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Dadang Hudaya - One of the best experts on this subject based on the ideXlab platform.
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Giardiasis in Daycare centers at Rancabali tea plantation, Bandung District, Indonesia
Paediatrica Indonesiana, 2016Co-Authors: Endang Widajanti, Herry Garna, Alex Chairulfatah, Dadang HudayaAbstract:Background In developing countries, the prevalence of giardia- sis in Daycare centers is considerably high. There had been inad- equate report of giardiasis in Indonesia. Objective To know the prevalence of giardiasis in children and the number of children with symptomatic and asymptomatic giar- diasis who attended Daycare centers at Rancabali tea plantation, Bandung district. Methods This descriptive study was conducted in Daycare cen- ters between August to October 2002. Giardiasis was defined as the occurrence of G. lamblia cyst in stool specimen independent from the presence or absence of symptoms. Four of 12 Daycare centers were chosen by cluster random sampling. All children aged 1 to 60 months attending Daycare and staying for at least 2 weeks were included in this study. Three consecutive stool specimen pre- served by 10% formalin, concentrated by formalin ether, were ex- amined microscopically to find the G. lamblia cyst. Results Giardia lamblia cysts were found in 27 (29%) of the 92 children attending the Daycare centers at Rancabali tea plantation (95%CI 20;38.6%). Of these children, 15 showed symptoms such as diarrhea episodes (8 children), diarrhea (5 children), bloating (5 children), abdominal cramp (5 children), and vomiting (3 children). Three children showed mild to moderate malnutrition. Ten children aged 13 to 36 month-old with G. lamblia-positive stool showed such symptoms. Conclusion The prevalence of G. lamblia infection in children at- tending Daycare centers at Rancabali tea plantation was almost similar with other place in developing countries. More than half of patients had symptomatic disease
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Giardiasis in Daycare centers at Rancabali tea plantation, Bandung District, Indonesia
Indonesian Pediatric Society Publishing House, 2016Co-Authors: Endang Widajanti, Herry Garna, Alex Chairulfatah, Dadang HudayaAbstract:Background In developing countries, the prevalence of giardia- sis in Daycare centers is considerably high. There had been inad- equate report of giardiasis in Indonesia. Objective To know the prevalence of giardiasis in children and the number of children with symptomatic and asymptomatic giar- diasis who attended Daycare centers at Rancabali tea plantation, Bandung district. Methods This descriptive study was conducted in Daycare cen- ters between August to October 2002. Giardiasis was defined as the occurrence of G. lamblia cyst in stool specimen independent from the presence or absence of symptoms. Four of 12 Daycare centers were chosen by cluster random sampling. All children aged 1 to 60 months attending Daycare and staying for at least 2 weeks were included in this study. Three consecutive stool specimen pre- served by 10% formalin, concentrated by formalin ether, were ex- amined microscopically to find the G. lamblia cyst. Results Giardia lamblia cysts were found in 27 (29%) of the 92 children attending the Daycare centers at Rancabali tea plantation (95%CI 20;38.6%). Of these children, 15 showed symptoms such as diarrhea episodes (8 children), diarrhea (5 children), bloating (5 children), abdominal cramp (5 children), and vomiting (3 children). Three children showed mild to moderate malnutrition. Ten children aged 13 to 36 month-old with G. lamblia-positive stool showed such symptoms. Conclusion The prevalence of G. lamblia infection in children at- tending Daycare centers at Rancabali tea plantation was almost similar with other place in developing countries. More than half of patients had symptomatic diseas
Henriette A Smit - One of the best experts on this subject based on the ideXlab platform.
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First-year Daycare and Incidence of Acute Gastroenteritis
Pediatrics, 2016Co-Authors: Saskia Hullegie, Henriette A Smit, Patricia Bruijning-verhagen, Cuno S.p.m. Uiterwaal, Cornelis K. Van Der Ent, Marieke L A De HoogAbstract:BACKGROUND: Daycare attendance has been associated with increased acute gastroenteritis (AGE) incidence in the first years of life. We investigated the effects of first-year Daycare attendance on AGE incidence and primary care contact rate up to age 6 years. METHODS: Children enrolled in the Wheezing Illnesses Study Leidsche Rijn cohort were managed until age 6 years. Data on primary care diagnosed AGE episodes and number of associated contacts per episode were collected from health records. Children were categorized according to first year Daycare attendance and age-month at entry when applicable. Generalized estimating equations were used to assess associations between first-year Daycare and AGE incidence or primary care contact rate. RESULTS: A total of 1344 out of 2220 children (83%) attended Daycare before age 1 year. Overall, the 6-year primary care AGE incidence rate (IR) among first-year Daycare attendees and nonattendees was comparable (IR: 12.2/100 vs 13.3/100 child-years). First-year Daycare attendees had a higher AGE incidence during the first year (IRR: 1.13; 95% confidence interval: 1.06–1.21) and lower during the third to sixth year of age compared with nonattendees ( P < .001). The Daycare-associated increase in AGE incidence was most pronounced during the first 12 months after enrollment into Daycare and demonstrated clear seasonality. A similar pattern was observed for primary care contact rate per AGE episode. CONCLUSIONS: First-year Daycare attendance advances the timing of AGE infections, resulting in increased AGE disease burden in the first year and relative protection thereafter. Protection against AGE infection persists at least up to age 6 years. Future studies should address whether this protective effect persists during later childhood.
