| Titre : | Haemophilus influenzae type b colonization in children in a hospital-based day care center. (2001) |
| Auteurs : | N. AKCAKAYA ; S. BELBEK ; Y. CAMCIOGLU ; H. COKUGRAS ; G. ESKAZAN ; Division of Infectious Disease. Clinical Immunology and Allergy. Microbiology Laboratory. Department of Pediatrics. Cerrahpasa Medical Faculty Day-Care Center. Cerrahpasa Medical Faculty. Istanbul University. TUR |
| Type de document : | Article |
| Dans : | European journal of epidemiology (vol. 17, n° 4, 2001) |
| Pagination : | 313-316 |
| Langues: | Anglais |
| Mots-clés : | Centre santé ; Hôpital jour ; Infection ; Haemophilus influenzae ; Bactérie ; Epidémiologie ; Incidence ; Enfant ; Homme ; Turquie ; Asie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0xxT9Oj. Diffusion soumise à autorisation]. We sought to assess the effect of day care center (DCC) attendance and parental health care work environment on the prevalence of Haemophilus influenzae type b (Hib) pharyngeal colonization in children in Turkey. Children of health care workers were evaluated by nasopharyngeal culture specimens obtained prior to enrollment at a hospital-based DCC at Cerrahpasa Medical Faculty (CMF-DCC) and then again after 3 months of attendance. A larger cohort from this same DCC was evaluated after 6 months of attendance and compared to a group of children of non-health care workers enrolled in Bahcelievler-DCC. As is standard of care in Turkey, none of these children had received the Hib vaccine. Fifty children of health care workers were evaluated prior to their enrollment and then again after 3 months at CMF-DCC. The incidence of Hib carrier state at enrollment was 4% and increased to 22% after 3 months at the DCC. To assess the affect of parental health care employment on Hib carriage rates, 103 children from CMF-DCC and 40 children of non-medical families at Bahcelievler-DCC were evaluated. Hib carrier state was identified in 40.7 and 47.5% after more than 6 months of attendance at CMF-DCC and Bahcelievler-DCC, respectively. No significant difference was observed between carriage rates of children coming from medical and non-medical families and the average carriage rate was 42.6% when duration of day-care attendance exceeded 6 months. Our results demonstrate that Hib carriage rates are affected by the duration of DCC attendance. Parents'employment in a health care facility does not affect carriage rates. |
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