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社会人口因素及个人卫生与儿童感染性皮肤病的关联

Association of socio-demographic factors and personal hygiene with infectious childhood dermatoses.

作者信息

Pathak Raksha, Shrestha Sameer, Poudel Prakash, Marahatta Suchana, Khadka Dhan Keshar

机构信息

Department of Dermatology and Venereology B.P Koirala Institute of Health Sciences Dharan Nepal.

Department of Pediatrics and Adolescent Health B.P Koirala Institute of Health Sciences Dharan Nepal.

出版信息

Skin Health Dis. 2023 Feb 10;3(3):e219. doi: 10.1002/ski2.219. eCollection 2023 Jun.

Abstract

BACKGROUND

Paediatric dermatoses vary vastly from adult dermatoses in terms of clinical presentation, management, and prognosis thereby generating special interest in this field. Many factors like geographical area, climatic exposure, seasons, culture, socioeconomic factors, hygiene, dietary habits, literacy influences pattern of skin diseases in children resulting in marked variation in prevalence and pattern.

OBJECTIVES

This study aims to find out association of socio-demographic factors and personal hygiene with infectious childhood dermatoses.

MATERIALS AND METHODS

This was a hospital based cross-sectional study. All children (0-14 years) attending Dermatology outpatient clinics were enroled. Proforma was prepared to assess the socio-demographic factors and personal hygiene in the local context. Chi-square test was applied to find the association of the baseline variables with infectious dermatoses.

RESULTS

A total of 364 children were enroled with mean age of 6.97 ± 4.23 years. Females (52.5%) were slightly more than males (47.5%). There were 201 (55.2%) infectious and 163 (44.8%) non-infectious dermatoses. Bacterial infections were the most common group (18.7%), followed by dermatitis and eczemas (14.0%) and viral infections (13.7%). Lower educational status of mother ( = 0.025), lower monthly family income ( = 0.008), lower socioeconomic status ( = 0.015) and less frequent bathing habits ( = 0.014) were associated with increased risk of infective dermatoses.

CONCLUSION

Infections and infestations were the most common paediatric dermatoses in our Outpatient Department. Female education, upliftment of socioeconomic status of family and improving personal hygiene may reduce the risk of skin infections in children.

摘要

背景

儿童皮肤病在临床表现、治疗和预后方面与成人皮肤病有很大差异,因此该领域备受关注。许多因素,如地理区域、气候暴露、季节、文化、社会经济因素、卫生状况、饮食习惯、文化程度等,都会影响儿童皮肤病的发病模式,导致患病率和发病模式存在显著差异。

目的

本研究旨在探讨社会人口学因素和个人卫生与儿童感染性皮肤病之间的关联。

材料与方法

这是一项基于医院的横断面研究。纳入所有到皮肤科门诊就诊的0至14岁儿童。编制了一份表格以评估当地背景下的社会人口学因素和个人卫生状况。采用卡方检验来确定基线变量与感染性皮肤病之间的关联。

结果

共纳入364名儿童,平均年龄为6.97±4.23岁。女性(52.5%)略多于男性(47.5%)。有201例(55.2%)为感染性皮肤病,163例(44.8%)为非感染性皮肤病。细菌感染是最常见的类型(18.7%),其次是皮炎和湿疹(14.0%)以及病毒感染(13.7%)。母亲文化程度较低(P = 0.025)、家庭月收入较低(P = 0.008)、社会经济地位较低(P = 0.015)以及洗澡频率较低(P = 0.014)与感染性皮肤病风险增加相关。

结论

感染和寄生虫感染是我们门诊最常见的儿童皮肤病。提高女性教育水平、改善家庭社会经济地位和加强个人卫生可能会降低儿童皮肤感染的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f694/10233084/aae16d401f2b/SKI2-3-e219-g002.jpg

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