Kreş ve yuvalarda çocuk sağlığı

Kadınların ekonomik yaşamda giderek daha çok yer alması ve şehirleşmenin hızlı artışıyla kreş ve anaokullarının önemi artmıştır. Kreşe devam eden çocuklarda gitmeyen çocuklara göre mental ve motor gelişim daha iyi olduğu bilinmektedir. Ancak, bu çocuklar için infeksiyonlar önemli bir risk oluşturmaktadır. Bu yazıda kreş ve yuvaların taşıması gereken özellikler, karşılaşılabilecek infeksiyonlar ve bunlardan korunma yöntemleri literatür ışığında tartışılmıştır

Child health in day care centers

The importance of day care centers and kindergartens tends to increase while women become more intensely involved in issues such as economics and when rapid urbanization is considered. It is well known that mental and motor development are better in children who continue to day care centers when compared with children who do not. However infections in these children constitutes a significant risk. In this article we discussed the specifications required for day care centers and the infections that are widely seen in children who attend such institutes whereas the prevention methods of such infections are discussed under the light of the literature.

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  • 1. Öztaş S, İleri T, Yiğit H, Örs Y. Kreş ve anaokullarında sağlık. Sürekli Tıp Eğitimi Dergisi 1996; 5:297-99.
  • 2. Brosco JP. Day care for preschool children. Arch Pediatr Adolesc Med 2003; 157:956.
  • 3. Zoritch B, Roberts I, Oakley A. The health system and welfare effects of day care a systematic review of randomized controlled trials. Soc Scien Med 1998; 3:317-27.
  • 4. Rezende MA, Beteli VC, Santos JL. Follow-up of the child's motor abilities in day care centers and preschools. Rec Lat Am Enfermagem 2005; 13:619-25.
  • 5. http://www.shcek.gov.tr Ocak 2006.
  • 6. Schwartz B, Giebink GS, Henderson FW, Reichler MR, Jereb J, Colle J. Respiratory infection in day care. Pediatrics 1994; 6S: 1018-20.
  • 7. Staat MA, Morrow AL, Reves RR, Bartlett AV, Pickering LK. Diarrhea in children newly enrolled in day-care centers in Houston. Pediatr Infect Dis J 1991; 10:282-6.
  • 8. Marbury MC, Maldonado G, Waller L. Lower respiratory illnesss, recurrent wheezing, and day care attendance. Am J Resp Crit Care Med 1997; 155:156-61.
  • 9. Louhiala J, Jaakkola N, Ruotsalainen R, Jaakkola JJK. Day-care centers and diarrhea: a public health perspective. J Pediatr 1997; 131:476-79.
  • 10. Lu N, Samuels ME, Shi L,Baker SL, Glover SH, Sanders JM. Child: Care, Health&Development 2004; 30:361-8.
  • 11. Rovers MM, Zielhuis GA, Ingels K, van der Wilt GJ. Day care and otitis in young children: a critical overview. Eur J Pediatr 1999; 158:1-6.
  • 12. Rosenfeldt V, Vesikari T, Pang XL, Zeng SQ, Tvede M, Paerregaard A. Viral etiology and incidence of acute gastroenteritis in young children attending day-care centers. Pediatr Infect Dis J 2005; 24:962-5.
  • 13. Holt PG. Infections and the development of allergy. Toxicoi Lett 1996; 86:205-10.
  • 14. Nafstad P, Hagen JA, Qie L, Magnu P, Jaakkola JK. Day care centers and respiratory health. Pediatrics 1999; 103:753-8.
  • 15. Yalcın SS, Tuğrul B, Cetinkaya S, Cakir B, Yilmaz A. Effect of total attending period on infection episode rate in a child - care center. Pediatr Int 2004; 46:555-60.
  • 16. Barros AJD, Ross DA, Fonseca WVC, Williams LA, Moreira-Filho DC. Preenting acute respiratory infections and diarrhoea in child care centres. Acta Paediatr 1999; 88:1113-8.
  • 17. Holt J, Skifte TB, Koch A. Infection control in day-care centres in Greenland. Int J Circumpolar Health 2004; 63(Supp 2):256-60.
  • 18. Falsey AR, Criddle MM, Kolassa JE, McCann RM, Brower CA, Hall WJ. Evaluation of a handwashing intervention to reduce respiratoryy illness rates in senior day care centers. Infect Control Hosp Epidemiol 1999; 20:200-2.
  • 19. Uhari M, Möttönene M. An open randomized controllled trial of infection prevention in child day-care centers. Pediatr Infect Dis J 1999; 18:672-7.
  • 20. Dubois L, Girard M. Breastfeeding, day-care attendance and frequency of antibiotic treatments from 1.5 to 5 years: a population-based longitudinal study in Canada 2004; 60:2035-44.
  • 21. Pickering LK, Baker CJ, Overturf GD, Prober CG. Children out- of- home child care. 2003 Report of the Committee of Infectious Diseases. 26 th ed, Ed Grove Village, IL: American Academy of Pediatrics 2003: 123-37.
  • 22. McVernon J, Morgan P, Mallaghan C, et al. Outbreak of Haemophilus influenza type b disease among fully vaccinated children in a day-care center. Pediatr Infect Dis J 2004; 23:38-41.
  • 23. Malfroot A, Verhaegen J, Dubru JM, Van Kerschaver E, Leyman S. A cross sectional survey of the prevalence of Streptoccoccus pneumoniae nasopharyngeal carriage in Belgian infants attending day care centers. Clin Microbiol Infect 2004; 10:797-803.
  • 24. Frazao N, Brito-Avo A, Simas C, et al. Effect of the sevenvalent conjugate pneumococcal vaccine on carriage and drug resistance of Streptococcus pneumoniae in healthy children attending day-care centers in Lisbon. Pediatr Infect Dis J 2005; 24:243-52.
  • 25. Mclntosh ED, Cardona M, Goldston K, Isaacs D, Burgess MA, Cossart YE. Horizontal transmission of hepatitis B in a children's day-care center: a preventable event. Aust NZ Public Health 1997; 21:791-2.
  • 26. Brady MT. Infectious disease in pediatric out-of-home child care. Am J Infect Control 2005; 33:276-85.