GrippeEspagneV1, Main, Exploration, bibRecord, 000245

Risk factors and effectiveness of preventive measures against influenza in the community.

Identifieur interne : 000245 ( Main/Exploration ); précédent : 000244; suivant : 000246

Risk factors and effectiveness of preventive measures against influenza in the community.

Auteurs : Jesús Castilla [Espagne] ; Pere Godoy ; Ángela Domínguez ; Vicente Martín ; Miguel Delgado-Rodríguez ; Iván Martínez-Baz ; Maretva Baricot ; Nuria Soldevila ; José M. Mayoral ; Jenaro Astray ; José M. Quintana ; Rafael Cant N ; Ady Castro ; Fernando González-Candelas ; Jordi Alonso ; Marc Saez ; Sonia Tamames ; Tomás Pumarola

Source :

Influenza and other respiratory viruses [ 1750-2659 ] ; 2013.

RBID : pubmed:22458533

Descripteurs français

KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Caractéristiques familiales (MeSH), Espagne (épidémiologie), Exposition professionnelle (MeSH), Facteurs de risque (MeSH), Femelle (MeSH), Grippe humaine (prévention et contrôle), Grippe humaine (épidémiologie), Grossesse (MeSH), Humains (MeSH), Infections communautaires (prévention et contrôle), Infections communautaires (épidémiologie), Jeune adulte (MeSH), Mâle (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Transports (MeSH), Vaccins antigrippaux (administration et posologie), Vaccins antigrippaux (immunologie), Études cas-témoins (MeSH).
MESH :
- administration et posologie : Vaccins antigrippaux.
- immunologie : Vaccins antigrippaux.
- prévention et contrôle : Grippe humaine, Infections communautaires.
- épidémiologie : Espagne, Grippe humaine, Infections communautaires.
- Adolescent, Adulte, Adulte d'âge moyen, Caractéristiques familiales, Exposition professionnelle, Facteurs de risque, Femelle, Grossesse, Humains, Jeune adulte, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Transports, Études cas-témoins.
Wicri :
- geographic : Espagne.

English descriptors

KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Case-Control Studies (MeSH), Community-Acquired Infections (epidemiology), Community-Acquired Infections (prevention & control), Family Characteristics (MeSH), Female (MeSH), Humans (MeSH), Influenza Vaccines (administration & dosage), Influenza Vaccines (immunology), Influenza, Human (epidemiology), Influenza, Human (prevention & control), Male (MeSH), Middle Aged (MeSH), Occupational Exposure (MeSH), Pregnancy (MeSH), Risk Factors (MeSH), Spain (epidemiology), Transportation (MeSH), Young Adult (MeSH).
MESH :
- chemical , administration & dosage : Influenza Vaccines.
- geographic , epidemiology : Spain.
- epidemiology : Community-Acquired Infections, Influenza, Human.
- chemical , immunology : Influenza Vaccines.
- prevention & control : Community-Acquired Infections, Influenza, Human.
- Adolescent, Adult, Aged, Aged, 80 and over, Case-Control Studies, Family Characteristics, Female, Humans, Male, Middle Aged, Occupational Exposure, Pregnancy, Risk Factors, Transportation, Young Adult.

Abstract

BACKGROUND

The role of different risk exposures and preventive measures against influenza has not been well established.

OBJECTIVE

The aim of this study was to evaluate risk factors and measures to prevent influenza infection in the community.

METHODS

We conducted a multicenter case-control study. Cases were 481 outpatients aged 18 years or older with laboratory-confirmed influenza A(H1N1)09 in the 2009-2010 season in Spain. A control was selected for each case from outpatients from the same area matched by age and date of consultation. Information on risk situations, preventive measures and other variables was obtained by interview and review of the medical record.

