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- Title
Risk analysis of respiratory infections in facilities for patients with severe motor and intellectual disabilities in Japan.
- Authors
Mayumi Aminaka; Namiko Mori; Midori Nishioka; Naoki Takayama; Masahiro Shirai; Atsushi Toyoda; Retsu Fujita
- Abstract
Background: The present study aimed to identify risk factors for respiratory infections in facilities for pediatric patients with severe motor and intellectual disabilities (SMID) in order to establish effective respiratory infection countermeasures. Method: A retrospective chart review of 92 SMID patients who were admitted to a SMID facility in Japan between April 2014 and March 2015 was conducted. Stepwise multiple logistic regression analysis was performed regarding the relationship between respiratory infection and 60 patient factors, such as quadriplegia and activities of daily living, and 53 care factors, such as oral care and ryouiku (therapeutic education). Results: Respiratory infection incidences were as follows: pneumonia, 39.1%; respiratory syncytial virus (RSV) infection, 26.1%; and respiratory syndrome, 31.5%. The primary risk factor for respiratory infection was movement education, a group ryouiku program (pneumonia: odds ratio [OR] 15.22, 95% confidence interval [CI] 2.99-77.40; RSV infection: OR 13.85, 95% CI 2.72-70.50; and respiratory syndrome: OR 10.84, 95% CI 1.78-65.93). Conclusion: The present findings indicated that movement education sessions at SMID facilities should be promptly suspended in cases of respiratory infection outbreak. Ongoing respiratory syndrome surveillance is required to enable early recognition of an outbreak.
- Subjects
JAPAN; PEOPLE with intellectual disabilities; RESPIRATORY infections; PREVENTION of communicable diseases; CONFIDENCE intervals; FISHER exact test; HEALTH facilities; MOVEMENT disorders; MOVEMENT disorders in children; MULTIVARIATE analysis; PNEUMONIA; QUADRIPLEGIA; RISK assessment; STATISTICS; ACTIVITIES of daily living; MULTIPLE regression analysis; RETROSPECTIVE studies; DATA analysis software; RESPIRATORY syncytial virus infections; ODDS ratio; MANN Whitney U Test; CHILDREN; DISEASE risk factors; PREVENTION
- Publication
Canadian Journal of Infection Control / Revue Canadienne de Prévention des Infections, 2018, Vol 33, Issue 4, p204
- ISSN
1183-5702
- Publication type
Article