The study's objectives were to assess (1) control of a community outbreak of shigellosis through the promotion of handwashing, (2) risk factors in day-care centers, and (3) shigellosis attributable to attendance at a day-care center.
In 1991, an outbreak of Shigella sonnei infections occurred in Lexington-Fayette County, Ky ; 14 licensed child day-care centers were involved.
Communitywide promotion of hand washing was instituted along with diarrhea surveillance.
A case-control study compared day-care centers that had confirmed cases of shigellosis with centers that had none.
A family transmission study determined those cases attributable to attendance at day-care centers.
The outbreak abated 3 weeks after the interventions'initiation.
Day-care centers with outbreaks were more likely than than those with no cases to have a food handler who changed diapers and to provide transportation for children from their homes to the center.
These centers also had a higher toddler-to-toilet ratio than control centers (21 vs 12).
In 58% of families with shigellosis, the first person with diarrhea during the outbreak was a child younger than 6 years ; 92% of diarrheal illnesses among these children were attributable to day-care attendance.
Community involvement in increasing hand washing most likely resulted in control of this shigelosis outbreak.
Diarrhea prevention strategies in day-care centers could prevent substantial communitywide disease.
Mots-clés Pascal : Shigellose, Bactériose, Infection, Foyer infectieux, Garderie enfant, Facteur risque, Prévention, Hygiène, Main, Epidémiologie, Transmission, Kentucky, Etats Unis, Amérique du Nord, Amérique, Appareil digestif pathologie, Intestin pathologie
Mots-clés Pascal anglais : Shigellosis, Bacteriosis, Infection, Infectious focus, Day care center, Risk factor, Prevention, Hygiene, Hand, Epidemiology, Transmission, Kentucky, United States, North America, America, Digestive diseases, Intestinal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0349004
Code Inist : 002B05B02F. Création : 01/03/1996.