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Main Number: 314-434-1500
Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
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    Day care health risks


    Children in day care centers are more likely to catch an infection than kids who do not attend day care. Children who go to day care are often around other kids who may be sick. However, being around the large number of germs in day care may actuallyimprove your child's immune system in the long run.

    Infection is spread most often by children putting dirty toys in their mouth, so check your day care's cleaning practices. Teach your child to wash his or her hands before eating and after using the toilet. Keep your own children home if they are sick.


    Diarrhea and gastroenteritis are common at day care centers. These infections cause vomiting, diarrhea, or both.

    • The infection is spread easily from child to child or from caregiver to child. It is common among children, because they are less likely to wash their hands after using the toilet.
    • Children who are attending day care may also get giardia, which is caused by a parasite. This infection causes diarrhea, stomach cramps, and gas.

    Ear infections, colds, coughs, sore throats, and runny noses are common in all children, especially in the day care setting.

    Chidlren attending day care are at a higher risk of getting hepatitis A. Hepatitis A is irritation and swelling (inflammation) of the liver caused by the hepatitis A virus.

    • It is spread by poor hand washing after going to the bathroom or changing a diaper, and then preparing food.
    • In addition to good hand washing, day care staff and children should get the hepatitis vaccine.

    Head lice and scabies are other common health problems that occur in day care centers.

    You can do a number of things to keep your child safe from infections. One is to keep your child up-to-date with routine shots to prevent both common and serious infections.

    • To see the current recommendations, visit the Centers for Disease Control and Prevention (CDC) website. At every doctor visit, ask about the next recommended vaccinations.
    • Make sure your child has a flu shot every year after age 6 months.

    Your child's day care center should have policies to help prevent the spread of germs and infections. Ask to see these policies before your child starts. Day care staff should be trained in how to follow these policies. In addition to proper hand washing, important policies include:

    • Preparing food and changing diapers in different areas
    • Making sure day care staff and children who attend the day care have up-to-date immunizations
    • Rules about when children should stay home if they are sick


    Staff may need to know:

    • How to give medicines for conditions such as asthma
    • How to avoid allergy and asthma triggers
    • How to take care of different skin conditions
    • How to recognize when a chronic medical problem is getting worse
    • Activities that may not be safe for the child
    • How to contact your child's health care provider

    You can help by creating an action plan with your health care provider and making sure your child's day care staff knows how to follow that plan.


          A Closer Look

          Talking to your MD

          Self Care

          Tests for Day care health risks

          Review Date: 11/12/2012

          Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.

          The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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          St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
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