RESULTS

In the multivariate conditional logistic regression analysis, the risk of a diagnosis of influenza increased with the number of cohabitants (compared with <3 cohabitants, three cohabitants had an OR= 1·80, 95% CI 1·12-2·89, and ≥5 cohabitants had an OR = 2·66, 95% CI 1·31-5·41) and for health care workers (OR = 2·94, 95% CI 1·53-5·66). The use of metropolitan public transport was associated with a lower frequency of a diagnosis of influenza (OR = 0·45, 95% CI 0·30-0·68) but not the use of taxis or long-distance transport. The influenza A(H1N1)09 vaccine had a protective effect (OR =0·13, 95% CI 0·04-0·48), unlike hand washing after touching contaminated surfaces or the use of alcohol-based hand sanitizers.

CONCLUSION

The home environment appears to play an important role in the spread of influenza in adults, but not the use of public transport. Health care workers have a higher risk of contracting influenza. Vaccination was the most effective preventive measure.

DOI: 10.1111/j.1750-2659.2012.00361.x
PubMed: 22458533
PubMed Central: PMC5780759

Affiliations:

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

to stream Main, to step Corpus: 00308
to stream Main, to step Curation: 000308

Le document en format XML

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<author><name sortKey="Gonzalez Candelas, Fernando" sort="Gonzalez Candelas, Fernando" uniqKey="Gonzalez Candelas F" first="Fernando" last="González-Candelas">Fernando González-Candelas</name>
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<author><name sortKey="Saez, Marc" sort="Saez, Marc" uniqKey="Saez M" first="Marc" last="Saez">Marc Saez</name>
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<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Case-Control Studies (MeSH)</term>
<term>Community-Acquired Infections (epidemiology)</term>
<term>Community-Acquired Infections (prevention & control)</term>
<term>Family Characteristics (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza Vaccines (administration & dosage)</term>
<term>Influenza Vaccines (immunology)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Occupational Exposure (MeSH)</term>
<term>Pregnancy (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Spain (epidemiology)</term>
<term>Transportation (MeSH)</term>
<term>Young Adult (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Caractéristiques familiales (MeSH)</term>
<term>Espagne (épidémiologie)</term>
<term>Exposition professionnelle (MeSH)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Grippe humaine (prévention et contrôle)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Grossesse (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections communautaires (prévention et contrôle)</term>
<term>Infections communautaires (épidémiologie)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Transports (MeSH)</term>
<term>Vaccins antigrippaux (administration et posologie)</term>
<term>Vaccins antigrippaux (immunologie)</term>
<term>Études cas-témoins (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Influenza Vaccines</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Spain</term>
</keywords>
<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins antigrippaux</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Community-Acquired Infections</term>
<term>Influenza, Human</term>
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<keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Vaccins antigrippaux</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="immunology" xml:lang="en"><term>Influenza Vaccines</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Community-Acquired Infections</term>
<term>Influenza, Human</term>
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<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Grippe humaine</term>
<term>Infections communautaires</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Espagne</term>
<term>Grippe humaine</term>
<term>Infections communautaires</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Case-Control Studies</term>
<term>Family Characteristics</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Occupational Exposure</term>
<term>Pregnancy</term>
<term>Risk Factors</term>
<term>Transportation</term>
<term>Young Adult</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Caractéristiques familiales</term>
<term>Exposition professionnelle</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Grossesse</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Transports</term>
