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J Pediatr Infect Dis 2019; 14(04): 186-193
DOI: 10.1055/s-0039-1692671
Original Article
Georg Thieme Verlag KG Stuttgart · New York

The Factors Related with Behaviors and Approaches of Mothers in Avoiding Children from Gastroenteritis

Yasemin Durduran 
1   Department of Public Health, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey
,
Bahar Kandemir
2   Department of Infectious Diseases and Clinical Microbiology, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey
,
Sevgi Pekcan
3   Department of Pediatric Pulmonary Medicine, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey
,
Reyhan Evci
1   Department of Public Health, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey
› Author Affiliations
Further Information

Publication History

22 February 2019

16 May 2019

Publication Date:
26 June 2019 (online)

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Abstract

Gastrointestinal infection is an important public health problem in children and is frequently seen in developing countries due to low socioeconomic status and education levels, not obeying hygiene rules, and lack of environmental sanitation. Prevention of diarrheal diseases and raising the awareness of the mothers about diarrhea/gastroenteritis is a very important subject. The aim of this study was to evaluate the knowledge and attitude of the mothers, who attended a pediatric outpatient clinic for any reason, about the management and prevention of gastroenteritis in children.

This cross-sectional study was performed in Konya, Turkey. The study was carried out with mothers who attended the pediatric outpatient clinic of a faculty of medicine and who had a baby between 0 and 2 years of age. Surveys prepared according to the literature, were used for collecting data. Descriptive statistics, chi-square test, and independent t-test were used for data analysis. A p-value of < 0.05 was considered to be significant.

The mean age of mothers was 31.7 ± 7.2 years. Of all the mothers, 97.2% had short nails, 76.3% regularly cleaned their nails once a week, and 92.2% used soap for hand washing every time. A mean score of 8.7 ± 2.8 for a question giving 12 situations where hand washing was necessary was obtained. Of the mother's babies, 40.3% had had diarrhea at least once. In terms of giving baby water and changing feeding behavior during diarrhea/gastroenteritis, significant differences were found between mothers whose babies had diarrhea/gastroenteritis previously and those whose babies had not experienced diarrhea/gastroenteritis. 83.6% of mothers had never heard about vaccination against rotavirus.

Washing hands correctly and mothers' knowledge about proper water and food hygiene are important points in protecting children against diarrheal and gastroenteritis diseases. However, there is lack of knowledge and good practice, both in protecting children from, and managing children with, diarrhea. Thus, we believe that it would be beneficial to inform and educate mothers with little children, regularly about these issues.

