Infectious Diseases

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This year, for the first time, the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics have issued a statement that yearly influenza immunization for infants 6 to 23 months of age "is encouraged when feasible."

Many families feel that pediatricians just don't listen when they try to voice concerns about vaccines. Our recommendation: Identify each family's specific issues, target your response accordingly, and use a nonconfrontational approach. Time-consuming lectures on big subjects like immunology generally aren't needed.

Arthritis can be caused by a range of viruses or other infectious agents, or develop in the wake of an enteric, genitourinary, or respiratory tract infection. Knowing the possible causes and typical signs and symptoms of infection-related arthritides helps make the diagnosis.

As the day-care population grows, so does the need to protect both children and staff from infectious diseases. This concise overview summarizes how different infections spread, who's at risk, and the policies and procedures needed to control infection without excluding children from day care unnecessarily.