<term>Études cas-témoins</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>The role of different risk exposures and preventive measures against influenza has not been well established.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>The aim of this study was to evaluate risk factors and measures to prevent influenza infection in the community.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>We conducted a multicenter case-control study. Cases were 481 outpatients aged 18 years or older with laboratory-confirmed influenza A(H1N1)09 in the 2009-2010 season in Spain. A control was selected for each case from outpatients from the same area matched by age and date of consultation. Information on risk situations, preventive measures and other variables was obtained by interview and review of the medical record.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>In the multivariate conditional logistic regression analysis, the risk of a diagnosis of influenza increased with the number of cohabitants (compared with <3 cohabitants, three cohabitants had an OR= 1·80, 95% CI 1·12-2·89, and ≥5 cohabitants had an OR = 2·66, 95% CI 1·31-5·41) and for health care workers (OR = 2·94, 95% CI 1·53-5·66). The use of metropolitan public transport was associated with a lower frequency of a diagnosis of influenza (OR = 0·45, 95% CI 0·30-0·68) but not the use of taxis or long-distance transport. The influenza A(H1N1)09 vaccine had a protective effect (OR =0·13, 95% CI 0·04-0·48), unlike hand washing after touching contaminated surfaces or the use of alcohol-based hand sanitizers.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>The home environment appears to play an important role in the spread of influenza in adults, but not the use of public transport. Health care workers have a higher risk of contracting influenza. Vaccination was the most effective preventive measure.</p>
</div>
</front>
</TEI>
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<DateCompleted><Year>2013</Year>
<Month>07</Month>
<Day>29</Day>
</DateCompleted>
<DateRevised><Year>2018</Year>
<Month>11</Month>
<Day>13</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1750-2659</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>7</Volume>
<Issue>2</Issue>
<PubDate><Year>2013</Year>
<Month>Mar</Month>
</PubDate>
</JournalIssue>
<Title>Influenza and other respiratory viruses</Title>
<ISOAbbreviation>Influenza Other Respir Viruses</ISOAbbreviation>
</Journal>
<ArticleTitle>Risk factors and effectiveness of preventive measures against influenza in the community.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.1111/j.1750-2659.2012.00361.x</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The role of different risk exposures and preventive measures against influenza has not been well established.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of this study was to evaluate risk factors and measures to prevent influenza infection in the community.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We conducted a multicenter case-control study. Cases were 481 outpatients aged 18 years or older with laboratory-confirmed influenza A(H1N1)09 in the 2009-2010 season in Spain. A control was selected for each case from outpatients from the same area matched by age and date of consultation. Information on risk situations, preventive measures and other variables was obtained by interview and review of the medical record.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In the multivariate conditional logistic regression analysis, the risk of a diagnosis of influenza increased with the number of cohabitants (compared with <3 cohabitants, three cohabitants had an OR= 1·80, 95% CI 1·12-2·89, and ≥5 cohabitants had an OR = 2·66, 95% CI 1·31-5·41) and for health care workers (OR = 2·94, 95% CI 1·53-5·66). The use of metropolitan public transport was associated with a lower frequency of a diagnosis of influenza (OR = 0·45, 95% CI 0·30-0·68) but not the use of taxis or long-distance transport. The influenza A(H1N1)09 vaccine had a protective effect (OR =0·13, 95% CI 0·04-0·48), unlike hand washing after touching contaminated surfaces or the use of alcohol-based hand sanitizers.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The home environment appears to play an important role in the spread of influenza in adults, but not the use of public transport. Health care workers have a higher risk of contracting influenza. Vaccination was the most effective preventive measure.</AbstractText>
<CopyrightInformation>© 2012 Blackwell Publishing Ltd.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Castilla</LastName>
