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Child Care Center Exclusion Policies and Directors' Opinions on the Use of Antibiotics

  • Nkuchia M. M'ikanatha (a1) (a2), Leanne B. Gasink (a2) (a3), Allen Kunselman (a4), Kimberly Warren (a5) and Ebbing Lautenbach (a2) (a3)...

Abstract

We studied exclusion policies and child care center directors' opinions regarding antibiotic use for childhood illnesses. Among 135 respondents, 96.9% reported that they had written policies on exclusion of children for acute illnesses. Although 52.4% of respondents agreed that children are prescribed antibiotics unnecessarily, 89.1% believed that parents pressure physicians to prescribe unnecessary antibiotics.

Copyright

Corresponding author

Division of Infectious Disease Epidemiology, Pennsylvania Department of Health, Harrisburg, PA 17120 (nmikanatha@state.pa.us)

References

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1. American Academy of Pediatrics Subcommittee on Management of Acute Otitis Media. Diagnosis and management of acute otitis media. Pediatrics 2004;113(5:14511465.
2. Fry Communications. The Pennsylvania Code Chapter 27.71: Exclusion of children, and staff having contact with children, for specified diseases and infectious conditions, http://www.pacode.com/secure/data/028/chapter27/s27.71.html. Accessed September 10, 2009.
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6. Pennsylvania Department of Welfare. Keystone STARS Child Care Quality Initiative. http://www.dpw.state.pa.us/ParmersProviders/ChildCareEarlyEd/KeyStoneStarChildCare. Accessed September 14, 2009.
7. Pennsylvania Department of Welfare. Model child care health policies. http://www.ecels-healthychildcarepa.org/content/MHP4thEd%20Total.pdf. Accessed July 9, 2009.
8. National Resource Center for Health and Safety in Child Care and Early Education. Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care Programs. 2nd ed. Elk Grove Village, IL: American Academy of Pediatrics; and Washington, DC: American Public Health Association, 2002.
9. Croft, DR, Knobloch, MJ, Chyou, PH, et al. Impact of a child care educational intervention on parent knowledge about appropriate antibiotic use. WMJ 2007;106(2:7884.
10. US Department of Health & Human Services. CDC guidance on helping child care and early childhood programs respond to influenza during the 2009–2010 influenza season, http://www.pandemicflu.gov/professional/school/childguidance.html. Accessed September 18, 2009.

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