Klein J O
Rev Infect Dis. 1986 Jul-Aug;8(4):521-6. doi: 10.1093/clinids/8.4.521.
Infectious diseases often occurring in epidemics, are to be expected in group day care because of the susceptibility of infants and toddlers to infection and the ready transmission of infection in the day care setting. Children in day care have more respiratory and gastrointestinal infections and are at higher risk for meningitis due to Haemophilus influenzae than are children in home care. Infections acquired by the child in the day care center may spread to members of the household and to the community. Illness in the child in day care may necessitate care at home and a change in plans of the parents; family stress may result. Infections in the day care center can be limited by appropriate use of the physical facilities, education of personnel in standards of hygiene, and maintenance of recommended immunizations of children and adult care givers. Simple techniques of infection control, such as hand washing, are the most effective.
传染病常呈流行性发生，由于婴幼儿易受感染且在日托环境中感染易于传播，所以在集体日托中是可以预料到的。与在家照料的儿童相比，日托中的儿童有更多的呼吸道和胃肠道感染，并且因感染流感嗜血杆菌患脑膜炎的风险更高。儿童在日托中心获得的感染可能传播给家庭成员和社区成员。日托中的儿童生病可能需要在家照料，父母的计划也会改变；可能导致家庭压力。通过合理使用物理设施、对工作人员进行卫生标准教育以及维持儿童和成人照料者的推荐免疫接种，可以限制日托中心的感染。简单的感染控制技术，如洗手，是最有效的。
