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#32
25.01.2007, 18:18
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 Но из Вашей фразы можно было сделать вывод, что это один из способов "поднятия иммунитета".Цитата:
А PubMed мы все тут любим, да.  
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#34
25.01.2007, 18:24
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#35
25.01.2007, 18:29
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[quote=Tim Vetrov]Откуда такая информация?
Ваши идеи я считаю довольно вредными - как для ребенка, так и для мамы. И даже для экономики страны QUOTE] Ну, уважаемый Тимофей Александрович, за экономику страны не переживайте, никто конечно маме больничный не выписывает на 20 дней по ОРВИ. В том, что ребенок пропустит некоторое время детский сад, я особого вреда для ребенка не вижу. Идет ли на пользу матери, что его ребенок цитирую: "..прошло 3 месяца,на больничном были уже несколько раз, причем болеет по 2 недели, затем 2 дня в саду и опять" не знаю. Только таких матерей довольно много, и как раз то это и наносит ущерб экономике, и фонду социального страхования. Не говоря уже о том что таких матерей не очень любят работодатели. Домашним выхаживанием может заниматься и дедушки с бабушками, и няни и прочие близкие люди. Многие так и делают. Абсолютно без всяких уговоров. Поскольку лучше пропустить 2 недели чем болеть с короткими перерывами месяцами.
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#37
25.01.2007, 18:45
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#40
25.01.2007, 19:15
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Однако, Вы абсолютно правы в том, что подобные рекомендации (про "отдых" после ОРВИ) широко распространены среди отечественных педиатров. На практике из-за этого получается тот замкнутый круг, который я описал. 3 дня болеем - 2 недели не ходим в садик (отдыхаем). Потом 3 дня ходим в садик, заболеваем. Замкнутый круг. Еще стоит учесть, что заразиться ОРВИ вполне можно и находясь на "домашнем выхаживании". От тех же нянь, бабушек, дедушек и пр.
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#41
25.01.2007, 19:59
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Frequently Asked Questions
When deciding whether to exclude an ill child from child care, the two most important questions to consider are: 1. Will (does) the illness prevent the child from participating comfortably in activities? 2. Will (does) the illness result in a need for care that is greater than the staff can provide without compromising the health and safety of other children? If the answer to either of these questions is yes, then the child should not go to child care or school. If she/he is sent to child care or school, then the caregiver or teacher has the authority to exclude the child. The third important question to ask is: 3. Will (does) the illness pose a risk of spread of a harmful disease to others? Most common infections are not really harmful (common cold) or are spread before, during, and well after the time of symptoms, so preventing a child's attendance or excluding a child does not significantly reduce the chance of spread. Keep in Mind: * The parents/guardians should ask questions 1 and 2 above and apply their best judgement based on what they see at the time. Keep in mind that vague abdominal complaints could be the beginning of vomitting and diahrrhea (for which a child should not attend school) but they can also be symptoms of anxiety about school (for which attendance is recommended along with further discussions about what may be promoting the anxiety). * Ask questions 1 and 2. Common cold is not a reason for exclusion if neither of the first two criteria is met. The infection can be transmitted to others but is not a harmful infectious disease. In fact, there is probably some benefit to early exposure to common cold respiratory infections because they appropriately stimulate and mature the immune system. * Decisions by parents about whether a mildly ill child can or cannot go to child care or school are difficult. In some cases the parent may have very little time to observe the child before driving him or her to a child care center or sending the child off to school on a bus early in the morning. Parents generall make decisions that are right for their children, but very strong and conflicting factors may consciously or unconsciously affect their decisions. For example, parents on hourly wages may lose income if they have to stay home for their child's illness. And other parents may be negatively affected in their job promotion and opportunities if they have frequent absences due to illness in their child. In addition, the condition of the child may change during the course of the day. All of this is to say that parents make decisions, but the child care and school personnel also have a say in the matter about whether a child sent to child care is allowed to stay there through the day. [Ссылки доступны только зарегистрированным пользователям ] _______________________________ When Are Kids Too Sick to Attend Daycare? "I'm sorry, but your child can't come back to daycare until she starts antibiotics." Statements like this led to a study that was published in the February 2000 issue of Archives of Pediatric and Adolescent Medicine. The report concluded that directors of child care centers, in their wonderful efforts to protect children, often exclude sick children unnecessarily, refer children to physicians inappropriately and request antibiotic therapy for children who would be better off without them. The great majority of daycare directors, for instance, believe that antibiotics should be given to children with bronchitis, and that excluding kids with cough and green nasal discharge will decrease the spread of colds. Childcare workers deserve better education about the basics of dealing with children who have common respiratory infections. Alan Greene MD FAAP _______________________________ STANDARD 6.017 attendance of children with unspecified respiratory tract infection Children without fever who have mild symptoms associated with the common cold, sore throat, croup, bronchitis, rhinitis (runny nose), or otitis media (ear infection) shall not be denied admission to child care, sent home from child care, or separated from other children in the facility unless their illness is characterized by one or more of the following conditions: a) The illness has a specified cause that requires exclusion, as determined by other specific performance standards in Child Inclusion/Exclusion/Dismissal, STANDARD 3.065 through STANDARD 3.068; b) The illness limits the child's comfortable participation in child care activities; c) The illness results in a need for more care than the staff can provide without compromising the health and safety of other children. Treatment with antibiotics shall not be required or otherwise encouraged as a condition for attendance of children with mild respiratory tract infections unless directed by local health authorities. RATIONALE: The incidence of acute diseases of the respiratory tract, including the common cold, croup, bronchitis, pneumonia, and otitis media, is high in infants and young children, whether they are cared for at home or attend out-of-home facilities (23). Studies suggest that children who attend child care facilities have a significantly higher risk of upper and lower respiratory tract infections compared to children who are cared for at home and that infants and young children in child care have a higher incidence of these infections when they first begin to attend child care (24, 25, 26). Children, 3 years of age and younger, experience an average of 5 to 10 respiratory tract infections each year, most of which are not severe and are caused by viruses that infect the respiratory tract (27). There is no evidence that the incidence of most acute diseases of the respiratory tract can be reduced among children in child care by any specific intervention other than routine sanitation and personal hygiene. Exclusion of ill children from the facility has not been found of value in preventing common respiratory infections. [Ссылки доступны только зарегистрированным пользователям ]
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#43
26.01.2007, 22:13
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ну вот
 вышли в сад сразу после болезни, прошло 4 дня и опять заболели сегодня пятница, все та же картина-сопли,кашель, красное горло, тем-ры нет,но радует, что ребенок играет, бегает,активный. По рекомендации выше в сад не пошли,промываем носик аквамарисом и поим обильно, мы все правильно делаем? Насчет 2-х недель отдыха,это конечно хорошо, но к сожалению маме надо работать Не буду спорить, но: насчет открещивания от старых традиций, а разве проба Манту не устарела, есть же анализ кот. позволяет выявить возбудителя?
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#45
26.01.2007, 22:33
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Линейный вид
