Impact of community-acquired paediatric rotavirus gastroenteritis on family life: data from the REVEAL study

BMC Family Practice

Research Article

Leif Gothefors¹  Carlo Giaquinto²  Christel Huelsse³  Martina Littmann³  Luigi Cantarutti⁴  Frédéric Huet⁵  Miguel T Vila⁶  José MP Talayero⁷  Pierre Van Damme⁸  Marie Van der Wielen⁸  Melanie Maxwell⁹  Peter Todd⁹ 

[1] Department of Clinical Sciences/Pediatrics, Umeå University, Sweden;Department of Pediatrics, University of Padua, Italy;Landesgesundheitsamt, Rostock, Germany;Pedianet Network, Italy;Pediatric Service 1, Hôpital d'Enfants, Dijon, France;Pediatrics Department, Hospital Francesc de Borja, Gandía, Spain;Pediatrics Department, Hospital Marina Alta, Denia, Spain;The Centre for the Evaluation of Vaccination, Vaccine and Infectious Disease Institute, University of Antwerp, Belgium;Wirral Hospital NHS Trust, Wirral, Merseyside, UK;

关键词: Respiratory Syncytial Virus;    Parental Stress;    Acute Otitis Medium;    Substantial Economic Burden;    Reveal Study;   

DOI  :  10.1186/1471-2296-11-22

 received in 2009-07-28, accepted in 2010-03-15,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundRotavirus is the leading cause of acute gastroenteritis (AGE) and the most frequent cause of severe diarrhoea in children aged less than 5 years. Although the epidemiology of rotavirus gastroenteritis (RVGE) is well documented, there are few data on the impact of RVGE on the families of affected children.MethodsData associated with the burden of RVGE, including number of working days lost, levels of parental stress, the need for alternative childcare arrangements and additional nappies used, were extracted from questionnaires completed by parents of children participating in a prospective, multicentre, observational study (Rotavirus gastroenteritis Epidemiology and Viral types in Europe Accounting for Losses in public health and society, REVEAL), conducted during 2004-2005 in selected areas of Belgium, France, Germany, Italy, Spain, Sweden, and the United Kingdom to estimate the incidence of RVGE in children aged less than 5 years seeking medical care as a result of AGE.Results1102 children with RVGE were included in the present analysis. The proportion of RVGE cases that required at least one parent or other person to be absent from work was 39%-91% in the hospital setting, 44%-64% in the emergency department, and 20%-64% in primary care. Self-reported levels of parental stress were generally high (mean stress levels, ≥ 5 on a 10-point visual analogue scale). Additional childcare arrangements were required in up to 21% of RVGE episodes. The mean number of nappies used per day during RVGE episodes was approximately double that used when the child was not ill.ConclusionsPaediatric RVGE cases cause disruption to families and parental stress. The burden of RVGE on children and their families could be substantially reduced by routine rotavirus vaccination of infants.

【 授权许可】

Unknown   
© Van der Wielen et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.