Bacterias multirresistentes en Centros de Cuidado de niños

Purpose:To describe the antibiotic resistance of isolated bacteria on the surfaces of child care centers. Methods:Swabs were used to sample the surfaces in 266 child care centers in Bogotá (Colombia). Bacterial characterization and susceptibility patterns were verified using a computerized system. Results:A total of 151 different bacteria were obtained, primarily in the kitchens (36%). Staphylococcuswas a frequent find, especially: S. hominis, S. saprophyticusand S. epidermidis;2.7% were resistant to methicillin. Klebsiella oxytocawas the most isolated bacteria in kitchens, with high resistance to antibiotics. Conclusion:This investigation shows the importance of identifying the bacteria present in different environments to which children are exposed to continuously supervise hygiene habits in child day care centers.

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Rice Fortified with Iron Given Weekly Increases Hemoglobin Levels and Reduces Anemia in Infants: a Community Intervention Trial

International Journal for Vitamin and Nutrition Research ◽

10.1024/0300-9831/a000145 ◽

2013 ◽

Vol 83 (1) ◽

pp. 59-66 ◽

Cited By ~ 4

Author(s):

Francisco Plácido Nogueira Arcanjo ◽

Paulo Roberto Santos ◽

Álvaro Jorge Madeiro Leite ◽

Francisco Sulivan Bastos Mota ◽

Sérgio Duarte Segall

Keyword(s):

Community Intervention ◽

Capillary Blood ◽

Number Needed To Treat ◽

Intervention Trial ◽

Day Care Centers ◽

Control Center ◽

Ferric Pyrophosphate ◽

Child Day Care ◽

Child Day Care Centers ◽

The Impact

More than two billion people suffer from anemia worldwide, and it is estimated that more than 50 % of cases are caused by iron deficiency. In this community intervention trial, we evaluated infants aged 10 to 23 months of age (n = 171) from two public child day-care centers. Intervention lasted 18 weeks. The 50-g individual portion (uncooked) of fortified rice provided 56.4 mg of elemental iron as ferric pyrophosphate. Capillary blood samples to test for anemia were taken at baseline and at endpoint. The objective of this study was to evaluate the impact of rice fortified with iron (Ultrarice®) on hemoglobin and anemia prevalence compared with standard household rice. For the fortified rice center, baseline mean hemoglobin was 113.7 ± 9.2 g/L, and at endpoint 119.5 ± 7.7 g/L, p < 0.0001; for the standard rice center, baseline mean hemoglobin value was 113.5 ± 40.7 g/L, and at endpoint 113.6 ± 21.0, p = 0.99. Anemia prevalence for the fortified rice center was 27.8 % (20/72) at baseline, and 11.1 % (8/72) at endpoint, p = 0.012; for the control center, 47.1 % (33/70) were anemic at baseline, and 37.1 % (26/70) at the end of the study, p = 0.23. The Number Needed to Treat (NNT) was 4. In this intervention, rice fortified with iron given weekly was effective in increasing hemoglobin levels and reducing anemia in infants.

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Health services in child day-care centers: A survey

Journal of Pediatric Health Care ◽

10.1016/0891-5245(90)90109-j ◽

1990 ◽

Vol 4 (5) ◽

pp. 252-259 ◽

Cited By ~ 5

Author(s):

Angela A. Crowley

Keyword(s):

Health Services ◽

Day Care ◽

Day Care Centers ◽

Child Day Care ◽

Child Day Care Centers

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Challenges in the management of nutritional disorders and communicable diseases in child day care centers: a quantitative and qualitative approach

Global Health Promotion ◽

10.1177/1757975915590576 ◽

2016 ◽

Vol 24 (1) ◽

pp. 34-42 ◽

Cited By ~ 3

Author(s):

Tulio Konstantyner ◽

Thais Cláudia Roma de Oliveira Konstantyner ◽

Maysa Helena Aguiar Toloni ◽

Giovana Longo-Silva ◽

José Augusto de Aguiar Carrazedo Taddei

Keyword(s):

Day Care ◽

Communicable Diseases ◽

Qualitative Approach ◽

Day Care Centers ◽

Child Day Care ◽

Child Day Care Centers

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Smoking Policies of Licensed Child Day-Care Centers in the United States

PEDIATRICS ◽

10.1542/peds.91.2.460 ◽

1993 ◽

Vol 91 (2) ◽

pp. 460-463

Author(s):

David E. Nelson ◽

Jeffrey J. Sacks ◽

David G. Addiss

Keyword(s):

United States ◽

Environmental Tobacco Smoke ◽

Tobacco Smoke ◽

Day Care ◽

The United States ◽

Tobacco Smoke Exposure ◽

Day Care Centers ◽

Child Day Care ◽

Smoking Policies ◽

Child Day Care Centers

The authors analyzed data from a national survey of 2003 directors of licensed child day-care centers to determine employee smoking policies, measure compliance with state and local employee smoking regulations for child day-care centers and state clean indoor air laws, and to estimate the extent of exposure to environmental tobacco smoke in these settings. Forty states regulated employee smoking in child day-care centers, but only three states required day-care centers to be smoke-free indoors. More than 99% of licensed child day-care centers had employee smoking policies that complied with the appropriate state or local smoking regulations. Nearly 55% of centers were smoke-free indoors and outdoors, and 26% were smoke-free indoors only. The best predictors of more stringent employee smoking policies were location in the West or South, smaller size, independent ownership, or having written smoking policies. Despite the presence of strong smoking policies at the majority of licensed child day-care centers, more than 752000 children in the United States are at risk for environmental tobacco smoke exposure in these settings. Health care professionals and parents should insist that child day-care centers be smoke-free indoors and, preferably, smoke-free indoors and outdoors.

