Skip to main content
Log in

Infectious diseases and infection control in infant-toddler daycare centers

  • Articles
  • Published:
Child and Youth Care Forum Aims and scope Submit manuscript

Abstract

This article provides an overview of the problem of infectious disease outbreaks in infant/toddler daycare centers. The economic costs incurred by the daycare center attendees' families and employers, and the center itself are presented as just one rationale for the implementation of effective infection control programs. A review of the daycare center infectious disease literature provides an overview of the most common pathogens encountered in these settings and the health implications for center children, their families, and the center staff. A model for understanding infectious disease transmission in a daycare center setting is presented to illustrate the discussion in the text. The article concludes with a review of infection control practices, research findings on the effectiveness of certain practices, and suggestions for the implementation of an effective infection control program.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Alexander, C., Zinzeleta, E., Mackenzie, E., Vernon, A., and Markowitz, R. (1990). Acute gastrointestinal illness and child care arrangements.American Journal of Epidemiology, 131(1), 124–131.

    Google Scholar 

  • Andersen, R., Bale, J., and Murph, J. (1986).Infections in Children: A Sourcebook for Educators and Child Care Providers. Rockville, MD: Aspen Publishers.

    Google Scholar 

  • Anderson, L., Parker, R., Strikas, R., Farrar, J., Gangarosa, E., Keyserling, H., and Sikes, R. (1988). Day-care center attendance and hospitalization for lower respiratory tract illness.Pediatrics, 82(3), 300–307.

    Google Scholar 

  • Bartlett, A., Jarvis, B., Ross, V., Katz, T., Dalia, M., Englender, S., and Anderson, L. (1988). Diarrheal illness among infants and toddlers in day care centers: Effects of active surveillance and staff training without subsequent monitoring.American Journal of Epidemiology, 127, 808–817.

    Google Scholar 

  • Bartlett, A., Moore, M., Gary, G., Starko, K., Erben, J., and Meredith, B. (1985). Diarrheal illness among infants and toddlers in day care centers. II. Comparison with day care homes and households.The Journal of Pediatrics, 107(4), 503–509.

    Google Scholar 

  • Bell, D., Gleiber, D., Mercer, A., Phifer, R., Guinter, R., Cohen, A., Epstein, E., and Narayanan, M. (1989). Illness associated with child day care: A study of incidence and cost.American Journal of Public Health, 79(4), 479–484.

    Google Scholar 

  • Belsky, J. (1988). The “effects” of infant day care reconsidered.RIE, June.

  • Berkelman, R., Guinan, M., and Thacker, S. (1989). What is the health impact of day care attendance on infants and preschoolers?Public Health Reports, 104(1), 101–103.

    Google Scholar 

  • Black, R., Dykes, A., Anderson, K., Wells, J., Sinclair, S., Gary, G., Hatch, M., and Gangarosa, E. (1981). Handwashing to prevent diarrhea in day-care centers.American Journal of Epidemiology, 113(4), 445–451.

    Google Scholar 

  • Brunell, P. (1987). Infections in day-care centers.American Journal of Diseases of Childhood, 141, 404–405.

    Google Scholar 

  • CDC. (1988). Update: Universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in health-care settings.MMWR, 37, 377–388.

    Google Scholar 

  • Crossan, R., Black, S., Trumpp, C., Grossman, M., Le, C., and Yeager, A. (1986). Infections in day care centers.Current Problems in Pediatrics, 16(3), 125–179.

    Google Scholar 

  • Denny, F., and Collier, A. (1986). Acute respiratory infections in day care.Reviews of Infectious Dieases, 8(4), 527–532.

    Google Scholar 

  • Doyle, A. (1987). Indidence of illness in early group and family day care.Pediatrics, 58(4), 607–613.

    Google Scholar 

  • Egbuonu, L., and Starfield, B. (1982). Child health and social status.Pediatrics, 69(5), 550–557.

    Google Scholar 

  • Enkanem, E., DuPont, H., Pickering, L., Selwyn, B., and Hawkins, C. (1983). Transmission dynamics of enteric bacteria in day-care centers.American Journal of Epidemiology, 118, 562–572.

