| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Department of Pediatrics, Memphis State University.
We studied 843 children under 36 months of age enrolled in a prepaid health plan from September 1985 through March 1986, to identify characteristics of day care which might be risk factors for infection and to describe the resulting economic costs. Children cared for in their own home had a mean of 2.03 infections diagnosed during the study period. Adjusted rates of excess infection (95 per cent CI) for children cared for in other settings were: -.09 (-.73, .54) in relatives' homes; .10 (-.51, .71) in day care homes; .79 (.13, 1.45) in day care centers; .60 (-.24, 1.46) in mother's day out programs; and .66 (-.01, 1.34) in multiple settings. Children in day care centers were 4.5 times more likely to be hospitalized than those in other settings (95 per cent CI = 1.55, 13.00), primarily due to an increased rate of tympanostomy tube placement (relative risk 3.79, 95 per cent CI = 1.04, 13.36). The strongest predictor of illness risk was the number of other children in the room. The mean monthly cost of medical care was $32.94 for children in the highest risk settings compared with $19.78 for those in other settings. Illness in a child in our study accounted for 40 per cent of parental absenteeism from work; the mean number of days lost per month was 0.52 for parents of children in day care centers compared with 0.37 for those of children in other forms of full time care outside the home.
This article has been cited by other articles:
|
|
 |
|
  T. Dunder, T. Tapiainen, T. Pokka, and M. Uhari Infections in Child Day Care Centers and Later Development of Asthma, Allergic Rhinitis, and Atopic Dermatitis: Prospective Follow-up Survey 12 Years After Controlled Randomized Hygiene Intervention Arch Pediatr Adolesc Med, October 1, 2007; 161(10): 972 - 977. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Kamper-Jorgensen, J. Wohlfahrt, J. Simonsen, M. Gronbaek, and C. S. Benn Population-Based Study of the Impact of Childcare Attendance on Hospitalizations for Acute Respiratory Infections Pediatrics, October 1, 2006; 118(4): 1439 - 1446. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. M. McConnochie Potential of Telemedicine in Pediatric Primary Care. Pediatr. Rev., September 1, 2006; 27(9): e58 - e65. [Full Text] [PDF]
|
|
|
|
|
|
K. M. McConnochie, N. E. Wood, H. J. Kitzman, N. E. Herendeen, J. Roy, and K. J. Roghmann Telemedicine Reduces Absence Resulting From Illness in Urban Child Care: Evaluation of an Innovation Pediatrics, May 1, 2005; 115(5): 1273 - 1282. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 O. Mygind, T. Ronne, A.-L. Soe, C. H. Wachmann, and P. Ricks Comparative intervention study among Danish daycare children: the effect on illness of time spent outdoors Scand J Public Health, December 1, 2003; 31(6): 439 - 443. [Abstract] [PDF]
|
|
|
|
|
|
J. F. Friedman, G. M. Lee, K. P. Kleinman, and J. A. Finkelstein Acute Care and Antibiotic Seeking for Upper Respiratory Tract Infections for Children in Day Care: Parental Knowledge and Day Care Center Policies Arch Pediatr Adolesc Med, April 1, 2003; 157(4): 369 - 374. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Silverstein, A. E. Sales, and T. D. Koepsell Health Care Utilization and Expenditures Associated With Child Care Attendance: A Nationally Representative Sample Pediatrics, April 1, 2003; 111(4): e371 - 375. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. Thrane, C. Olesen, H. C. Schonheyder, and H. T. Sorensen Socioeconomic factors and prescription of antibiotics in 0- to 2-year-old Danish children J. Antimicrob. Chemother., March 1, 2003; 51(3): 683 - 689. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. R. Rubino Economic Impact of a Healthy School Environment The Journal of School Nursing, October 1, 2002; 18(4_suppl): 27 - 30. [PDF]
|
|
|
|
 |
|
 K. Hatakka, E. Savilahti, A. Ponka, J. H Meurman, T. Poussa, L. Nase, M. Saxelin, and R. Korpela Effect of long term consumption of probiotic milk on infections in children attending day care centres: double blind, randomised trial BMJ, June 2, 2001; 322(7298): 1327 - 1327. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. D. Gutierrez-Tarango and A. Berber Safety and Efficacy of Two Courses of OM-85 BV in the Prevention of Respiratory Tract Infections in Children During 12 Months Chest, June 1, 2001; 119(6): 1742 - 1748. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. d'Arcy, B. Gillespie, and B. Foxman Respiratory Symptoms in Mothers of Young Children Pediatrics, November 1, 2000; 106(5): 1013 - 1016. [Abstract] [Full Text]
|
|
|
|
 |
|
 E. S. Hurwitz, M. Haber, A. Chang, T. Shope, S. Teo, M. Ginsberg, N. Waecker, and N. J. Cox Effectiveness of Influenza Vaccination of Day Care Children in Reducing Influenza-Related Morbidity Among Household Contacts JAMA, October 4, 2000; 284(13): 1677 - 1682. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Roberts, L. Jorm, M. Patel, W. Smith, R. M. Douglas, and C. McGilchrist Effect of Infection Control Measures on the Frequency of Diarrheal Episodes in Child Care: A Randomized, Controlled Trial Pediatrics, April 1, 2000; 105(4): 743 - 746. [Abstract] [Full Text]
|
|
|
|
|
|
R. L. Cordell, S. H. Waterman, A. Chang, M. Saruwatari, M. Brown, and S. L. Solomon Provider-Reported Illness and Absence Due to Illness Among Children Attending Child-Care Homes and Centers in San Diego, Calif Arch Pediatr Adolesc Med, March 1, 1999; 153(3): 275 - 280. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Carabin, T. W. Gyorkos, J. C. Soto, J. Penrod, L. Joseph, and J.-P. Collet Estimation of Direct and Indirect Costs Because of Common Infections in Toddlers Attending Day Care Centers Pediatrics, March 1, 1999; 103(3): 556 - 564. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
