Cited by 45Infection Control in HealthcarePediatric health and respiratory diseasesInfection Control and Ventilation

The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.

Effect of cleaning and disinfection of toys on infectious diseases and micro-organisms in daycare nurseries

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Ibfelt, T., Engelund, E.H., Schultz, A.C., Andersen, L.P.·2015·Journal of Hospital Infection

Abstract

Background The rising number of children in daycare nurseries increases opportunities for the transmission of infectious diseases. Pathogens may be transmitted directly from child to child via sneezing, coughing and touching, or indirectly via the environment. Toys are among the fomites with the highest pathogen load, but their role in disease transmission is unknown.Aim To determine if washing and disinfection of toys can reduce sickness absence and microbial pathogen load in the nursery environment.Methods Twelve nurseries (caring for 587 children) were randomized to intervention and control groups. The intervention consisted of washing and disinfection of toys and linen every two weeks for three months by a commercial cleaning company. The extent and causes of sickness absence among the children were recorded in both groups before and after introduction of the intervention. Ten sampling points in each nursery were examined for bacteria and respiratory viruses.Results The presence of respiratory virus DNA/RNA was widespread, but very few pathogenic bacteria were found in the environment. The intervention reduced the presence of adenovirus [odds ratio (OR) 2.4, 95% confidence interval (CI) 1.1-5.0], rhinovirus (OR 5.3, 95% CI 2.3-12.4) and respiratory syncytial virus (OR 4.1, 95% CI 1.5-11.2) compared with the control group, but the intervention had no effect on sickness absence or disease patterns in the nurseries.Conclusion Although cleaning and disinfection of toys every two weeks can decrease the microbial load in nurseries, it does not appear to reduce sickness absence among nursery children.

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Metadata

Authors
Ibfelt, T., Engelund, E. H., Schultz, A. C., & Andersen, L. P.
Affiliations
  • Copenhagen University Hospital (DK)
  • DHI (DK)
  • Technical University of Denmark (DK)
Corresponding author
Ibfelt, T.
Venue
Journal of Hospital Infection
Publisher
Elsevier BV
Published
2015-02
Volume
89
Issue
2
Pages
109-115
ISSN
0195-6701 (ISSN-L)
OpenAlex
W2063246956
Cited by
45
References
29
Citations by year
2026: 3 · 2025: 2 · 2024: 5 · 2023: 3 · 2022: 8 · 2021: 2 · 2020: 8 · 2019: 2 · 2018: 2 · 2017: 5 · 2016: 3 · 2015: 2
FWCI
2.34
Type
journal article
Language
en
Open access
Locations
  • Journal of Hospital Infection (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Technical University of Denmark, DTU Orbit (Technical University of Denmark, DTU) (submittedVersion)
Funders
  • Ministeriet for Forskning Innovation og Videregående Uddannelser
  • Rigshospitalet
Topics
  • Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric health and respiratory diseases
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Infection Control and Ventilation
Keywords
infectious disease transmission, fomites, respiratory viruses, adenovirus, rhinovirus, respiratory syncytial virus
MeSH terms
Bacteria, Bedding and Linens, Child Day Care Centers, Child, Preschool, Disinfection, Environmental Microbiology, Humans, Infant, Nurseries, Infant, Play and Playthings, Viruses, Community-Acquired Infections

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