Keywords

gastroenteritis - diarrhea - hygiene - children - prevention
 

  • References

  • 1 Fagundes-Neto U. Persistent diarrhea: still a serious public health problem in developing countries. Curr Gastroenterol Rep 2013; 15 (09) 345
    CrossrefPubMedSearch in Google Scholar
  • 2 O'Ryan M, Prado V, Pickering LK. A millennium update on pediatric diarrheal illness in the developing world. Semin Pediatr Infect Dis 2005; 16 (02) 125-136
    CrossrefPubMedSearch in Google Scholar
  • 3 Curtis V, Cairncross S. Effect of washing hands with soap on diarrhoea risk in the community: a systematic review. Lancet Infect Dis 2003; 3 (05) 275-281
    CrossrefPubMedSearch in Google Scholar
  • 4 Baker KK, O'Reilly CE, Levine MM. , et al. Sanitation and hygiene-specific risk factors for moderate-to-severe diarrhea in young children in the global enteric multicenter study, 2007-2011: case-control study. PLoS Med 2016; 13 (05) e1002010
    CrossrefPubMedSearch in Google Scholar
  • 5 Zwane AP, Kremer M. What Works in Fighting Diarrheal Diseases in Developing Countries. A Critical Review. Cid Working Paper No. 140. 2007 ;22:1–24
    PubMedSearch in Google Scholar
  • 6 Revelas A. Acute gastroenteritis among children in the developing world. South Afr J Epidemiol Infect 2012; 27 (04) 156-162
    PubMedSearch in Google Scholar
  • 7 Othero DM, Orago AS, Groenewegen T, Kaseje DO, Otengah PA. Home management of diarrhea among underfives in a rural community in Kenya: household perceptions and practices. East Afr J Public Health 2008; 5: 142-146
    PubMedSearch in Google Scholar
  • 8 Merga N, Alemayehu T. Knowledge, perception, and management skills of mothers with under-five children about diarrhoeal disease in indigenous and resettlement communities in Assosa District, Western Ethiopia. J Health Popul Nutr 2015; 33 (01) 20-30
    CrossrefPubMedSearch in Google Scholar
  • 9 Handwashing fact sheet. Available at: https://www.cdc.gov/handwashing/pdf/handwashing-poster.pdf . Accessed January 5, 2019
    PubMed
  • 10 Department of Pediatrics, University of Washington; USA. Outpatient Clinical Guidelines, Acute gastroenteritis (AGE) clinical guideline. Available at: https://depts.washington.edu/uwgenped/doc/Acute_Gastroenteritis_Guidelines%20Nov%20Final%202015.pdf . Accessed February 22, 2019
    PubMed
  • 11 Acute Gastroenteritis Guideline Team. Cincinnati Children's Hospital Medical Center: evidence-based care guideline for prevention and management of acute gastroenteritis in children age 2 months to 18 years. Guideline 5, December 21, 2011:1–20. Available at: http://www.cincinnatichildrens.org/service/j/anderson-center/evidence-based-care/gastroenteritis/ . Accessed June 5, 2019
    PubMed
  • 12 The WHO Guidelines on Hand Hygiene in HealthCare. Available at: https://apps.who.int/iris/bitstream/handle/10665/44102/9789241597906_eng.pdf . Accessed January 12, 2019
    PubMed
  • 13 Mbakaya BC, Lee PH, Lee RL. Hand hygiene intervention strategies to reduce diarrhoea and respiratory infections among schoolchildren in developing countries: a systematic review. Int J Environ Res Public Health 2017; 14 (04) E371
    CrossrefPubMedSearch in Google Scholar
  • 14 Wałaszek MZ, Kołpa M, Różańska A, Jagiencarz-Starzec B, Wolak Z, Wójkowska-Mach J. Nail microbial colonization following hand disinfection: a qualitative pilot study. J Hosp Infect 2018; 100 (02) 207-210
    CrossrefPubMedSearch in Google Scholar
  • 15 World Health Organization. Diarrhoeal disease. Available at: https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease . Accessed January 12, 2019
    PubMed
  • 16 Salazar-Lindo E, Allen S, Brewster DR. , et al. Intestinal infections and environmental enteropathy: Working Group report of the second World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediat Gastroenterol Nutr 2004; 39: 662-669
    CrossrefPubMedSearch in Google Scholar
  • 17 Newman RD, Grupp-Phelan J, Shay DK, Davis RL. Perinatal risk factors for infant hospitalization with viral gastroenteritis. Pediatrics 1999; 103 (01) E3
    CrossrefPubMedSearch in Google Scholar
  • 18 National Health and Safety Performance Standards. Guidelines for Early Care and Education Programs, 3rd ed. American Academy of Pediatrics, American Public Health Association, and National Resource Center for Health and Safety in Child Care and Early Education (2011). Available at: http://nrckids.org/files/CFOC3_updated_final.pdf . Accessed January 12, 2019
    PubMed
  • 19 Cairncross S, Hunt C, Boisson S. , et al. Water, sanitation and hygiene for the prevention of diarrhoea. Int J Epidemiol 2010; 39 (Suppl. 01) i193-i205
    CrossrefPubMedSearch in Google Scholar
  • 20 Masangwi SJ, Grimason AM, Morse TD, Kazembe L, Ferguson N, Jabu GC. Pattern of maternal knowledge and its implications for diarrhoea control in Southern Malawi: multilevel thresholds of change analysis. Int J Environ Res Public Health 2012; 9 (03) 955-969
    CrossrefPubMedSearch in Google Scholar
  • 21 Oloruntoba EO, Folarin TB, Ayede AI. Hygiene and sanitation risk factors of diarrhoeal disease among under-five children in Ibadan, Nigeria. Afr Health Sci 2014; 14 (04) 1001-1011
