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Using the MCRISP Network for Surveillance of Pediatric Exanthema in Child Care Centers
Aditi Mahajan1, Peter DeJonge2, Sarang Modi1
1Department of Emergency Medicine, Michigan Medicine, Ann Arbor, Michigan, USA.
Background:
Systematic monitoring of exanthema is largely absent from public health surveillance despite emerging diseases and threats of bioterrorism. Michigan Child Care Related Infections Surveillance Program (MCRISP) is the first online program in child care centers to report pediatric exanthema.
Methods:
MCRISP aggregated daily counts of children sick, absent, or reported ill by parents. We extracted all MCRISP exanthema cases from October 1, 2014 through June 30, 2019. Cases were assessed with descriptive statistics and counts were used to construct epidemic curves.
Results:
360 exanthema cases were reported from 12,233 illnesses over 4.5 seasons. Children ages 13-35 months had the highest rash occurrence (45%, n = 162), followed by 36-59 months (41.7%, n = 150), 0-12 months (12.5%, n = 45), and kindergarten (0.8%, n = 3). Centers reported rashes of hand-foot-mouth disease (50%, n = 180), nonspecific rash without fever (15.3%, n = 55), hives (8.1%, n = 29), fever with nonspecific rash (6.9%, n = 25), roseola (3.3%, n = 12), scabies (2.5%, n = 9), scarlet fever (2.5%, n = 9), impetigo (2.2%, n = 8), abscess (1.95, n = 7), viral exanthema without fever (1.7%, n = 6), varicella (1.7%, n = 6), pinworms (0.8%, n = 3), molluscum (0.6%, n = 2), cellulitis (0.6%, n = 2), ringworm (0.6%, n = 2), and shingles (0.2%, n = 1).
Conclusion:
Child care surveillance networks have the potential to act as sentinel public health tools for surveillance of pediatric exanthema outbreaks.
Insights
The Michigan Child Care Related Infections Surveillance Program (MCRISP) effectively monitored pediatric exanthema, identifying common rashes like hand-foot-mouth disease. This system shows potential for early detection of childhood rash outbreaks.
Area of Science:
- Pediatric Infectious Diseases
- Public Health Surveillance
- Epidemiology
Background:
- Systematic monitoring of exanthema is lacking in public health surveillance, posing risks for emerging diseases and bioterrorism threats.
- The Michigan Child Care Related Infections Surveillance Program (MCRISP) was established as the first online system for reporting pediatric exanthema in child care settings.
Purpose of the Study:
- To evaluate the utility of the Michigan Child Care Related Infections Surveillance Program (MCRISP) for monitoring pediatric exanthema.
- To characterize the types and frequency of exanthema in a child care population.
Main Methods:
- MCRISP collected daily counts of ill, absent, or parent-reported sick children.
- Exanthema cases were extracted from October 1, 2014, to June 30, 2019.
- Descriptive statistics and epidemic curves were used to analyze case data.
Main Results:
- Over 4.5 seasons, 360 exanthema cases were reported among 12,233 illnesses.
- Children aged 13-35 months (45%) and 36-59 months (41.7%) had the highest incidence of rashes.
- Hand-foot-mouth disease was the most common diagnosis (50%), followed by nonspecific rash without fever (15.3%).
Conclusions:
- Child care surveillance networks, like MCRISP, can serve as valuable sentinel public health tools.
- These networks have the potential for effective surveillance of pediatric exanthema outbreaks.
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