尼泊尔一家三级医疗中心的儿童肝炎患者：一项前瞻性观察研究。
Children With Hepatitis in a Tertiary Care Center in Nepal: A Prospective Observational Study.
作者信息
Shrestha Bikash, Singh Umesh, Karmacharya Kavita, Singh Shreejana
机构信息
Department of Paediatrics, Nepalese Army Institute of Health Sciences, Kathmandu, Nepal.
Department of Pathology, Nepalese Army Institute of Health Sciences, Kathmandu, Nepal.
出版信息
Glob Pediatr Health. 2024 Sep 6;11:2333794X241274713. doi: 10.1177/2333794X241274713. eCollection 2024.
. Viral hepatitis is a global problem leading to significant morbidity and mortality in adults as well as children. This study explores Hepatitis A among Nepalese children and their water habits. . A prospective observational study was conducted over a period of 10 years among Nepalese children. We included 287 children with hepatitis in our study. . Among 287 children studied, 266 had Hepatitis A. There were 33 toddlers (11.5%), 121 pre-school children (42.2%), 102 school children (35.5%), and 31 adolescents (10.8%). Ninety-one (32%) children used filtered water, 55 (19%) used boiled water, 23 (8%) used boiled and filtered water, 53 (18%) used jar water and 65 (23%) used direct tap water. Five children had complications. One child died due to complications. The mortality rate in the study was 0.38%. . Hepatitis A affected pre-school and school children most. Boiled and filtered is safest against transmission of Hepatitis A.
病毒性肝炎是一个全球性问题，在成人和儿童中都会导致严重的发病和死亡。本研究探讨了尼泊尔儿童中的甲型肝炎及其饮水习惯。
在尼泊尔儿童中进行了一项为期10年的前瞻性观察研究。我们的研究纳入了287名患肝炎的儿童。
在研究的287名儿童中，266名患有甲型肝炎。其中有33名幼儿（11.5%）、121名学龄前儿童（42.2%）、102名学龄儿童（35.5%）和31名青少年（10.8%）。91名（32%）儿童使用过滤水，55名（19%）使用开水，23名（8%）使用开水和过滤水，53名（18%）使用罐装水，65名（23%）使用直接自来水。5名儿童出现并发症。1名儿童因并发症死亡。该研究中的死亡率为0.38%。
甲型肝炎对学龄前和学龄儿童影响最大。煮沸和过滤后的水对预防甲型肝炎传播最为安全。
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