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impact of early Daycare on healthcare resource use related to upper respiratory tract infections during childhood prospective whistler cohort study
BMC Medicine, 2014Co-Authors: Marieke L A De Hoog, Cuno S.p.m. Uiterwaal, Cornelis K. Van Der Ent, Roderick P Venekamp, Anne G M Schilder, Elisabeth A M Sanders, Roger Damoiseaux, Debby Bogaert, Henriette A SmitAbstract:Daycare attendance is an established risk factor for upper respiratory tract infections (URTI) and acute otitis media (AOM). Whether this results in higher use of healthcare resources during childhood remains unknown. We aim to assess the effect of first year Daycare attendance on the timing and use of healthcare resources for URTI and AOM episodes during early childhood. In the Wheezing-Illnesses-STudy-LEidsche-Rijn birth cohort, 2,217 children were prospectively followed up to age six years. Children were categorized according to first-year Daycare attendance (yes versus no) and age at entry when applicable (age 0 to 2 months, 3 to 5 months and 6 to 12 months). Information on general practitioner (GP) diagnosed URTI and AOM, GP consultations, antibiotic prescriptions and specialist referral was collected from medical records. Daycare attendance was recorded by monthly questionnaires during the first year of life. First-year Daycare attendees and non-attendees had similar total six-year rates of GP-diagnosed URTI and AOM episodes (59/100 child-years, 95% confidence interval 57 to 61 versus 56/100 child-years, 53 to 59). Daycare attendees had more GP-diagnosed URTI and AOM episodes before the age of one year and fewer beyond the age of four years than non-attendees (P interaction <0.001). Daycare attendees had higher total six-year rates for GP consultation (adjusted rate ratio 1.15, 1.00 to 1.31) and higher risk for specialist referrals (hazard ratio: 1.43, 1.01 to 2.03). The number of antibiotic prescriptions in the first six years of life was only significantly increased among children who entered Daycare between six to twelve months of age (rate ratio 1.32, 1.04 to 1.67). This subgroup of child-care attendees also had the highest overall URTI and AOM incidence rates, GP consultation rates and risk for specialist referral. Children who enter Daycare in the first year of life, have URTI and AOM at an earlier age, leading to higher use of healthcare resources compared to non-attendees, especially when entering Daycare between six to twelve months. These findings emphasize the need for improved prevention strategies in Daycare facilities to lower infection rates at the early ages.
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early Daycare is associated with an increase in airway symptoms in early childhood but is no protection against asthma or atopy at 8 years
American Journal of Respiratory and Critical Care Medicine, 2009Co-Authors: Daan Caudri, Alet H Wijga, Salome Scholtens, Marjan Kerkhof, Jorrit Gerritsen, Jopje M Ruskamp, Bert Brunekreef, Henriette A Smit, Johan C De JongsteAbstract:Rationale: Daycare exposes young children to more infections early in life and may thereby prevent the development of asthma and allergy.Objectives: To prospectively study the effect of Daycare on the development of asthma and allergic sensitization during the first 8 years of life.Methods: In the Prevention and Incidence of Asthma and Mite Allergy birth cohort 3,963 newborn children were followed prospectively for 8 years. Daycare use and respiratory health were assessed yearly by questionnaires. At 8 years, sensitization to airborne allergens and airway responsiveness were measured. Daycare was defined as early (aged 0–2 yr), late (aged 2–4 yr), or none (no Daycare before age 4 yr). Associations of Daycare and/or older siblings with asthma symptoms (wheezing, shortness of breath, and inhaled steroids taken in the last year), airway responsiveness, and allergic sensitization were assessed in a longitudinal repeated-event analysis.Measurements and Main Results: Children with early Daycare had more wheezin...
Endang Widajanti - One of the best experts on this subject based on the ideXlab platform.
