au] Autor:Yang Y; Zhao XP; Zou HC; Chu MJ; Zhong P; Li XS; Li XY; Yu YH; Zhu KX; Chen YJ; Xia F; Zhu BW; Ruan LQ; Bao YN; Zhuang X
[Ad] Endereço:Department of Epidemiology and Health Statistics, School of Public Health, Nantong University, Nantong.
[Ti] Título:Phylogenetic and temporal dynamics of human immunodeficiency virus type 1 CRF01_AE and CRF07_BC among recently infected antiretroviral therapy-naïve men who have sex with men in Jiangsu province, China, 2012 to 2015: A molecular epidemiology-based study.
[So] Source:Medicine (Baltimore);97(6):e9826, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The prevalence and incidence of human immunodeficiency virus type 1 (HIV-1) among men who have sex with men (MSM) are on the rise throughout China. With a large population of MSM, Jiangsu Province is facing an escalating HIV-1 epidemic.The aim of this study was to explore the phylogenetic and temporal dynamics of HIV-1 CRF01_AE and CRF07_BC among antiretroviral therapy (ART)-naïve MSM recently infected with HIV-1 in Jiangsu Province.We recruited MSM in Jiangsu Province (Suzhou, Wuxi, Nantong, Taizhou and Yancheng) 2012 to 2015. We collected information on demographics and sexual behaviors and a blood sample for HIV genome RNA extraction, RT-PCR amplification, and DNA sequencing. Multiple alignments were made using Gene Cutter, with the selected reference sequences of various subtypes/recombinants from the Los Alamos HIV-1 database. Phylogenetic and Bayesian evolutionary analysis was performed by MEGA version 6.0, Fasttree v2.1.7. and BEAST v1.6.2. Categorical variables were analyzed using χ test (or Fisher exact test where necessary). χ test with trend was used to assess the evolution of HIV-1 subtype distribution over time. All data were analyzed using SPSS20.0 software package (IBM Company, New York, NY).HIV-1 phylogenetic analysis revealed a broad viral diversity including CRF01_AE (60.06%), CRF07_BC (22.29%), subtype B (5.88%), CRF67_01B (5.26%), CRF68_01B (2.79%), CRF55_01B (1.55%), CRF59_01B (0.93%), and CRF08_BC (0.62%). Two unique recombination forms (URFs) (0.62%) were also detected. Four epidemic clusters and 1 major cluster in CRF01_AE and CRF07_BC were identified. The introduction of CRF01_AE strain (2001) was earlier than CRF07_BC strain (2004) into MSM resided in Jiangsu based on the time of the most recent common ancestor.Our study demonstrated HIV-1 subtype diversity among ART-naïve MSM recently infected with HIV-1 in Jiangsu. We first depicted the spatiotemporal dynamics, traced the dates of origin for the HIV-1 CRF01_AE/07_BC strains and made inference for the effective population size among newly infected ART-naïve MSM in Jiangsu from 2012 to 2015. A real-time surveillance of HIV-1 viral diversity and phylodynamics of epidemic cluster would be of great value to the monitoring of the epidemic and control of transmission, improvement of antiretroviral therapy strategies, and design of vaccines.
[Mh] Termos MeSH primário: Infecções por HIV
HIV-1
RNA Viral/isolamento & purificação
[Mh] Termos MeSH secundário: Adulto
Teorema de Bayes
China/epidemiologia
Controle de Doenças Transmissíveis/métodos
Controle de Doenças Transmissíveis/organização & administração
Infecções por HIV/epidemiologia
Infecções por HIV/virologia
HIV-1/genética
HIV-1/isolamento & purificação
Seres Humanos
Masculino
Filogenia
Filogeografia
Análise de Sequência de DNA/métodos
Análise de Sequência de DNA/estatística & dados numéricos
Análise Espaço-Temporal
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (RNA, Viral)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180209
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009826


