在南印度医院儿科腹泻病的入院高峰期间,一年多雨的月份

V. An, P. Milano, J. Allegra, Kuruvilla Thomas
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引用次数: 1

摘要

目的:验证我们的假设,即在降雨最多的月份,印度南部医院的腹泻病入院率最高。方法:设计:回顾性队列。地点:印度南部金奈的社区医院。人群:2001年1月1日至2004年12月31日住院的所有儿科患者(16岁以下)。方案:我们从所有住院的儿科患者中选择与急性腹泻相关的诊断,并使用卡方检验和学生t检验来检验统计显著性,α集为0.05。结果:在3,660名儿科住院患者中,有740名因腹泻入院。在这740人中,平均年龄为1.8岁,其中47%是女性。使用卡方分析,腹泻疾病入院的月份不均匀性(p<0.001)。降雨量最大的月份,即11月,腹泻住院率最高:是其他11个月平均值的2.3倍(95% CI 2.0-2.6, p<0.001)。结论:多雨月份儿童腹泻住院人数最多。我们推测这可能是由于供水的污染,并建议在雨季之前制定针对家长的教育计划。
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Admissions for Pediatric Diarrheal Illness in a Southern Indian Hospital Peak during the Rainiest Month of the Year
Objectives: To test our hypothesis that admissions for diarrheal illness to a southern Indian hospital would be highest in the month with the most rainfall. Methods: Design: Retrospective cohort. Setting: Community hospital in Chennai, southern India. Population: All pediatric patients (less than 16 years of age) admitted to the hospital from January 1, 2001 to December 31, 2004. Protocol: We selected diagnoses associated with acute diarrhea from all admitted pediatric patients, and used Chi square and the Student's t-tests to test for statistical significance, with alpha set at 0.05. Results: Of the 3,660 pediatric admissions, there were 740 admissions for diarrheal illness. Of those 740, the average age was 1.8 years and 47% were female. There was non-uniformity by month for diarrheal illness admissions using Chi square (p<0.001). The month with the greatest rainfall, November, had the highest admissions for diarrheal illness: 2.3 times more (95% CI 2.0-2.6, p<0.001) than the mean for the other 11 months. Conclusions: The number of pediatric admissions for diarrheal illness is highest in the rainiest month. We speculate that this may be due to contamination of the water supply and recommend that an educational program targeting parents be instituted before the rainy season.
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