Biomaterial Database

An outbreak of cryptosporidiosis in a day-care center in Georgia. 1991

R H Tangermann, and S Gordon, and P Wiesner, and L Kreckman

Preventive Medicine Residency Program, Centers for Disease Control, Atlanta, GA.

Diarrhea among the 11 million children attending day-care centers in the United States is common, but infection control of enteric pathogens in the day-care center setting remains a challenge. In August 1989, an outbreak of cryptosporidiosis was investigated at a day-care center in Georgia. A total of 49% (39/79) of children and 13% (3/23) of staff members who submitted stool specimens were found to be infected with Cryptosporidium. A total of 77% (30/39) of infected children had mild-to-moderate diarrhea (median duration, 5 days). Children were at highest risk if they were less than age 36 months, in diapers, and not toilet trained. Serial stool specimens were collected from 12 infected children. After diarrhea had ceased, oocyst shedding continued in all children for a mean duration of 16.5 days. It is concluded that the prevalence of asymptomatic infections and the duration of shedding after the end of symptoms may previously have been underestimated. Cohorting or exclusion from the day-care center of children who are asymptomatic shedders is not practical, and the management of cryptosporidiosis in day-care centers remains a major challenge.

UI	MeSH Term	Description	Entries
D007223	Infant	A child between 1 and 23 months of age.	Infants
D011795	Surveys and Questionnaires	Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions.	Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D002656	Child Day Care Centers	Facilities which provide care for pre-school and school-age children.	Day Care Centers for Children,Child Daycare Centers,Daycare Centers for Children,Child Daycare Center
D002675	Child, Preschool	A child between the ages of 2 and 5.	Children, Preschool,Preschool Child,Preschool Children
D003457	Cryptosporidiosis	Intestinal infection with organisms of the genus CRYPTOSPORIDIUM. It occurs in both animals and humans. Symptoms include severe DIARRHEA.	Cryptosporidium Infection,Cryptosporidioses,Cryptosporidium Infections,Infection, Cryptosporidium
D003458	Cryptosporidium	A genus of coccidian parasites of the family CRYPTOSPORIDIIDAE, found in the intestinal epithelium of many vertebrates including humans.	Cryptosporidiums
D003967	Diarrhea	An increased liquidity or decreased consistency of FECES, such as running stool. Fecal consistency is related to the ratio of water-holding capacity of insoluble solids to total water, rather than the amount of water present. Diarrhea is not hyperdefecation or increased fecal weight.	Diarrheas
D004196	Disease Outbreaks	Sudden increase in the incidence of a disease. The concept includes EPIDEMICS and PANDEMICS.	Outbreaks,Infectious Disease Outbreaks,Disease Outbreak,Disease Outbreak, Infectious,Disease Outbreaks, Infectious,Infectious Disease Outbreak,Outbreak, Disease,Outbreak, Infectious Disease,Outbreaks, Disease,Outbreaks, Infectious Disease
D004812	Epidemiologic Methods	Research techniques that focus on study designs and data gathering methods in human and animal populations.	Epidemiologic Method,Epidemiological Methods,Methods, Epidemiologic,Epidemiological Method,Method, Epidemiologic,Method, Epidemiological,Methods, Epidemiological