Child care center policies and practices for management of ill children

Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association
Jennifer F FriedmanJonathan A Finkelstein

Abstract

The objectives of this study were to 1) describe child care staff knowledge and beliefs regarding upper respiratory tract infections and antibiotic indications and 2) evaluate child care staff reported reasons for a) exclusion from child care, b) referral to a health care provider, and c) recommending antibiotics for an ill child. A longitudinal study based in randomly selected child care centers in Massachusetts. Staff completed a survey to assess knowledge regarding common infections. For six weeks, staff completed a record of absences each day, describing the reason for an absence, and advice given to the parents regarding exclusion, referral to a health care provider, and obtaining antibiotics. Exclusions for the specific illness/symptom were defined as appropriate or inappropriate based on national guidelines. A large proportion of child care staff incorrectly believed that antibiotics are indicated for bronchitis (80.5%) and green rhinorrhea (80.5%) in children. For 82.2% of absences, the circumstances or reasons for the absence were discussed with a child care staff member. Of 538 absences due to illness that child care staff discussed with parents, there were 45 inappropriate exclusions (8.4% of illnesses discussed), 91...Continue Reading

References

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Citations

Sep 17, 2008·Family & Community Health·Marjorie S RosenthalLeslie Curry
Jun 11, 2005·American Journal of Infection Control·Michael T Brady
Apr 21, 2010·Pediatrics·Andrew N HashikawaDavid C Brousseau
May 17, 2012·Pediatric Annals·Timothy R Shope, Andrew N Hashikawa
Nov 23, 2006·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Elsie M TaverasJonathan A Finkelstein
Feb 24, 2010·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Nkuchia M M'ikanathaEbbing Lautenbach
May 15, 2018·Journal of Health Communication·Rachel A SmithNkuchia M M'Ikanatha
Apr 29, 2014·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Leila RooshenasChristopher C Butler
Jan 11, 2020·Journal of Primary Care & Community Health·Porntipa SuebsarakamLeelawadee Techasatian
Aug 3, 2021·Journal of Pediatric Orthopedics·Michael J HeffernanJoseph Gonzales

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