Mitchell E A
Department of Paediatrics, University of Auckland, Private Bag 92019, Auckland, New Zealand.
Arch Dis Child. 2007 Feb;92(2):155-9. doi: 10.1136/adc.2005.076752.
This article reviews the evidence for the current UK Department of Health recommendations for prevention of sudden infant death syndrome (SIDS) and suggests other factors that should be considered. The wording of the Department of Health recommendations for SIDS prevention has changed over the past 6 years, but the specific recommendations are largely consistent with the scientific evidence. The emphasis on thermal and illness factors and immunisation could be reduced. Bed sharing and sharing the parental bedroom should be given more emphasis. Two major recommendations need to be discussed in greater detail: (1) breast feeding and (2) pacifier use. Meta-analyses or reviews looking at each risk factor or a combination of risk factors are required. Further, it is recommended that a committee is established that reviews the recommendations and publishes the evidence that leads to these recommendations, as is done by the American Academy of Pediatrics Taskforce on Sudden Infant Death Syndrome.
本文回顾了英国卫生部目前关于预防婴儿猝死综合征（SIDS）建议的证据，并提出了其他应考虑的因素。在过去6年里，卫生部关于预防SIDS的建议措辞有所变化，但具体建议在很大程度上与科学证据一致。对温度和疾病因素以及免疫接种的强调可以减少。应更加强调同床共眠和与父母共用卧室。有两项主要建议需要更详细地讨论：（1）母乳喂养和（2）使用安抚奶嘴。需要对每个风险因素或风险因素组合进行荟萃分析或综述。此外，建议成立一个委员会，该委员会审查这些建议并公布得出这些建议的证据，就像美国儿科学会婴儿猝死综合征特别工作组所做的那样。
