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

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)

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.

 
  • References

  • 1 Fagundes-Neto U. Persistent diarrhea: still a serious public health problem in developing countries. Curr Gastroenterol Rep 2013; 15 (09) 345
  • 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
  • 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
  • 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
  • 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
  • 6 Revelas A. Acute gastroenteritis among children in the developing world. South Afr J Epidemiol Infect 2012; 27 (04) 156-162
  • 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
  • 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
  • 9 Handwashing fact sheet. Available at: https://www.cdc.gov/handwashing/pdf/handwashing-poster.pdf . Accessed January 5, 2019
  • 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
  • 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
  • 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
  • 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
  • 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
  • 15 World Health Organization. Diarrhoeal disease. Available at: https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease . Accessed January 12, 2019
  • 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
  • 17 Newman RD, Grupp-Phelan J, Shay DK, Davis RL. Perinatal risk factors for infant hospitalization with viral gastroenteritis. Pediatrics 1999; 103 (01) E3
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 35 Kudlova E. Home management of acute diarrhoea in Czech children. J Pediatr Gastroenterol Nutr 2010; 50 (05) 510-515
  • 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
  • 37 Elliott EJ. Acute gastroenteritis in children. BMJ 2007; 334 (7583): 35-40
  • 38 Crawford SE, Ramani S, Tate JE. , et al. Rotavirus infection. Nat Rev Dis Primers 2017; 3: 17083
  • 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
  • 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