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Giardiasis in Daycare centers at Rancabali tea plantation, Bandung District, Indonesia
Paediatrica Indonesiana, 2016Co-Authors: Endang Widajanti, Herry Garna, Alex Chairulfatah, Dadang HudayaAbstract:Background In developing countries, the prevalence of giardia- sis in Daycare centers is considerably high. There had been inad- equate report of giardiasis in Indonesia. Objective To know the prevalence of giardiasis in children and the number of children with symptomatic and asymptomatic giar- diasis who attended Daycare centers at Rancabali tea plantation, Bandung district. Methods This descriptive study was conducted in Daycare cen- ters between August to October 2002. Giardiasis was defined as the occurrence of G. lamblia cyst in stool specimen independent from the presence or absence of symptoms. Four of 12 Daycare centers were chosen by cluster random sampling. All children aged 1 to 60 months attending Daycare and staying for at least 2 weeks were included in this study. Three consecutive stool specimen pre- served by 10% formalin, concentrated by formalin ether, were ex- amined microscopically to find the G. lamblia cyst. Results Giardia lamblia cysts were found in 27 (29%) of the 92 children attending the Daycare centers at Rancabali tea plantation (95%CI 20;38.6%). Of these children, 15 showed symptoms such as diarrhea episodes (8 children), diarrhea (5 children), bloating (5 children), abdominal cramp (5 children), and vomiting (3 children). Three children showed mild to moderate malnutrition. Ten children aged 13 to 36 month-old with G. lamblia-positive stool showed such symptoms. Conclusion The prevalence of G. lamblia infection in children at- tending Daycare centers at Rancabali tea plantation was almost similar with other place in developing countries. More than half of patients had symptomatic disease
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Giardiasis in Daycare centers at Rancabali tea plantation, Bandung District, Indonesia
Indonesian Pediatric Society Publishing House, 2016Co-Authors: Endang Widajanti, Herry Garna, Alex Chairulfatah, Dadang HudayaAbstract:Background In developing countries, the prevalence of giardia- sis in Daycare centers is considerably high. There had been inad- equate report of giardiasis in Indonesia. Objective To know the prevalence of giardiasis in children and the number of children with symptomatic and asymptomatic giar- diasis who attended Daycare centers at Rancabali tea plantation, Bandung district. Methods This descriptive study was conducted in Daycare cen- ters between August to October 2002. Giardiasis was defined as the occurrence of G. lamblia cyst in stool specimen independent from the presence or absence of symptoms. Four of 12 Daycare centers were chosen by cluster random sampling. All children aged 1 to 60 months attending Daycare and staying for at least 2 weeks were included in this study. Three consecutive stool specimen pre- served by 10% formalin, concentrated by formalin ether, were ex- amined microscopically to find the G. lamblia cyst. Results Giardia lamblia cysts were found in 27 (29%) of the 92 children attending the Daycare centers at Rancabali tea plantation (95%CI 20;38.6%). Of these children, 15 showed symptoms such as diarrhea episodes (8 children), diarrhea (5 children), bloating (5 children), abdominal cramp (5 children), and vomiting (3 children). Three children showed mild to moderate malnutrition. Ten children aged 13 to 36 month-old with G. lamblia-positive stool showed such symptoms. Conclusion The prevalence of G. lamblia infection in children at- tending Daycare centers at Rancabali tea plantation was almost similar with other place in developing countries. More than half of patients had symptomatic diseas
Ville Peltola - One of the best experts on this subject based on the ideXlab platform.
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Daycare attendance and respiratory tract infections: a prospective birth cohort study
BMJ open, 2017Co-Authors: Linnea Schuez-havupalo, Laura Toivonen, Sinikka Karppinen, Anne Kaljonen, Ville PeltolaAbstract:Objective We explored the burden of respiratory tract infections (RTIs) in young children with regard to day-care initiation. Design Longitudinal prospective birth cohort study. Setting and methods We recruited 1827 children for follow-up until the age of 24 months collecting diary data on RTIs and Daycare. Children with continuous Daycare type and complete data were divided into groups of centre-based Daycare (n=299), family day care (FDC) (n=245) and home care (n=350). Using repeated measures variance analyses, we analysed days per month with symptoms of respiratory tract infection, antibiotic treatments and parental absence from work for a period of 6 months prior to and 9 months after the start of Daycare. Results We documented a significant effect of time and type of Daycare, as well as a significant interaction between them for all outcome measures. There was a rise in mean days with symptoms from 3.79 (95% CI 3.04 to 4.53) during the month preceding centre-based Daycare to 10.57 (95% CI 9.35 to 11.79) at 2 months after the start of centre-based Daycare, with a subsequent decrease within the following 9 months. Similar patterns with a rise and decline were observed in the use of antibiotics and parental absences. The start of FDC had weaker effects. Our findings were not changed when taking into account confounding factors. Conclusions Our study shows the rapid increase in respiratory infections after start of Daycare and a relatively fast decline in the course of time with continued Daycare. It is important to support families around the beginning of Daycare.
Bao Ping Zhu - One of the best experts on this subject based on the ideXlab platform.
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transmission risk factors and treatment of pediatric shigellosis during a large Daycare center associated outbreak of multidrug resistant shigella sonnei implications for the management of shigellosis outbreaks among children
Pediatric Infectious Disease Journal, 2009Co-Authors: Wences Arvelo, Jon C Hinkle, Thai An Nguyen, Thomas Weiser, Nichole Steinmuller, Fazle N Khan, Steve Gladbach, Michele Parsons, Desmond Jennings, Bao Ping ZhuAbstract:Background:Shigellosis outbreaks in Daycare centers result in substantial disease and economic burdens in the United States. The emergence of multidrug resistant Shigella strains raises questions regarding control of transmission within Daycare centers and treatment for children. From May to October
