Infectious diseases in children admitted from a residential child care centre.
OBJECTIVE
To describe the pattern of infectious diseases among children admitted from a residential child care centre and to identify any unusual clusters of admissions.


METHODS
Retrospective case review.


METHODS
Regional hospital, Hong Kong.


METHODS
All children from a residential child care centre aged over 28 days who were admitted from the Accident and Emergency Department to paediatric wards for infections from 1 January 1999 to 31 December 2003.


METHODS
Demographic data, clinical diagnoses, infectious diseases identified, and incidence and seasonal pattern of various infections.


RESULTS
Of 267 children admitted to the hospital over the 5-year period, 221 had infectious diseases. Respiratory tract infections, viral exanthema, and gastroenteritis were present in 83.7%, 7.2%, and 5.9%, respectively. Among those with a respiratory tract infection, 22.7%, 9.2%, and 8.6% had respiratory syncytial virus, parainfluenza virus, and influenza A or B viruses, respectively. Two unusual clusters of respiratory syncytial virus and parainfluenza virus were recognised in late 2003.


CONCLUSIONS
Children in this residential child care centre were at risk of infectious diseases. Respiratory tract infection is the most common infectious disease in this centre. An outbreak of respiratory tract infection was recognised. Further efforts may be necessary to improve infection control measures in this setting.
Lee
W K
WK
Department of Paediatrics and Adolescent Medicine, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong. leewk@netvigator.com
Young
B W Y
BW
D000293:Adolescent; D002648:Child; D002656:Child Day Care Centers / Q000706:statistics & numerical data; D002675:Child, Preschool; D003140:Communicable Disease Control; D003141:Communicable Diseases / Q000453:epidemiology*; D005260:Female; D006723:Hong Kong / Q000453:epidemiology; D006801:Humans; D007223:Infant; D007251:Influenza, Human / Q000453:epidemiology / Q000517:prevention & control; D008297:Male; D018184:Paramyxoviridae Infections / Q000453:epidemiology / Q000517:prevention & control; D018357:Respiratory Syncytial Virus Infections / Q000453:epidemiology / Q000517:prevention & control; D012189:Retrospective Studies; D012307:Risk Factors