HEPATITIS-B IN CHILDREN IN ITALY - INCIDENCE AND RISK-FACTORS

被引:5
作者
CORONA, R
GANDOLFI, C
FERRIGNO, L
SAGLIOCCA, L
CIARALLI, F
MARTELLI, A
GALANTI, C
MOIRAGHI, A
PALUMBO, F
NOVACO, F
STAZI, MA
MELE, A
ZOTTI, C
RUSSO, R
SILIQUINI, R
TARTAGLIA, B
SECRETO, A
MINA, V
PICCAROLO, GB
MURATORE, L
DOMINELLI, A
GALATI, ML
ALIBRANDI, MP
FALCO, S
CARUSO, G
INCARBONA, A
ALPINI, F
BAGNASCO, G
OLMO, L
FARA, G
MUSSO, A
CAVAGNINO, M
SAULLO, F
BORGNA, ME
COLNAGO, G
FERRERO, G
BASSETTI, L
PELLEGRINO, A
MUSSO, E
DALLORTO, P
FERRERO, M
BERRUTI, R
BERTOLONE, G
VALSECCHI, M
PENITENTI, V
BERETTA, F
BOTTEGHELLI, R
DETONI, MU
AGOSTINI, E
PIN, G
机构
[1] Laboratorio di Epidemiologia e Biostatistica, Istituto Superiore di Sanità, Rome, I-00161
[2] Istituto di Ricovero e Cura a Carattere Scientifico IDI, Rome
[3] Ospedale San Giovanni, Rome
[4] Osservatorio Epidemiologico, Regione Campania, Naples
[5] Ministero della Sanità, Rome
[6] Assessorato alla Sanità, Regione Toscana, Firenze
[7] Dipartimento di Igiene, Università di Torino
[8] Assessorato Alla Sanità, Regione Emilia Romagna, Bologna
关键词
CHILDREN; EPIDEMIOLOGY; HEPATITIS B; ITALY;
D O I
10.1007/BF01730374
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The objectives of the present report were to give a baseline picture of hepatitis B notification incidence rates in children before the campaign of mass vaccination for newborns and adolescents (12-13 years old), and to study the role of different risk factors. Data from a specific national surveillance system of acute viral hepatitis (SEIEVA, Sistema Epidemiologico Integrato dell'Epatite Virale Acuta) were used and acute hepatitis B cases were compared to acute hepatitis A patients with the case-control study method to estimate the associations with the considered risk factors. Since the system began, one hundred and sixty-three local health departments have joined SEIVA covering 30% of the Italian population. The incidence of acute hepatitis B notifications among 0-14 aged children was 9 per 100,000 in 1985 and 1 per 100,000 in 1990. Such decline in incidence was observed in both the North and the South Italy. Surgical interventions, dental therapy and household contacts with a HBsAg chronic carrier were found to be associated with acute hepatitis B. The point estimate of the odds ratio was 10 for the latter risk factor. Other preventive measures in addition to vaccination are needed to control the risk of hepatitis B infection and other parenteral diseases due to surgical intervention and dental therapy.
引用
收藏
页码:219 / 222
页数:4
相关论文
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