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Management and control of communicable diseases in schools and other child care settings: systematic review on the incubation period and period of infectiousness

Overview of attention for article published in BMC Infectious Diseases, May 2018
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Title
Management and control of communicable diseases in schools and other child care settings: systematic review on the incubation period and period of infectiousness
Published in
BMC Infectious Diseases, May 2018
DOI 10.1186/s12879-018-3095-8
Pubmed ID
Authors

Ida Czumbel, Chantal Quinten, Pierluigi Lopalco, Jan C. Semenza

Abstract

Information on the incubation period and period of infectiousness or shedding of infectious pathogens is critical for management and control of communicable diseases in schools and other childcare settings. We performed a systematic literature review (Pubmed and Embase) to identify and critically appraise all relevant published articles using incubation, infectiousness or shedding, and exclusion period as parameters for the search. No language, time, geographical or study design restrictions were applied. A total of 112 articles met the eligibility criteria. A relatively large number were retrieved for gastrointestinal diseases and influenza or respiratory syncytial virus, but there were few or no studies for other diseases. Although a considerable number of publications reported the incubation and shedding periods, there was less evidence concerning the period of infectiousness. On average, five days of exclusion is considered for measles, mumps, rubella, varicella and pertussis. For other diseases, such as most cases of meningococcal disease, hepatitis A and influenza exclusion is considered as long as severe symptoms persist. However, these results are based on a diverse range of study characteristics, including age, treatment, vaccination, underlying diseases, diagnostic tools, viral load, study design and definitions, making statistical analysis difficult. Despite inconsistent definitions for key variables and the diversity of studies reviewed, published data provide sufficient quantitative estimates to inform decision making in schools and other childcare settings. The results can be used as a reference when deciding about the exclusion of a child with a communicable disease that both prevents exposure and avoids unnecessary absenteeism.

Twitter Demographics

The data shown below were collected from the profiles of 2 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 42 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 42 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 12 29%
Student > Bachelor 6 14%
Unspecified 4 10%
Student > Ph. D. Student 3 7%
Student > Doctoral Student 2 5%
Other 7 17%
Unknown 8 19%
Readers by discipline Count As %
Medicine and Dentistry 13 31%
Nursing and Health Professions 7 17%
Unspecified 4 10%
Engineering 2 5%
Business, Management and Accounting 1 2%
Other 7 17%
Unknown 8 19%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 May 2018.
All research outputs
#10,756,744
of 14,158,567 outputs
Outputs from BMC Infectious Diseases
#3,296
of 5,289 outputs
Outputs of similar age
#189,800
of 274,532 outputs
Outputs of similar age from BMC Infectious Diseases
#1
of 1 outputs
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