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Preventable and non-preventable risk factors for influenza transmission and hygiene behavior in German influenza households, pandemic season (H1N1) 2009/2010.

Identifieur interne : 000199 ( Main/Exploration ); précédent : 000198; suivant : 000200

Preventable and non-preventable risk factors for influenza transmission and hygiene behavior in German influenza households, pandemic season (H1N1) 2009/2010.

Auteurs : Cornelius Remschmidt [Allemagne] ; Petra Stöcker ; Matthias An Der Heiden ; Thorsten Suess ; Monika Luchtenberg ; Susanne B. Schink ; Brunhilde Schweiger ; Walter Haas ; Udo Buchholz

Source :

RBID : pubmed:22804954

Descripteurs français

English descriptors

Abstract

BACKGROUND

To date, little is known about the role of behavioral risk factors for influenza transmission as well as hygiene behavior in the household setting during the influenza pandemic (H1N1) 2009. In a household-based study conducted during 2008/2009, we identified several behavioral risk factors for influenza transmission; 30% of index patients and 30% of household contacts reported increased hand cleaning frequency in the week after symptom onset of the index patient. We conducted another household-based study during the pandemic season 2009/2010.

METHODS

We identified index patients with laboratory confirmed influenza infection and interviewed household members after illness day 8 of the index patient. Outcome was influenza-like illness (ILI) in a household contact.

RESULTS

We included 108 households. Overall secondary attack rate was 10·1% (27/267) and decreased with increasing age. Apart from being in close daily proximity with the index patient for at least 9 hours, no other behavioral risk factor was associated with secondary ILI. Of all index patients and household contacts, 49% and 55%, respectively, cleaned their hands more often in the week after symptom onset of the index patient (in comparison with 2008/2009 P-value for both <0·01).

CONCLUSIONS

While the study was hampered by its relatively limited size, data suggest that a significantly larger proportion of influenza households practiced good hand hygiene compared to the last pre-pandemic season. This may have led to a different risk factor profile and a delay of the time threshold necessary for transmission among household members with close contact.


DOI: 10.1111/j.1750-2659.2012.00407.x
PubMed: 22804954


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<p>
<b>BACKGROUND</b>
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<p>To date, little is known about the role of behavioral risk factors for influenza transmission as well as hygiene behavior in the household setting during the influenza pandemic (H1N1) 2009. In a household-based study conducted during 2008/2009, we identified several behavioral risk factors for influenza transmission; 30% of index patients and 30% of household contacts reported increased hand cleaning frequency in the week after symptom onset of the index patient. We conducted another household-based study during the pandemic season 2009/2010.</p>
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<p>
<b>METHODS</b>
</p>
<p>We identified index patients with laboratory confirmed influenza infection and interviewed household members after illness day 8 of the index patient. Outcome was influenza-like illness (ILI) in a household contact.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>We included 108 households. Overall secondary attack rate was 10·1% (27/267) and decreased with increasing age. Apart from being in close daily proximity with the index patient for at least 9 hours, no other behavioral risk factor was associated with secondary ILI. Of all index patients and household contacts, 49% and 55%, respectively, cleaned their hands more often in the week after symptom onset of the index patient (in comparison with 2008/2009 P-value for both <0·01).</p>
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<b>CONCLUSIONS</b>
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<p>While the study was hampered by its relatively limited size, data suggest that a significantly larger proportion of influenza households practiced good hand hygiene compared to the last pre-pandemic season. This may have led to a different risk factor profile and a delay of the time threshold necessary for transmission among household members with close contact.</p>
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<Citation>N Engl J Med. 2009 Dec 31;361(27):2619-27</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">20042753</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Emerg Infect Dis. 2010 Apr;16(4):e2</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">20350370</ArticleId>
</ArticleIdList>
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<li>Allemagne</li>
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<li>Berlin</li>
</region>
<settlement>
<li>Berlin</li>
</settlement>
</list>
<tree>
<noCountry>
<name sortKey="An Der Heiden, Matthias" sort="An Der Heiden, Matthias" uniqKey="An Der Heiden M" first="Matthias" last="An Der Heiden">Matthias An Der Heiden</name>
<name sortKey="Buchholz, Udo" sort="Buchholz, Udo" uniqKey="Buchholz U" first="Udo" last="Buchholz">Udo Buchholz</name>
<name sortKey="Haas, Walter" sort="Haas, Walter" uniqKey="Haas W" first="Walter" last="Haas">Walter Haas</name>
<name sortKey="Luchtenberg, Monika" sort="Luchtenberg, Monika" uniqKey="Luchtenberg M" first="Monika" last="Luchtenberg">Monika Luchtenberg</name>
<name sortKey="Schink, Susanne B" sort="Schink, Susanne B" uniqKey="Schink S" first="Susanne B" last="Schink">Susanne B. Schink</name>
<name sortKey="Schweiger, Brunhilde" sort="Schweiger, Brunhilde" uniqKey="Schweiger B" first="Brunhilde" last="Schweiger">Brunhilde Schweiger</name>
<name sortKey="Stocker, Petra" sort="Stocker, Petra" uniqKey="Stocker P" first="Petra" last="Stöcker">Petra Stöcker</name>
<name sortKey="Suess, Thorsten" sort="Suess, Thorsten" uniqKey="Suess T" first="Thorsten" last="Suess">Thorsten Suess</name>
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<country name="Allemagne">
<region name="Berlin">
<name sortKey="Remschmidt, Cornelius" sort="Remschmidt, Cornelius" uniqKey="Remschmidt C" first="Cornelius" last="Remschmidt">Cornelius Remschmidt</name>
</region>
</country>
</tree>
</affiliations>
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