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感染艾滋病毒婴儿的母乳喂养母亲中乳头疾病的患病率。

The prevalence of nipple disease among breast feeding mothers of HIV seropositive infants.

作者信息

Kambarami R A, Kowo H

机构信息

Department of Paediatrics and Child Health, University of Zimbabwe Medical School, Avondale, Harare, Zimbabwe.

出版信息

Cent Afr J Med. 1997 Jan;43(1):20-2.

PMID:9185375
Abstract

OBJECTIVE

To determine the prevalence of nipple disease among breast feeding mothers of symptomatic HIV seropositive infants and factors associated with nipple disease.

DESIGN

Cross sectional survey.

SETTING

Harare Central Hospital general paediatric wards.

SUBJECTS

One hundred and four symptomatic, HIV seropositive breast feeding infants and their mothers.

MAIN OUTCOME MEASURES

Prevalence of nipple disease.

RESULTS

The majority of the hospital admissions (90%) were for pneumonia. The prevalence of nipple disease was high (30.8%). Nipple eczema was seen in 22.1%, cracked nipples in 10.6% and sore nipples in 10.6% of these breast feeding mothers. The odds of developing nipple disease in the mother if the infant had oral disease were 11.47 (95% CI 5.28 to 25.39). There was no significant association between nipple disease and mother's age, infant's age, nutrition status or mode of feeding. Malnutrition was a major problem.

CONCLUSION

Nipple disease was highly prevalent and oral disease was the major risk factor for the development of nipple disease in breast feeding HIV seropositive mothers.

摘要

目的

确定有症状的HIV血清阳性婴儿的母乳喂养母亲中乳头疾病的患病率以及与乳头疾病相关的因素。

设计

横断面调查。

地点

哈拉雷中心医院普通儿科病房。

研究对象

104名有症状的HIV血清阳性母乳喂养婴儿及其母亲。

主要观察指标

乳头疾病的患病率。

结果

大多数住院病例(90%)是因肺炎。乳头疾病的患病率很高(30.8%)。在这些母乳喂养母亲中,22.1%出现乳头湿疹,10.6%乳头皲裂,10.6%乳头疼痛。如果婴儿患有口腔疾病,母亲患乳头疾病的几率为11.47(95%可信区间5.28至25.39)。乳头疾病与母亲年龄、婴儿年龄、营养状况或喂养方式之间无显著关联。营养不良是一个主要问题。

结论

乳头疾病非常普遍,口腔疾病是母乳喂养的HIV血清阳性母亲发生乳头疾病的主要危险因素。

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