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Master Thesis

Prévention primaire de la bronchiolite en crèche : étude d’intervention (partie 2)

Abstract : Introduction: bronchiolitis affects, each year, 460000 infants (30%). Reducing its spread is a major public health issue. Prevention strategy in child day-care centers, known as a privileged information place, seems a good way to achieve this goal. The aim is to evaluate the impact of a training program in child day-care centers reducing the bronchiolitis rate. Methods: This interventional prospective controlled multicenter study was conducted with two groups of parents and care givers (Intervention and Control: 154 children) in 5 child day-care centers in Vanves and Boulogne-Billancourt (92) from September 2012 to July 2013. The intervention group had an oral session training and was delivered an information document. A questionnaire assessed the number of bronchiolitis in each group after the intervention. A Chi2 test was used (α risk : 0.10, power 80%). Results: 143 matched questionnaires were analyzed. The prevalence of bronchiolitis was 25%. Regarding the primary endpoint, the intervention resulted in a 28% reduction (RR 0.72, 95% CI [0.40 to 1.29], p: 0.274, NS) for the 36 children and 56 % reduction (RR: 0.44, 95% CI [0.29 to 0.69], p: 0.0003, significant) for 64 episodes of bronchiolitis. Conclusion: This study shows the benefit of prevention intervention in child day-care centers to reduce infections such as bronchiolitis. Good turnout and satisfaction rate show that this concept is well accepted by the children’s parents and by care givers. Therefore, this could be renewed for further studies considering its positive impact and its limited cost.
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Master Thesis
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  • HAL Id : dumas-01114498, version 1

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Audrey Herbepin. Prévention primaire de la bronchiolite en crèche : étude d’intervention (partie 2). Médecine humaine et pathologie. 2014. ⟨dumas-01114498⟩

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