Featured Research

from universities, journals, and other organizations

Day care dilemma: When 'sick' children are unnecessarily sent home

Date:
April 19, 2010
Source:
Medical College of Wisconsin
Summary:
Researchers have found that many metropolitan Milwaukee child care directors would unnecessarily send children with mild illnesses home.

In a new study, researchers at the Medical College of Wisconsin and Children's Hospital of Wisconsin, working with Community Coordinated Child Care (4C's), have found that many metropolitan Milwaukee child care directors would unnecessarily send children with mild illnesses home.

Andrew N. Hashikawa, M.D., and colleagues surveyed 305 child care centers in metropolitan Milwaukee to see how closely directors followed national guidelines from the American Academy of Pediatrics (AAP) and the American Public Health Association (APHA) and to identify characteristics associated with unnecessary exclusion decisions. Their findings will be published in the May issue of Pediatrics (published online April 19).

Dr. Hashikawa is an instructor in pediatrics and a third year fellow in pediatric emergency medicine at the Medical College and practices at Children's Hospital.

In 2005, more than two-thirds of children in the United States who were under five required nonparental child care, a vast majority of whom received care in a child care setting. "Children who are excluded from child care place a significant economic burden on parents, businesses, and health care resources." Dr. Hashikawa points out.

Mild acute illness accounts for the majority of child care exclusions, many of which have been described as not medically indicated. Previous studies in states without guidelines showed rates varying from 33 percent to 100 percent. The national AAP and APHA guidelines were developed to address this high rate of inappropriate exclusions.

To examine adherence to these guidelines, the researchers used five scenarios for children with mild illness consisting of a cold, conjunctivitis, gastroenteritis, fever and tinea capitis (a scalp infection). Child care directors were surveyed by telephone and were asked which of these children would be required to go home immediately. None of these scenarios should warrant exclusion, according to national guidelines.

The researchers found that overall, directors would unnecessarily exclude 57 percent of children with mild illnesses. Responses ranged from eight percent of directors unnecessarily excluding a child with a cold, to 84 percent of directors unnecessarily excluding a child with tinea capitis. Directors with greater child care experience and directors of larger centers made fewer unnecessary exclusion decisions.

"This high rate of inappropriate exclusions persists despite state endorsement of the national AAP and APHA guidelines," says Dr. Hashikawa.

Currently there are no formalized ongoing state training programs available for child care directors to learn about appropriate exclusion guidelines.

"The next step," Dr. Hashikawa suggests, "Is to develop formalized state training programs that child care directors could use to learn about appropriate exclusion guidelines for mild illness. Our meetings and focus groups with local day care directors indicate that they would overwhelmingly welcome the opportunity to take continuing education classes if they were made available by the state."


Story Source:

The above story is based on materials provided by Medical College of Wisconsin. Note: Materials may be edited for content and length.


Journal Reference:

  1. Andrew N. Hashikawa, Young J. Juhn, Mark Nimmer, Kristen Copeland, Li Shun-Hwa, Pippa Simpson, Martha W. Stevens, and David C. Brousseau. Unnecessary Child Care Exclusions in a State That Endorses National Exclusion Guidelines. Pediatrics, April 2010 DOI: 10.1542/peds.2009-2283

Cite This Page:

Medical College of Wisconsin. "Day care dilemma: When 'sick' children are unnecessarily sent home." ScienceDaily. ScienceDaily, 19 April 2010. <www.sciencedaily.com/releases/2010/04/100419090941.htm>.
Medical College of Wisconsin. (2010, April 19). Day care dilemma: When 'sick' children are unnecessarily sent home. ScienceDaily. Retrieved September 17, 2014 from www.sciencedaily.com/releases/2010/04/100419090941.htm
Medical College of Wisconsin. "Day care dilemma: When 'sick' children are unnecessarily sent home." ScienceDaily. www.sciencedaily.com/releases/2010/04/100419090941.htm (accessed September 17, 2014).

Share This



More Health & Medicine News

Wednesday, September 17, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

President To Send 3,000 Military Personnel To Fight Ebola

President To Send 3,000 Military Personnel To Fight Ebola

Newsy (Sep. 16, 2014) President Obama is expected to send 3,000 troops to West Africa as part of the effort to contain Ebola's spread. Video provided by Newsy
Powered by NewsLook.com
Man Floats for 31 Hours in Gulf Waters

Man Floats for 31 Hours in Gulf Waters

AP (Sep. 16, 2014) A Texas man is lucky to be alive after he and three others floated for more than a day in the Gulf of Mexico when their boat sank during a fishing trip. (Sept. 16) Video provided by AP
Powered by NewsLook.com
Ivorians Abandon Monkey Pets in Fear Over Ebola Virus

Ivorians Abandon Monkey Pets in Fear Over Ebola Virus

AFP (Sep. 16, 2014) Since the arrival of Ebola in Ivory Coast, Ivorians have been abandoning their pets, particularly monkeys, in the fear that they may transmit the virus. Duration: 00:47 Video provided by AFP
Powered by NewsLook.com
Study Links Male-Pattern Baldness To Prostate Cancer

Study Links Male-Pattern Baldness To Prostate Cancer

Newsy (Sep. 16, 2014) New findings suggest men with a certain type of baldness at age 45 are 39 percent more likely to develop aggressive prostate cancer. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

    Environment News

      Technology News



      Save/Print:
      Share:

      Free Subscriptions


      Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

      Get Social & Mobile


      Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

      Have Feedback?


      Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
      Mobile: iPhone Android Web
      Follow: Facebook Twitter Google+
      Subscribe: RSS Feeds Email Newsletters
      Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins