Infectious diseases and use of health care resources in children less than 2 years-old who attend kindergarten

Parents often ask paediatricians for advice about the best way to care for their children. There are discrepancies in the literature on this subject. The objective of this study is to evaluate the influence of attending kindergartens on the risk of acute infections and the use of health care resourc...

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Published in:	Anales de pediatría (Barcelona, Spain : 2003) Vol. 83; no. 3; pp. 149 - 159
Main Authors:	Domínguez Aurrecoechea, B, Fernández Francés, M, Ordóñez Alonso, M Á, López Vilar, P, Pérez Candás, J I, Merino Ramos, L, Aladro Antuña, A, Fernández López, F J, Pérez López, A M
Format:	Journal Article
Language:	Spanish
Published:	Spain 01-09-2015
Subjects:	Female Health Resources - utilization Humans Infant Infection - epidemiology Infection - therapy Longitudinal Studies Male Prospective Studies Schools Consumo recursos sanitarios Drug consumption Guarderías Infecciones agudas Lactantes Acute infections Kindergarten Children under 2 years Consumo de fármacos Consumer health resources
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Summary:	Parents often ask paediatricians for advice about the best way to care for their children. There are discrepancies in the literature on this subject. The objective of this study is to evaluate the influence of attending kindergartens on the risk of acute infections and the use of health care resources in children less than 24 months. A prospective longitudinal study was conducted on two cohorts of children 0-24 months (born between 1 January and 30 September 2010), who were grouped according to whether they attended kindergarten or not, and were usually seen in 33 pediatric clinics of the Principality of Asturias Public Health Service. A total of 975 children were studied, of whom 43.7% attended a kindergarten at 24 months. Attending kindergarten increases the risk of pneumonia by 131%, recurrent wheezing by 69%, bronchitis by 57%, and otitis media by 64%. Early exposure to kindergarten increases the risk of pneumonia from 2.31 to 2.81, and the mean emergency room visits from 1 to 2.3. The mean antibiotic cycle is 1.7 in children who do not go to kindergarten, 3.4 if started within the first 6 months, and 2 if they start at 18 months. Day-care attendance is a risk factor of infectious diseases that increases if attending kindergartens from an early age.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1695-9531
DOI:	10.1016/j.anpedi.2014.10.008