tetano
Editor, Senior Moderator
Pediatr Infect Dis J. 2013 Apr 11. [Epub ahead of print]
Infectious Disease Burden Related to Child Day Care in The Netherlands.
Enserink R, Ypma R, Donker GA, Smit HA, van Pelt W.
Source
1 Center for Infectious Disease Control (Epidemiology and Surveillance Unit), National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands 2 Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands 3 NIVEL, Netherlands Institute of Health Services Research, Utrecht, The Netherlands.
Abstract
BACKGROUND:: Studying day care-associated infectiousdisease dynamics aids in formulating evidence-based guidelines for disease control, thereby supporting day care centers in their continuous efforts to provide their child population with a safe and hygienic environment. The objective of this study was to estimate the (excess)infectious disease burdenrelated to child day care attendance in the Netherlands. METHODS:: A Dutch surveillance network of child day care centers (DCCs)prospectively reportedon infectious diseaseepisodesand related use of health care among their child population on a daily basis from March 2010 - March 2012. RESULTS:: Gastroenteritis (387 per 1000 child-years) and influenza-like illness(247per 1000 child-years)were the most frequently reported infectious diseases. DCCs reported these infectiousdiseasesto occur twice as often among children aged 0-2 years oldcompared tochildren aged 2-4 years old. Antibiotic treatment was required in 6%, ageneral practitionervisit in29% and hospitalization in 2% of infectious diseaseepisodes.DCC incidences of gastroenteritis and influenza-like illness requiring children to visit a general practitioner were approximately twice as high asgeneral population estimates for this age group.Part of the DCCs indicated to not always wash the hands of children before eating (34%) or after a toilet visit (15%) or to not always clean the toilet and kitchen areas (17%) on a daily basis. CONCLUSION:: The infectious disease risk associated with child day care attendance is substantial, particularly among the very youngattendees, in excess of general population estimates for this age group and potentially partly preventable.
PMID:
23584578
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/23584578
Infectious Disease Burden Related to Child Day Care in The Netherlands.
Enserink R, Ypma R, Donker GA, Smit HA, van Pelt W.
Source
1 Center for Infectious Disease Control (Epidemiology and Surveillance Unit), National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands 2 Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands 3 NIVEL, Netherlands Institute of Health Services Research, Utrecht, The Netherlands.
Abstract
BACKGROUND:: Studying day care-associated infectiousdisease dynamics aids in formulating evidence-based guidelines for disease control, thereby supporting day care centers in their continuous efforts to provide their child population with a safe and hygienic environment. The objective of this study was to estimate the (excess)infectious disease burdenrelated to child day care attendance in the Netherlands. METHODS:: A Dutch surveillance network of child day care centers (DCCs)prospectively reportedon infectious diseaseepisodesand related use of health care among their child population on a daily basis from March 2010 - March 2012. RESULTS:: Gastroenteritis (387 per 1000 child-years) and influenza-like illness(247per 1000 child-years)were the most frequently reported infectious diseases. DCCs reported these infectiousdiseasesto occur twice as often among children aged 0-2 years oldcompared tochildren aged 2-4 years old. Antibiotic treatment was required in 6%, ageneral practitionervisit in29% and hospitalization in 2% of infectious diseaseepisodes.DCC incidences of gastroenteritis and influenza-like illness requiring children to visit a general practitioner were approximately twice as high asgeneral population estimates for this age group.Part of the DCCs indicated to not always wash the hands of children before eating (34%) or after a toilet visit (15%) or to not always clean the toilet and kitchen areas (17%) on a daily basis. CONCLUSION:: The infectious disease risk associated with child day care attendance is substantial, particularly among the very youngattendees, in excess of general population estimates for this age group and potentially partly preventable.
PMID:
23584578
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/23584578