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Infection prevention at day-care centres: feasibility and possible effects of intervention
Katarina Hedin1, Christer Petersson, Håkan Cars
1R and D Kronoberg County Council, Växjö, Sweden. katarina.hedin@ltkronoberg.se
Objective:
To study the effect of an educationally oriented intervention programme, with the recommendations from the National Board of Health and Welfare as a base.
Design:
A prospective intervention study.
Setting:
Six day-care centres in Växjö, Sweden. Three centres comprised the intervention group and three constituted the control group.
Subjects And Main Outcome Measures:
The parents and personnel completed a questionnaire on their views concerning information about infectious diseases. During a nine-month period, parents of all children reported every episode of absence, the number of days absent, the cause of absence, and any contact with doctors or prescription of antibiotics.
Results:
The guidelines were implementable in routine child day-care. Parents found regular information valuable and felt better informed about infectious diseases. Multilevel analyses showed no statistically significant results of the intervention. "Infection-prone" children had more sickness absence, doctor's consultations, and antibiotic prescriptions than those not "infection-prone".
Conclusion:
It is possible to implement an educationally oriented intervention programme directed against infectious diseases in child day-care. No significant effect of the intervention was found, which is why a larger intervention study is needed.
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