    Google Scholar 

  • Goodman, R., osterholm, M., Granoff, D., and Pickering, L. (1984). Infectious diseases and child day care.Pediatrics, 74, 134–139.

    Google Scholar 

  • Haskins, R., and Kotch, J. (1986). Day care and illness: Evidence, costs, and public policy.Pediatrics, 77(Supplement), 951–982.

    Google Scholar 

  • Johansen, A., Leibowitz, A., and Waite, L. (1988). Child care and children's illness.American Journal of Public Health, 78(9), 1175–1177.

    Google Scholar 

  • Kendall, E., Aronson, S., Goldberg, S., and Smith, H. (1986). Training for child day care staff and for licensing and regulatory personnel in the prevention of disease transmission.Reviews of Infectious Diseases, 8(4), 651–656.

    Google Scholar 

  • Klein, J. (1986). Infections disease and day care.Reviews of Infections Diseases, 8(4), 521–526.

    Google Scholar 

  • Kovar, M. and Dawson, D. (1988). The health status of preschool and school-age children. In H. Wallace, G. Ryan, and A. Oglesby (Eds.),Maternal and Child Health Practices. (3rd Edition), Oakland, CA: Third Party Publishing Co.

    Google Scholar 

  • Larson, E. (1989). Handwashing: It's essential even when you use gloves.American Journal of Nursing, 89(7), 934–939.

    Google Scholar 

  • Loda, F., Glezen, W., and Clyde, W. (1972). Respiratory disease in group day care.Pediatrics, 49(3), 428–437.

    Google Scholar 

  • McCormick, M. (1985). The contribution of low birth weight to infant mortality and childhood morbidity.The New England Journal of Medicine, 312(2), 82–90.

    Google Scholar 

  • McDonough, B. (1989). Diagnosing day care: What are the health implications for your child?Delaware Today. May, pp. 53–57.

  • Miller, C., Fine, A., and Adams-Taylor, S. (1989).Monitoring Children's Health: Key Indicators. (2nd Edition). Washington, D.C.: American Public Health Association.

    Google Scholar 

  • Nelson, P. (1987).Research Update: Is Day Care Helpful to Infants? Newark, DE: Cooperative Extension Service.

    Google Scholar 

  • Pickering, L., Bartlett, A., and Woodward, W. (1986). Acute infectious diarrhea among children in day care: Epidemiology and control.Reviews of Infectious Diseases, 8(4), 539–547.

    Google Scholar 

  • Pickering, L. and Woodward, W. (1982). Diarrhea in day care centers.Pediatric Infectious Diseases, 1, 47–52.

    Google Scholar 

  • Smith, D. (1986). Common day care diseases: Patterns and prevention.Pediatric Nursing, 12(3), 175–179.

    Google Scholar 

  • Sterne, G., Hinman, A., and Schmid, S. (1986). Potential health benefits of child day care attendance.Reviews of Infectious Disease, 8(4), 660–662.

    Google Scholar 

  • Strangert, K. (1976). Respiratory illness in preschool children with different forms of day care.Pediatrics, 57(2), 191–196.

    Google Scholar 

  • Taylor, J. and Taylor, W. (1989).Communicable Disease and Young Children in Group Settings. Boston: Little, Brown, and Co.

    Google Scholar 

  • TCDCIDSG (The Child Day Care Infectious Disease Study Group). (1984). Public health considerations of infectious diseases in child day-care centers.American Journal of Epidemiology, 118, 562–572.

    Google Scholar 

  • Trumpp, C. and Karasic, R. (1983). Management of communicable diseases in day-care centers.Pediatric Annals, 12, 219–229.

    Google Scholar 

  • Wald, E., Dashefsky, B., Byers, C., Guerra, N., and Taylor, F. (1988). Frequency and severity of infections in day care.The Journal of Pediatrics, 112(4), 540–546.

    Google Scholar 

  • Zigler, E. and Muenchow, S. (1986). Infectious diseases in day care: Parallels between psychologically and physically healthy care.Reviews of Infectious Diseases, 8(4), 514–520.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hutchinson, M.K. Infectious diseases and infection control in infant-toddler daycare centers. Child Youth Care Forum 21, 183–193 (1992). https://doi.org/10.1007/BF00757569

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00757569

Keywords

Navigation