PMID- 31036400
OWN - NLM
STAT- MEDLINE
DCOM- 20200806
LR  - 20200806
IS  - 1527-3296 (Electronic)
IS  - 0196-6553 (Linking)
VI  - 47
IP  - 10
DP  - 2019 Oct
TI  - Variation in surface decontamination practices among Michigan child care centers 
      compared to state and national guidelines.
PG  - 1176-1180
LID - S0196-6553(19)30179-8 [pii]
LID - 10.1016/j.ajic.2019.03.019 [doi]
AB  - BACKGROUND: Environmental decontamination is one of the most effective methods to 
      prevent transmission of infectious pathogens in child care centers (CCCs). 
      Alongside state recommendations, national organizations-including the American 
      Academy of Pediatrics (AAP)-offer best-practice policies. In Michigan, these sets 
      of guidelines differ, and the extent to which CCC practices agree with either set 
      of protocols is unknown. METHODS: A survey of environmental decontamination 
      practices was administered at a professional meeting of CCC directors (N = 24) in 
      a single Michigan county. CCC practices (eg, products, locations, frequencies) 
      were compared to state and AAP guidelines. Bivariate analyses investigated CCC 
      characteristics as predictors of decontamination policy agreement. RESULTS: CCC 
      agreement with established policy was slightly higher for national AAP guidelines 
      (66%) than Michigan standards (59%). The use of an outside child care health 
      consultant was strongly associated with a significantly higher level of agreement 
      with state decontamination policy (P = .01). CONCLUSION: We noted substantial 
      disagreement between county CCC practices and state/national guidelines, 
      regardless of CCC size or director experience. Results highlight opportunities to 
      improve CCC director familiarity with current state and nationally advised 
      protocols, to consolidate state licensing and AAP guidelines, and to promote the 
      use of child care health consultants.
CI  - Copyright (c) 2019 Association for Professionals in Infection Control and 
      Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
FAU - DeJonge, Peter
AU  - DeJonge P
AD  - Department of Epidemiology, University of Michigan School of Public Health, Ann 
      Arbor, MI. Electronic address: peterdej@umich.edu.
FAU - Martin, Emily T
AU  - Martin ET
AD  - Department of Epidemiology, University of Michigan School of Public Health, Ann 
      Arbor, MI.
FAU - Hayashi, Michael
AU  - Hayashi M
AD  - Department of Epidemiology, University of Michigan School of Public Health, Ann 
      Arbor, MI.
FAU - Hashikawa, Andrew N
AU  - Hashikawa AN
AD  - Department of Emergency Medicine, Michigan Medicine, University of Michigan, Ann 
      Arbor, MI.
LA  - eng
PT  - Journal Article
DEP - 20190427
PL  - United States
TA  - Am J Infect Control
JT  - American journal of infection control
JID - 8004854
SB  - IM
MH  - Child
MH  - Child Care/*standards
MH  - Child Day Care Centers/*standards
MH  - Child, Preschool
MH  - Communicable Disease Control/standards
MH  - Communicable Diseases
MH  - Decontamination/*standards
MH  - Female
MH  - Guideline Adherence/standards
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Male
MH  - Michigan
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - American Academy of Pediatrics
OT  - child care
OT  - daycare
OT  - decontamination
EDAT- 2019/05/01 06:00
MHDA- 2020/08/07 06:00
CRDT- 2019/05/01 06:00
PHST- 2019/01/31 00:00 [received]
PHST- 2019/03/14 00:00 [revised]
PHST- 2019/03/17 00:00 [accepted]
PHST- 2019/05/01 06:00 [pubmed]
PHST- 2020/08/07 06:00 [medline]
PHST- 2019/05/01 06:00 [entrez]
AID - S0196-6553(19)30179-8 [pii]
AID - 10.1016/j.ajic.2019.03.019 [doi]
PST - ppublish
SO  - Am J Infect Control. 2019 Oct;47(10):1176-1180. doi: 10.1016/j.ajic.2019.03.019. 
      Epub 2019 Apr 27.