Risk of diarrheal disease in Ecuadorian day-care centers

Sempértegui, Fernando; Estrella, Bertha; Egas, J; Carrion, Prescilla; Yerovi, L; Díaz, S.; Lascano, Matias Panchana; Aranha, Ritchlynn; Ortiz, Wilma; Zabala, Andrés

doi:10.1097/00006454-199507000-00011

Cited by 21 publications

(12 citation statements)

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“…A maioria dos casos de diarréia aguda e das mortes causadas por diarréia ocorre em crianças menores de 5 anos nos países em desenvolvimento 45,46 . A doença é um problema importante nas creches, onde aparece na forma de casos esporádicos ou surtos 47 .…”

Section: Doença Diarréicaunclassified

Infectious diseases and daycare and preschool education

2007

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ResumoObjetivo: Descrever o aumento do risco para aquisição de doenças infecciosas associado ao cuidado da criança fora do domicílio e a efetividade das medidas de controle para a prevenção da transmissão de doenças nas creches e pré-escolas. Fontes dos dados: Revisão das bases de dados MEDLINE, LILACS eCochrane Library, através dos descritores creches, infecção, controle de infecção e doenças infecciosas, focalizada em estudos que comparam o risco de doença infecciosa em crianças cuidadas dentro e fora de casa, associam o risco às características do cuidado fora de casa e avaliam a efetividade de medidas de prevenção. Síntese dos dados:As crianças cuidadas em creches ou pré-escolas apresentam risco de adquirir infecções aumentado em até duas a três vezes, com impacto na saúde individual e na disseminação das doenças à comunidade. O risco está associado, entre outros fatores, às características das creches, e medidas de prevenção simples são efetivas para diminuir a transmissão de doenças. Entre estas, recomenda-se: lavagem apropriada das mãos após exposição; utilização de precauções padrão; rotina padronizada para troca e descarte de fraldas usadas, localização e limpeza da área de troca, limpeza e desinfecção de áreas contaminadas; uso de lenços descartáveis para assoar o nariz; funcionários e área exclusivos para a manipulação de alimentos; notificação das doenças infecciosas; treinamento de funcionários e orientação dos pais. Conclusões:Diante da utilização crescente de creches e pré-escolas e da associação com risco aumentado de adquirir infecções, medidas de controle são imprescindíveis para a prevenção e controle das doenças transmissíveis.J Pediatr (Rio J). 2007;83(4):299-312: Creches, infecção, controle de infecção, doenças infecciosas. AbstractObjective: To describe the increased risk of acquiring infectious diseases associated with out-of-home childcare and the effectiveness of measures for the control and prevention of diseases transmission at daycare and preschool education centers. Sources: A review of literature in the MEDLINE, LILACS andCochrane Library databases, found using the descriptors daycare, infection, infection control and infectious diseases and focusing on studies that have compared the risk of infectious diseases for children cared for in and out of the home, related risk to the type of out-of-home care and assessed the effectiveness of preventative measures. Summary of the findings:Children cared for at daycare or in preschool education exhibit a two to three times greater risk of acquiring

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Section: Doença Diarréicaunclassified

Infectious diseases and daycare and preschool education

2007

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“…Person to person transmission has also been documented in institutions such as creches and children's wards where hygiene conditions are less than ideal [11]. The pathogen is found in wild animal reservoirs such as beavers [12], and also in domesticated animals including cattle, cats and dogs [13].…”

Section: Introductionmentioning

confidence: 99%

Risk factors for infection with Giardia duodenalis in pre-school children in the city of Salvador, Brazil

et al. 2003

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SUMMARYA cross-sectional study of 694 children aged 2 to 45 months selected from 30 clusters throughout the city of Salvador, Bahia (pop. 2 . 3 million) was carried out as part of a longitudinal study of diarrhoea in order to identify risk factors for infection with Giardia duodenalis. Variables studied included three social and demographic factors (such as mother's education and marital status), five relating to the peri-domestic environment (rubbish disposal, open sewers, paving of the street), seven relating to the home itself (house construction, susceptibility to flooding, water supply and sanitation) as well as a score for hygiene behaviour based on structured observation. After multivariate analysis using a hierarchical model, only four significant risk factors were found : (a) number of children in the household under five years (b) rubbish not collected from the house (c) presence of visible sewage nearby, and (d) absence of a toilet. All four were significant at the 1% level.

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“…45,46 These diseases are a significant problem in daycare centers, where they appear in the form of sporadic cases or outbreaks. 47 …”

Section: Diarrheal Diseasementioning

confidence: 99%

As creches e pré-escolas e as doenças transmissíveis

Nesti¹,

Goldbaum²

2007

J. Pediatr. (Rio J.)

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Objective: To describe the increased risk of acquiring infectious diseases associated with out-of-home childcare and the effectiveness of measures for the control and prevention of diseases transmission at daycare and preschool education centers. Sources:A review of literature in the MEDLINE, LILACS and Cochrane Library databases, found using the descriptors daycare, infection, infection control and infectious diseases and focusing on studies that have compared the risk of infectious diseases for children cared for in and out of the home, related risk to the type of out-of-home careand assessed the effectiveness of preventative measures. Summary of the findings:Children cared for at daycare or in preschool education exhibit a two to three times greater risk of acquiring infections, which impacts both on individual health and on the dissemination of diseases through the community. Among other factors, the risk is associated with the characteristics of daycare centers, and simple preventative measures are effective for reducing transmission of diseases. Recommended measures include: appropriate hand washing after exposure; employment of standard precautions; standardized routines for changing and disposal of used diapers, location and cleanliness of changing area, cleaning and disinfection of contaminated areas; use of disposable tissues for blowing noses; separate workers and area for handling foods; notification of infectious diseases; training of workers and guidance for parents. Conclusions:In the face of growing utilization of daycare and preschool education and their association with increased risk of acquired infections, control measures are indispensable to the prevention and control of infectious diseases.J Pediatr (Rio J). 2007;83(4):299-312: Daycare, infection, infection control, infectious diseases.

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Risk of diarrheal disease in Ecuadorian day-care centers

Cited by 21 publications

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Infectious diseases and daycare and preschool education

Infectious diseases and daycare and preschool education

Risk factors for infection with Giardia duodenalis in pre-school children in the city of Salvador, Brazil

As creches e pré-escolas e as doenças transmissíveis

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