Gierszewski David, Kurotschka Peter Konstantin, Krauthausen Maike, Fröhlich Willi, Forster Johannes, Pietsch Franziska, Streng Andrea, Rücker Viktoria, Wallstabe Julia, Hartmann Katrin, Jans Thomas, Engels Geraldine, Romanos Marcel, Heuschmann Peter, Härtel Christoph, Kurzai Oliver, Liese Johannes, Gágyor Ildikó
Department of General Practice, University Hospital Wuerzburg, Wuerzburg, Germany.
Institute for Hygiene and Microbiology, University of Wuerzburg, Wuerzburg, Germany.
Front Med (Lausanne). 2022 Apr 29;9:897726. doi: 10.3389/fmed.2022.897726. eCollection 2022.
Feasibility of surveillance through continuous SARS-CoV-2 testing in pre-school children and childcare workers (CCWs) to prevent closure of day care centers (DCCs) was proven in the Wü-KiTa-CoV study. The purpose of this study was to describe the factors that facilitate or hinder the implementation of continuous SARS-CoV-2 testing from the perspective of parents and CCWs involved in the study.
A total of 148 semi-structured telephone interviews, repeated before and after the implementation of the surveillance protocols, were conducted with parents and CCWs belonging to the DCCs involved in Wü-KiTa-CoV and analyzed using qualitative content analysis.
Five main topical categories that influences implementation of surveillance protocols for SARS-CoV-2 in DCCs emerged: Generating valuable knowledge, Impact on daily life, Communication and information, Children's wellbeing and the Sense of security. Smooth integration in daily routines, quickly delivered test results, and efficient communication and information between the study team and the participants were identified as factors that had a positive impact on implementation. To ensure children's wellbeing, the introduction of non-invasive testing procedures such as saliva testing, parental involvement to motivate, and prepare children for the procedure, the creation of a child-friendly environment for testing, and use of child-friendly explanations were considered critical. The surveillance was found to increase the sense of security during the pandemic. Conversely, reliability of tests in the surveillance protocols, low participation rates, non-transparent communication, the need to travel to testing sites, fear of quarantine in case of positive test results, concerns about higher workloads, the fear of unpleasant feelings for children, their young age, and changing test teams were considered as hindering factors.
This qualitative study of parents of children in day care and DCC staff under surveillance through continuous testing for SARS-CoV-2 in nine German DCCs identified several factors that facilitate or hinder its implementation. These should be considered when planning screening interventions to prevent the spread of SARS-CoV-2 or other infectious diseases in pre-school children DCCs.
“Wü-KiTa-CoV”研究证明了通过对学龄前儿童和儿童保育工作者（CCW）进行持续的新冠病毒检测来预防日托中心（DCC）关闭的可行性。本研究的目的是从参与研究的家长和儿童保育工作者的角度描述促进或阻碍持续新冠病毒检测实施的因素。
对参与“Wü-KiTa-CoV”研究的日托中心的家长和儿童保育工作者进行了总共148次半结构化电话访谈，在监测方案实施前后各进行一次，并采用定性内容分析法进行分析。
出现了影响日托中心新冠病毒监测方案实施的五个主要主题类别：产生有价值的知识、对日常生活的影响、沟通与信息、儿童福祉和安全感。日常工作的顺利整合、快速提供检测结果以及研究团队与参与者之间高效的沟通与信息被确定为对实施有积极影响的因素。为确保儿童福祉，引入非侵入性检测程序（如唾液检测）、家长参与以激励和让孩子为检测做好准备、营造适合儿童的检测环境以及使用适合儿童的解释被认为至关重要。研究发现，监测在疫情期间增强了安全感。相反，监测方案中检测的可靠性、低参与率、不透明的沟通、前往检测地点的必要性、检测结果呈阳性时对隔离的恐惧、对更高工作量的担忧、对儿童不愉快感受的担心、儿童年龄小以及检测团队的变化被视为阻碍因素。
这项对德国九个日托中心中接受新冠病毒持续检测的儿童家长和日托中心工作人员的定性研究确定了几个促进或阻碍其实施的因素。在规划筛查干预措施以预防新冠病毒或其他传染病在学龄前儿童日托中心传播时应考虑这些因素。
