【考克兰综述】手卫生可以降低腹泻的发生

蓝鱼o_0

Hand washing for preventing diarrhoea (Review)
腹泻是全球关注的公共卫生问题，据WHO估计，每年全球发生腹泻的病例次为300万。研究证明，通过手卫生，能够降低腹泻的发病风险。在研究者选择了14个随机对照试验。其中8个在高收入国家，5个在中低收入国家（社区）和1个高危险（获得AIDS的病人）。高收入国家，手卫生可以降低39%腹泻的风险 (IRR 0.61, 95% CI 0.40 to0.92; 2 trials) ，降低32%中低收入国家的儿童腹泻的发病风险(IRR 0.68,
95% CI 0.52 to 0.90; 4 trials).
结论
手卫生可以降低三分之一腹泻的发病风险。这个结果是对比于中低收入地区的用清水洗手的效果。当然这些实验还需要更长时间的随访，以及检验不同洗手方法的差异。
Main results
Fourteen randomized controlled trials met the inclusion criteria. Eight trials were institution-based in high-income countries, five were
community-based in low or middle-income countries, and one was in a high-risk group (people with acquired immune deficiency
syndrome (AIDS)). Considering only trial results that adjusted for cluster randomization, interventions promoting hand washing
resulted in a 39% reduction in diarrhoea episodes in children in institutions in high-income countries (IRR 0.61, 95% CI 0.40 to
0.92; 2 trials) and a 32% reduction in such episodes in children living in communities in low- or middle-income countries (IRR 0.68,
95% CI 0.52 to 0.90; 4 trials).
Authors’ conclusions
Interventions that promote hand washing can reduce diarrhoea episodes by about one-third. This significant reduction is comparable to the effect of providing clean water in low-income areas. However, trials with longer follow up and that test different methods of promoting hand washing are needed.

toto

过手卫生，能够降低手卫生的发生。！！！！有误！

蓝鱼o_0

toto 发表于 2011-9-7 23:24

                               
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通过手卫生，能够降低手卫生的发生。！！！！有误！

已经改正过来了。谢谢卡卡美女的提醒！

哎。这么好的综述怎么没人顶呢，连下载都没有。太失望啦！

其实我想传递两个意思
1.是文献的信息
2考克兰做综述的模板。这是很好的学习材料，有什么入选标准，词汇的选择，细节提示，数据提取，表格制作等等。

toto

经改正过来了。谢谢卡卡美女的提醒！
哎。这么好的综述怎么没人顶呢，连下载都没有。太失望啦！
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我也觉得模式比较经典！只是你没发觉在这里有点曲高和寡，需要耐心，慢慢进行！

细菌耐药

常好的综述，已经下载学习了，谢谢蓝鱼版主。

航海天宇

里CDC的人员太少，临床医生并不关注手卫生对腹泻的控制，手卫生的用途其实还不至此。我们在四川地震灾区和甲流期间在封校后给学生教防病知识主要都是洗手，尤其强调呼吸道疾病和肠道疾病一样会通过手传播。但很多专业人员都不清楚这一点，后天要去媒体做防病宣传，我也重点讲手卫生的作用。