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Refereed Publications

  1. Holaday, B. and Pantell, R. and Lewis, C. and Gilliss, C. L., Patterns of fecal coliform contamination in day-care centers., Public health nursing (Boston, Mass.), vol. 7 no. 4 (December, 1990), pp. 224-8, ISSN 0737-1209
    (last updated on 2011/01/30)

    Abstract:
    During a six-month period, on four separate occasions, six licensed day-care centers had cultures taken from environmental surfaces as well as the hands of children and teachers. Fecal coliforms were recovered from 64 (9.5%) of the 675 surfaces sampled. Recovery rate was not influenced by a center's socioeconomic status, time of year, or presence of children who were not toilet trained. Recovery rates did differ significantly in different areas, with the kitchen showing a relatively high recovery rate (19%), and toys and toilets showing remarkably low rates (2% and 4%). Centers with formal hand-washing procedures had lower recovery rates than those without such practices. We also demonstrated a high recovery rate from hands of staff (16%); 6% of children had positive cultures. Contamination of hands and classroom objects is a potential source for the transmission of enteric diseases for children in day-care centers. A program directed at reducing contamination would be important in preventing the spread of diarrheal illness.

    Keywords:
    Child • Child Day Care Centers • Child, Preschool • Enterobacteriaceae • Environmental Microbiology* • Environmental Monitoring* • Humans • Infant • San Francisco • growth & development* • standards*