A review of the epidemic of hand, foot and mouth disease and the hand hygiene in kindergartens
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摘要: 托幼机构一直是社会各界人士的重点关注对象,而越来越多的报道称托幼机构手部卫生能引起一系列相关传染病的发生,且发病率呈现逐年上升的趋势,因此,托幼机构手部卫生成为了当前科学工作者研究热点。本文参考了国内外相关文献,综述了托幼机构手部卫生对手足口病流行的影响,手部卫生现状及其影响因素,手部卫生干预及效果等方面的研究成果,提出应采取适宜的手部卫生干预措施提高手部卫生依从性,降低手足口病暴发流行及其发病率,促进儿童的健康成长。同时为今后手部卫生的相关研究提供理论基础,为相关部门制定和出台适合托幼机构的手部卫生标准提供科学依据。Abstract: The kindergartens have become focus institution in the world, and a growing number of studies reported that hand hygiene could cause a series of infectious diseases and the incidence rate showed a trend of rising year by year. So hand hygiene of kindergartens has become the hot topic in our current studies. This article reviewed the influence of hand hygiene to the epidemic of hand, foot and mouth disease(HFMD), the status and influencing factors of hand hygiene, the interventions and effects of hand hygiene based on the relative references in home and abroad. And we suggest that suitable interventions should be adopted to improve the compliance of hand hygiene and reduce the outbreaks and incidence of HFMD for the health of children, which can provide theoretical basis for the further studies of hand hygiene and scientific basis for the relevant department to make the suitable hand hygiene standards for kindergartens.
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Key words:
- Hand, foot and mouth disease /
- Intervention study /
- Epidemiologic methods
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邓健,马艳霞,郭娜娜,等. 邯郸市手足口病家庭内流行因素分析 [J]. 医学综述, 2012,18(17):2905-2907. 郭汝宁,张正敏,杨芬,等. 广东省手足口病流行特征和危险因素研究 [J]. 中华流行病学杂志, 2009,30 (5):530-531. 孔志芳. 2012年浙江省宁海县托幼机构手足口病聚集性和暴发疫情分析 [J]. 现代预防医学, 2014,41(13):2372-2374. 罗青山,谌丁艳,曹彬,等. 深圳市2009-2012年学校及托幼机构传染病暴发疫情分析 [J]. 实用预防医学,2015,22(1):84-86. 秦彦珉,孔东锋,唐秀娟. 深圳市2012-2014年学校及幼儿园传染病暴发疫情分析 [J]. 疾病监测与控制, 2015,9(5):299-300. 李生成,吴英会,殷道根,等.珠海市某医院手足口病病例流行病学分析 [J]. 中国社会医学杂志, 2013,30(6):439-441. 胡跃华,肖革新,郭莹,等. 2008-2011年中国大陆手足口病流行特征分析 [J]. 中华疾病控制杂志, 2014,18(8):693-697,747. Lee CC, Tang JH, Hwang JS, et al. Effects of meteorological and geographical factors on the epidemics of hand, foot, and mouth disease in Island-Type Territory, East Asia [J]. Biomed Res Int, 2015(2015):805039. 姚亮清,黄张国,罗月美,等. 托幼机构儿童手足口病发病影响因素研究 [J]. 河北医学,2014,20(7):1134-1137. 安庆玉,姚伟,吴隽,等. 手足口病危险因素的Meta分析 [J]. 中国卫生统计, 2013,30(4):576-578. 马芳,丁晨哲,李丽,等. 宁夏手足口病流行学特征分析及相关危险因素调查 [J]. 宁夏医学杂志, 2013,15(1):24-26. 王开亮,钟严伟,黄振豪,等. 深圳市龙岗区托幼机构预防性消毒质量效果分析 [J]. 河南预防医学杂志, 2015,26(4):346-348. 陈瑞莉,阮峰,王松,等. 珠海市私立与公立幼儿园消毒质量监测分析 [J]. 实用预防医学, 2012,19(7):1018-1020. 隗功浩,王跃进,杨涛,等. 2012年滨海新区(塘沽)托幼机构消毒质量监测分析 [J].职业与健康, 2014,30(1):108-109,112. 郑金良,邓梅光. 广丰县托幼机构卫生状况调查 [J]. 浙江预防医学, 2015,27(5):517,526. 周萌泥. 郑州市私立幼儿园卫生保健现状调查及对策 [J]. 