    PubMedSearch in Google Scholar
  • 22 Usfar AA, Iswarawanti DN, Davelyna D, Dillon D. Food and personal hygiene perceptions and practices among caregivers whose children have diarrhea: a qualitative study of urban mothers in Tangerang, Indonesia. J Nutr Educ Behav 2010; 42 (01) 33-40
    CrossrefPubMedSearch in Google Scholar
  • 23 Mahmud MA, Spigt M, Bezabih AM, Pavon IL, Dinant GJ, Velasco RB. Efficacy of handwashing with soap and nail clipping on intestinal parasitic infections in school-aged children: a factorial cluster randomized controlled trial. PLoS Med 2015; 12 (06) e1001837 , discussion e1001837
    CrossrefPubMedSearch in Google Scholar
  • 24 Lamberti LM, Fischer Walker CL, Noiman A, Victora C, Black RE. Breastfeeding and the risk for diarrhea morbidity and mortality. BMC Public Health 2011; 11 (Suppl. 03) S15
    PubMedSearch in Google Scholar
  • 25 Agustina R, Sari TP, Satroamidjojo S, Bovee-Oudenhoven IMJ, Feskens EJM, Kok FJ. Association of food-hygiene practices and diarrhea prevalence among Indonesian young children from low socioeconomic urban areas. BMC Public Health 2013; 13: 977
    CrossrefPubMedSearch in Google Scholar
  • 26 Divya S, Saju CR, Navya CJ, Joshy VM, Jini MP, Radhamani MV. A study on selected behavioral factors of mothers influencing acute diarrhoea in under- five children in a rural part of Kerala, India. Intl J Commun Med Public Health 2016; 3 (08) 2211-2216
    PubMedSearch in Google Scholar
  • 27 Yaya S, Hudani A, Udenigwe O, Shah V, Ekholuenetale M, Bishwajit G. Improving water, sanitation and hygiene practices, and housing quality to prevent diarrhea among under-five children in Nigeria. Trop Med Infect Dis 2018; 3 (02) 41
    PubMedSearch in Google Scholar
  • 28 Mokomane M, Kasvosve I, de Melo E, Pernica JM, Goldfarb DM. The global problem of childhood diarrhoeal diseases: emerging strategies in prevention and management. Ther Adv Infect Dis 2018; 5 (01) 29-43
    PubMedSearch in Google Scholar
  • 29 Willmott M, Nicholson A, Busse H, MacArthur GJ, Brookes S, Campbell R. Effectiveness of hand hygiene interventions in reducing illness absence among children in educational settings: a systematic review and meta-analysis. Arch Dis Child 2016; 101 (01) 42-50
    CrossrefPubMedSearch in Google Scholar
  • 30 Duman M, Atalay M. Determining the effects of education on a mother’s knowledge level for infants with acute gastroenteritis. HEAD 2015; 12 (02) 105-112
    PubMedSearch in Google Scholar
  • 31 Hacettepe University Population Studies Institute. Demographic and Health Surveyof Turkey; 2008 , Main Report. Available at: http://www.hips.hacettepe.edu.tr/TNSA2008-AnaRapor.pdf
    PubMed
  • 32 Passariello A, Nocerino R, Terrin G. , et al. Acceptability and efficacy of a gel hypotonic oral rehydration solution in children with acute gastroenteritis. Eur J Gastroenterol Hepatol 2015; 27 (05) 523-526
    CrossrefPubMedSearch in Google Scholar
  • 33 Guarino A, Albano F, Ashkenazi S. , et al; ESPGHAN/ESPID Evidence-Based Guidelines for the Management of Acute Gastroenteritis in Children in Europe Expert Working Group. European Society for Paediatric Gastroenterology, Hepatology, and Nutrition/European Society for Paediatric Infectious Diseases evidence-based guidelines for the management of acute gastroenteritis in children in Europe: executive summary. J Pediatr Gastroenterol Nutr 2008; 46 (05) (Suppl. 02) 619-621
    CrossrefPubMedSearch in Google Scholar
  • 34 Berisha M, Hoxha-Gashi S, Gashi M, Ramadani N. Maternal practice on management of acute diarrhea among children under five years old in Kosova. Turk Silahli Kuvvetleri Koruyucu Hekim Bul 2009; 8 (05) 369-372
    PubMedSearch in Google Scholar
  • 35 Kudlova E. Home management of acute diarrhoea in Czech children. J Pediatr Gastroenterol Nutr 2010; 50 (05) 510-515
    CrossrefPubMedSearch in Google Scholar
  • 36 Vesikari T, Matson DO, Dennehy P. , et al; Rotavirus Efficacy and Safety Trial (REST) Study Team. Safety and efficacy of a pentavalent human-bovine (WC3) reassortant rotavirus vaccine. N Engl J Med 2006; 354 (01) 23-33
    CrossrefPubMedSearch in Google Scholar
  • 37 Elliott EJ. Acute gastroenteritis in children. BMJ 2007; 334 (7583): 35-40
    CrossrefPubMedSearch in Google Scholar
  • 38 Crawford SE, Ramani S, Tate JE. , et al. Rotavirus infection. Nat Rev Dis Primers 2017; 3: 17083
    CrossrefPubMedSearch in Google Scholar
  • 39 Stefanoff P, Mamelund S-E, Robinson M. , et al; VACSATC working group on standardization of attitudinal studies in Europe. Tracking parental attitudes on vaccination across European countries: The Vaccine Safety, Attitudes, Training and Communication Project (VACSATC). Vaccine 2010; 28 (35) 5731-5737
    CrossrefPubMedSearch in Google Scholar
  • 40 Simpson E, Wittet S, Bonilla J, Gamazina K, Cooley L, Winkler JL. Use of formative research in developing a knowledge translation approach to rotavirus vaccine introduction in developing countries. BMC Public Health 2007; 7 (281) 281
    CrossrefPubMedSearch in Google Scholar