<ForeName>Jesús</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Instituto de Salud Pública de Navarra, 31003 Pamplona, Spain. jcastilc@navarra.es</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Godoy</LastName>
<ForeName>Pere</ForeName>
<Initials>P</Initials>
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<Author ValidYN="Y"><LastName>Domínguez</LastName>
<ForeName>Ángela</ForeName>
<Initials>Á</Initials>
</Author>
<Author ValidYN="Y"><LastName>Martín</LastName>
<ForeName>Vicente</ForeName>
<Initials>V</Initials>
</Author>
<Author ValidYN="Y"><LastName>Delgado-Rodríguez</LastName>
<ForeName>Miguel</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Martínez-Baz</LastName>
<ForeName>Iván</ForeName>
<Initials>I</Initials>
</Author>
<Author ValidYN="Y"><LastName>Baricot</LastName>
<ForeName>Maretva</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Soldevila</LastName>
<ForeName>Nuria</ForeName>
<Initials>N</Initials>
</Author>
<Author ValidYN="Y"><LastName>Mayoral</LastName>
<ForeName>José M</ForeName>
<Initials>JM</Initials>
</Author>
<Author ValidYN="Y"><LastName>Astray</LastName>
<ForeName>Jenaro</ForeName>
<Initials>J</Initials>
</Author>
<Author ValidYN="Y"><LastName>Quintana</LastName>
<ForeName>José M</ForeName>
<Initials>JM</Initials>
</Author>
<Author ValidYN="Y"><LastName>Cantón</LastName>
<ForeName>Rafael</ForeName>
<Initials>R</Initials>
</Author>
<Author ValidYN="Y"><LastName>Castro</LastName>
<ForeName>Ady</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y"><LastName>González-Candelas</LastName>
<ForeName>Fernando</ForeName>
<Initials>F</Initials>
</Author>
<Author ValidYN="Y"><LastName>Alonso</LastName>
<ForeName>Jordi</ForeName>
<Initials>J</Initials>
</Author>
<Author ValidYN="Y"><LastName>Saez</LastName>
<ForeName>Marc</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Tamames</LastName>
<ForeName>Sonia</ForeName>
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<affiliations><list><country><li>Espagne</li>
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<region><li>Communauté forale de Navarre</li>
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<name sortKey="Cant N, Rafael" sort="Cant N, Rafael" uniqKey="Cant N R" first="Rafael" last="Cant N">Rafael Cant N</name>
<name sortKey="Castro, Ady" sort="Castro, Ady" uniqKey="Castro A" first="Ady" last="Castro">Ady Castro</name>
<name sortKey="Delgado Rodriguez, Miguel" sort="Delgado Rodriguez, Miguel" uniqKey="Delgado Rodriguez M" first="Miguel" last="Delgado-Rodríguez">Miguel Delgado-Rodríguez</name>
<name sortKey="Dominguez, Angela" sort="Dominguez, Angela" uniqKey="Dominguez A" first="Ángela" last="Domínguez">Ángela Domínguez</name>
<name sortKey="Godoy, Pere" sort="Godoy, Pere" uniqKey="Godoy P" first="Pere" last="Godoy">Pere Godoy</name>
<name sortKey="Gonzalez Candelas, Fernando" sort="Gonzalez Candelas, Fernando" uniqKey="Gonzalez Candelas F" first="Fernando" last="González-Candelas">Fernando González-Candelas</name>
<name sortKey="Martin, Vicente" sort="Martin, Vicente" uniqKey="Martin V" first="Vicente" last="Martín">Vicente Martín</name>
<name sortKey="Martinez Baz, Ivan" sort="Martinez Baz, Ivan" uniqKey="Martinez Baz I" first="Iván" last="Martínez-Baz">Iván Martínez-Baz</name>
<name sortKey="Mayoral, Jose M" sort="Mayoral, Jose M" uniqKey="Mayoral J" first="José M" last="Mayoral">José M. Mayoral</name>
<name sortKey="Pumarola, Tomas" sort="Pumarola, Tomas" uniqKey="Pumarola T" first="Tomás" last="Pumarola">Tomás Pumarola</name>
<name sortKey="Quintana, Jose M" sort="Quintana, Jose M" uniqKey="Quintana J" first="José M" last="Quintana">José M. Quintana</name>
<name sortKey="Saez, Marc" sort="Saez, Marc" uniqKey="Saez M" first="Marc" last="Saez">Marc Saez</name>
<name sortKey="Soldevila, Nuria" sort="Soldevila, Nuria" uniqKey="Soldevila N" first="Nuria" last="Soldevila">Nuria Soldevila</name>
<name sortKey="Tamames, Sonia" sort="Tamames, Sonia" uniqKey="Tamames S" first="Sonia" last="Tamames">Sonia Tamames</name>
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<country name="Espagne"><region name="Communauté forale de Navarre"><name sortKey="Castilla, Jesus" sort="Castilla, Jesus" uniqKey="Castilla J" first="Jesús" last="Castilla">Jesús Castilla</name>
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Risk factors and effectiveness of preventive measures against influenza in the community.

Risk factors and effectiveness of preventive measures against influenza in the community.

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