中国妇幼保健, 2007,22(4):415-418. 孙艳,王淑华,程艳. 私立幼儿园卫生保健存在的问题分析 [J]. 中国妇幼保健, 2004,19(12):128. Koefoed BG, Nielsen AM, Keiding LM. The impact of selected environmental factors on the morbidity of children in day care centers [J]. Ugeskrift Laeger, 2002,164(49):5759-5764. Zomer TP, Erasmus V, van Beeck EF, et al.Hand hygiene compliance and environmental determinants in child day care centers: an observational study [J]. Am J Infect Control, 2013,41(6):497-502. 刘更新,曹素芬,曾光,等. 手部卫生行为影响因素研究 [J]. 卫生职业教育, 2008,26(7):140-141. Zomer TP, Erasmus V, Vlaar N, et al. A hand hygiene intervention to decrease infections among children attending day care centers: design of a cluster randomized controlled trial [J]. BMC Infect Dis, 2013,13:259. Carabin H, Gyorkos TW, Soto JC, et al. Effectiveness of a training program in reducing infections in toddlers attending day care centers [J]. Epidemiology, 1999,10(3):219-227. 张馨尹,麦素漫. 深圳市罗湖区托幼机构保健人员素质调查 [J]. 中国妇幼保健, 2009,24(13):1825-1826. 王彩燕. 南京市浦口区36所托细机构卫生保健现状调查分析 [J]. 中国妇幼保健, 2009,24(25):3561-3562. 夏静若,陈诗言,刘昊天,等. 南充市城乡托幼机构手卫生状况调查对比 [J]. 中国卫生产业, 2013,10(22):33-34. 乔宏,邓小虹,李凤玲,等. 北京市托幼机构手卫生状况调查 [J]. 中国消毒学杂志, 2012,29(10):906-907. 宋学文,姜健. 健康干预对防治手足口病效果分析 [J]. 中国实用医药, 2015,10(12):283-285. 徐桂娟,陈莉. 体检中心人员手卫生现状调查与干预效果研究 [J]. 中华医院感染学杂志, 2013,23(11):2705-2707. 刘秀英,梁耘璓. 医护人员洗手前后手的卫生合格率监测及分析 [J]. 海峡预防医学杂志, 2000,6(30):61. Boscart VM, McGilton KS, Levchenko A, et al. Acceptability of a wearable hand hygiene device with monitoring capabilities [J]. J Hosp Infect, 2008,70(3):216-222. DuBois AE, Sinkala M, Kalluri P, et al. Epidemic cholera in urban Zambia: hand soap and dried fish an protective factors [J]. Epidemiol Infect, 2006,134(6):1226-1230. Heijne JC, Teunis P, Morroy G, et al. Enhanced hygiene measures and norovirus transmission during an outbreak [J]. Emerg Infect Dis, 2009,15(1):24-30. Wu J, Xu F, Zhou W, et al. Risk factors for SARS among persons without known contact with SARS patient,Beijing,China [J]. Emerg Infect Dis, 2004,10(2):210-216. Ruan F,Yang T,Ma H,et al. Risk factors for hand, foot, and mouth disease and herpangina and the preventive effect of hand-washing [J]. Pediatrics, 2011,127(4):e898-904. Zomer TP, Erasmus V, van Empelen P, et al. Sociocognitive determinants of observed and self-reported compliance to hand hygiene guidelines in child day care centers [J]. Am J Infect Control, 2013,41(10):826-827. Erasmus V, Huis A, Qenema A, et al. The accomplish study. A cluster randomised trial on the cost-effectiveness of a multicomponent intervention to improve hand hygiene compliance and reduce healthcare associated infections[J]. BMC Public Health, 2011,11(1):721. 马智超,黎建明,詹志强,等. 深圳宝安区托幼机构消毒效果评价 [J]. 中国热带医学, 2006,6(4):720-721.
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