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Evaluation of an Hygienic Intervention in Child Day-Care Centers

PEDIATRICS ◽

10.1542/peds.94.6.991 ◽

1994 ◽

Vol 94 (6) ◽

pp. 991-994

Author(s):

Jonathan B. Kotch ◽

Ann H. Faircloth ◽

Kristen A. Weigle ◽

David J. Weber ◽

Richard M. Clifford ◽

...

Keyword(s):

Day Care ◽

Significant Rise ◽

Hand Washing ◽

Day Care Centers ◽

Incidence Data ◽

Child Day Care ◽

Care Givers ◽

Child Day Care Centers ◽

The Cost ◽

The Impact

The growing use of child day-care centers (CDCCs) has produced a significant rise in morbidity due to infectious diseases which carry such consequences as discomfort, disability, and parental anxiety.1,2 Haskins conservatively estimated the cost of day-care illnesses among children to be $1.8 billion.3 To this must be added the cost of parents' and care givers' excess illness attributable to CDCCs. No published study describes a successful intervention to reduce the risk of upper respiratory disease in CDCCs. Although many research groups have advocated hand washing and diapering hygiene as a means of reducing the spread of enteric disease in CDCCs,4-11 there are only two controlled studies in the literature. In their pioneering work, Black et al showed the incidence of diarrhea in CDCCs following a rigorously monitored hand-washing program to be nearly twice that in intervention centers.12 Bartlett et al monitored the impact of hand washing in randomly assigned CDCCs and found no intervention effect. However, rates of diarrhea were significantly lower among children in the actively monitored centers regardless of intervention status.13 These studies share several limitations: the sources of incidence data were not blinded to center intervention status, the analyses did not statistically control for potential confounders, and non-independence of multiple diarrhea episodes in the same child were not accounted for. The purposes of our study were to develop a feasible, multicomponent hygienic intervention and to carefully measure its impact while controlling for sources of bias. Use of trade names is for identification only and does not constitute endorsement by the Public Health Service, the Centers for Disease Control and Prevention, or any of the other co-sponsors of this conference.

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From the Centers for Disease Control. Shigellosis in child day care centers--Lexington-Fayette County, Kentucky, 1991

JAMA ◽

10.1001/jama.268.7.860 ◽

1992 ◽

Vol 268 (7) ◽

pp. 860-860

Keyword(s):

Disease Control ◽

Day Care ◽

Day Care Centers ◽

Child Day Care ◽

Child Day Care Centers ◽

Centers For Disease Control ◽

Fayette County

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Avaliação do consumo alimentar de crianças brasileiras assistidas em creches: uma revisão sistemática

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/s1519-38292015000100002 ◽

2015 ◽

Vol 15 (1) ◽

pp. 17-31 ◽

Cited By ~ 5

Author(s):

Dixis Figueroa Pedraza ◽

Daiane de Queiroz ◽

Jacqueline Santos da Fonsêca Almeida Gama

Keyword(s):

Food Consumption ◽

Day Care ◽

Day Care Centers ◽

Child Day Care ◽

Dietary Reference Intakes ◽

Child Day Care Centers

Objetivos: levantar evidências sobre o perfil do consumo alimentar de crianças brasileiras assistidas em creches. Métodos: foi realizada uma busca por estudos observacionais nas bases de dados PubMed, LILACS e SciELO. Foram selecionados artigos publicados entre 1990 e 2013, utilizando os termos “food consumption” AND “child day care centers”. Resultados: foram identificados 58 artigos, dos quais 21 artigos foram considerados relevantes para o presente trabalho: 18 estudos transversais e três longitudinais. A sistematização dos estudos destaca: i) a concentração geográfica no Sudeste do país; ii) a apropriação da pesagem direta de alimentos e dos valores de referência das Dietary Reference Intakes na avaliação do consumo de alimentos; iii) um panorama preliminar, com ênfase no Sudeste, do consumo deficitário de legumes, frutas e vegetais, e da inadequação da ingestão dietética de ferro; iv) a restrição dos resultados à ingestão média devido à insuficiência do uso de métodos apropriados ao estabelecimento de padrões alimentares. Conclusões: apesar da escassez e dispersão espaço-temporal dos estudos, as semelhanças metodológicas possibilitam sugerir um panorama em que predomina a ingestão dietética deficitária do grupo de frutas, legumes e verduras, e de alimentos ricos em ferro; bem como a ingestão excessiva de alimentos protéicos e de alto teor de sódio.

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