  8 / 18110 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Registro de Ensaios Clínicos
Texto completo
[PMID]:28742880
[Au] Autor:Koenig SP; Dorvil N; Dévieux JG; Hedt-Gauthier BL; Riviere C; Faustin M; Lavoile K; Perodin C; Apollon A; Duverger L; McNairy ML; Hennessey KA; Souroutzidis A; Cremieux PY; Severe P; Pape JW
[Ad] Endereço:Haitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
[Ti] Título:Same-day HIV testing with initiation of antiretroviral therapy versus standard care for persons living with HIV: A randomized unblinded trial.
[So] Source:PLoS Med;14(7):e1002357, 2017 Jul.
[Is] ISSN:1549-1676
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Attrition during the period from HIV testing to antiretroviral therapy (ART) initiation is high worldwide. We assessed whether same-day HIV testing and ART initiation improves retention and virologic suppression. METHODS AND FINDINGS: We conducted an unblinded, randomized trial of standard ART initiation versus same-day HIV testing and ART initiation among eligible adults ≥18 years old with World Health Organization Stage 1 or 2 disease and CD4 count ≤500 cells/mm3. The study was conducted among outpatients at the Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic infections (GHESKIO) Clinic in Port-au-Prince, Haiti. Participants were randomly assigned (1:1) to standard ART initiation or same-day HIV testing and ART initiation. The standard group initiated ART 3 weeks after HIV testing, and the same-day group initiated ART on the day of testing. The primary study endpoint was retention in care 12 months after HIV testing with HIV-1 RNA <50 copies/ml. We assessed the impact of treatment arm with a modified intention-to-treat analysis, using multivariable logistic regression controlling for potential confounders. Between August 2013 and October 2015, 762 participants were enrolled; 59 participants transferred to other clinics during the study period, and were excluded as per protocol, leaving 356 in the standard and 347 in the same-day ART groups. In the standard ART group, 156 (44%) participants were retained in care with 12-month HIV-1 RNA <50 copies, and 184 (52%) had <1,000 copies/ml; 20 participants (6%) died. In the same-day ART group, 184 (53%) participants were retained with HIV-1 RNA <50 copies/ml, and 212 (61%) had <1,000 copies/ml; 10 (3%) participants died. The unadjusted risk ratio (RR) of being retained at 12 months with HIV-1 RNA <50 copies/ml was 1.21 (95% CI: 1.04, 1.38; p = 0.015) for the same-day ART group compared to the standard ART group, and the unadjusted RR for being retained with HIV-1 RNA <1,000 copies was 1.18 (95% CI: 1.04, 1.31; p = 0.012). The main limitation of this study is that it was conducted at a single urban clinic, and the generalizability to other settings is uncertain. CONCLUSIONS: Same-day HIV testing and ART initiation is feasible and beneficial in this setting, as it improves retention in care with virologic suppression among patients with early clinical HIV disease. TRIAL REGISTRATION: This study is registered with ClinicalTrials.gov number NCT01900080.
[Mh] Termos MeSH primário: Fármacos Anti-HIV/uso terapêutico
Controle de Doenças Transmissíveis/métodos
Infecções por HIV/diagnóstico
Infecções por HIV/tratamento farmacológico
[Mh] Termos MeSH secundário: Adulto
Feminino
Haiti
Seres Humanos
Masculino
Meia-Idade
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Anti-HIV Agents)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:180124
[Lr] Data última revisão:
180124
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170726
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pmed.1002357


  9 / 18110 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29261403
[Au] Autor:Mead PS
[Ad] Endereço:From the Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Diseases, Centers for Disease Control and Prevention, Fort Collins, CO.
[Ti] Título:Plague in Madagascar - A Tragic Opportunity for Improving Public Health.
[So] Source:N Engl J Med;378(2):106-108, 2018 Jan 11.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Controle de Doenças Transmissíveis
Surtos de Doenças
Peste/epidemiologia
Yersinia pestis
[Mh] Termos MeSH secundário: Surtos de Doenças/prevenção & controle
Seres Humanos
Madagáscar/epidemiologia
Peste/prevenção & controle
Peste/transmissão
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171221
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMp1713881


  10 / 18110 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28746262
[Au] Autor:Denbæk AM; Andersen A; Bonnesen CT; Laursen B; Ersbøll AK; Due P; Johansen A
[Ad] Endereço:From the National Institute of Public Health, University of Southern Denmark, Øster Farimagsgade 5 A, Copenhagen K, Denmark.
[Ti] Título:Effect Evaluation of a Randomized Trial to Reduce Infectious Illness and Illness-related Absenteeism Among Schoolchildren: The Hi Five Study.
[So] Source:Pediatr Infect Dis J;37(1):16-21, 2018 Jan.
[Is] ISSN:1532-0987
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Previous school-based hand hygiene interventions have reported to successfully reduce infectious illness among schoolchildren. But few studies have tested the effect in large populations with adequate statistical power and analyses. The aim of this study was to evaluate whether a school-based multicomponent intervention to improve handwashing among schoolchildren, the Hi Five study, succeeded in reducing infectious illness and illness-related absenteeism in schools. METHODS: The Hi Five study was a three-armed cluster-randomized controlled trial involving 43 randomly selected Danish schools; two intervention arms involving 14 schools each, and 15 control schools. Infectious illness days, infectious illness episodes and illness-related absenteeism were estimated in multilevel regressions, based on available cases of text messages answered by parents and based on questionnaire data reported by schoolchildren, respectively. RESULTS: At follow-up, children in the intervention schools did not differ from the control schools in number of illness days [odds ratio (OR)I-arm I: 0.91 (0.77-1.07) and ORI-arm II: 0.94 (0.79-1.12)] and illness episodes [ORI-arm I: 0.95 (0.81-1.11) and ORI-arm II: 0.98 (0.84-1.16)] or in reporting illness-related absenteeism [ORI-arm I: 1.09 (0.83-1.43) & ORI-arm II: 1.06 (0.81-1.40)]. CONCLUSIONS: The multicomponent Hi Five intervention achieved no difference in the number of illness days, illness episodes or illness-related absenteeism among children in intervention schools compared with control schools. It is noteworthy that one of the main components in the intervention, a mandatory daily handwashing before lunch, was only implemented by 1 of 3 of teachers in intervention schools.
[Mh] Termos MeSH primário: Absenteísmo
Controle de Doenças Transmissíveis/métodos
Controle de Doenças Transmissíveis/estatística & dados numéricos
Doenças Transmissíveis/epidemiologia
Desinfecção das Mãos
Estudantes/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Criança
Dinamarca/epidemiologia
Feminino
Seres Humanos
Masculino
Pais
Instituições Acadêmicas
Autorrelato
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180110
[Lr] Data última revisão:
180110
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1097/INF.0000000000001686



página 1 de 1811 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde