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Recurrent outbreaks of giardiasis in a child day care center, Wisconsin

Bibliographic Data

ID11039296
AuthorsRichard W Steketee (0000-0002-1831-3799, Centers for Disease Control and Prevention), Sean D Reid (0000-0002-2790-1007), S Reid (0000-0002-2589-3576), Tien-Hsi Cheng, T Cheng (0009-0004-0724-7003), J S Stoebig, R G Harrington, J P Davis (0000-0002-3798-0976)
Year1989
Volume79
Issue4
Pages485-490
Publication date1989-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.79.4.485
PMID2929809
OpenAlexW2059714536
LanguageEN
Citations received2
References cited19

In the 19-month period September 1983-March 1985, three outbreaks of giardiasis occurred in one large child day care center. Control measures instituted during each outbreak included case finding; pharmacologic treatment and follow-up testing of stool specimens for cases of giardia infection in day care children and staff, and their household contacts; facilitating and stressing personal and environmental hygiene, including altering diapering practices and teaching appropriate hand washing techniques. In the first, second, and third outbreaks, overall attack rates (stool analysis positive for Giardia lamblia) were determined for those persons with greater than or equal to 2 stool specimens submitted; attack rates in children were 47, 17, and 37 per cent, respectively; for tested staff, the rates were 35, 13, and 9 per cent; and for tested household contacts were 18, 9, and 5 per cent. Attack rates were highest for ambulatory diapered children, children attending the day care center greater than or equal to 40 hours per week, and children who were infected with G. lamblia in the most recent previous outbreak. Despite extensive efforts to identify cases, a cure rate of greater than 90 per cent in treated cases, and improvements in personal and environmental hygiene practices, G. lamblia infections recurred in outbreak proportions

Ambulatory · Attack rate · Child care · Day care · Day care center · Environmental health · Family medicine · Giardia · Giardia lamblia · Hygiene · Outbreak · Personal hygiene · Veterinary medicine · Demography · Medicine · Parasitic Infections and Diagnostics · Pediatric health and respiratory diseases · Surgery · Virology · Pediatrics

  • Characteristics and risk factors for symptomatic Giardia lamblia infections in Germany

    Open Access•Werner Espelage, Matthias an der Heiden et al.•BMC Public Health•2010

  • The role of day care givers in the identification and prevention of infections

    Open Access•Ra''Eda Al-Qutob, Ra'Eda Al-Qutob et al.•Social Science & Medicine•1991

  • Giardiasis in an infant and toddler swim class

    L Harter, F Frost et al.•American Journal of Public Health•1984

  • Waterborne giardiasis at a mountain resort

    G R Istre, T S Dunlop et al.•American Journal of Public Health•1984

  • Longitudinal study of occurrence of diarrheal disease in day care centers

    Peggy Sullivan, William E Woodward et al.•American Journal of Public Health•1984

Unique citing works2
Citations per year0,06
Citation span1991 - 2010 (20)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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