More than half of the 1 9 million preschool children in the United States are in regular day care of one type or another and hence are at increased risk for a number of childhood infections. This issue of Pediatrie Annals updates the pediatrie practitioner on viral and bacterial upper and lower respiratory infections, cytomegalovirus (CMV) and parvovirus Bf 9 infections, hepatitis Infections, and enteric infections.
These articles outline the risks and complications of these infections among infants, toddlers, and preschool children who attend day-care settings; address appropriate practical prevention and control measures; and provide pediatrie health care specialists with the current knowledge base and recommendations that can guide them in advising parents and in caring for their patient population.
HOW TO OBTAIN CME CREDITS BY READING THIS ISSUE
Pediatricians can receive Category I credits for the Physician's Recognition Award of the American Medical Association by reading the following articles and successfully completing the quiz at the end of the issue. Complete instructions are given on the quiz pages.
The Pre-Test below has been prepared to assist you in studying the following material. It indicates some of the areas to be covered and will make it possible for you to challenge your present knowledge of the material before reading further.
1 . Young children in group day-care settings where more than six children are in attendance experience more frequent upper respiratory illnesses but not a greater incidence of lower respiratory illnesses than children in home care environments.
2. Haemophilus influenza type b (Hib) is the most common cause of serious invasive bacterial infection in children who attend group day care.
3. Cytomegalovirus is well-established as the leading cause of congenital viral infection in the United States.
4. Shigella, Salmonella, and Giärdia lamblia are the most frequently reported enteropathogens that cause diarrhea in daycare settings.
Answers to the Pre-test:
l.B 2J\ 3.A 4.B