Evidence map›Paper›PMID 29716545›Full record

SynthesisBMC infectious diseases2018

Management and control of communicable diseases in schools and other child care settings: systematic review on the incubation period and period of infectiousness.

Ida Czumbel, Chantal Quinten, Pierluigi Lopalco, Jan C Semenza, ECDC expert panel working group

Abstract readSystematic Review
In one paragraph

Synthesis in BMC infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Daily Temperatures and Child Hospital Admissions in Aotearoa New Zealand: Case Time Series Analysis.International journal of environmental research and public health · 2024
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Chickenpox in an elderly man.Canadian family physician Medecin de famille canadien · 2020
    Article
  13. COVID-19 versus seasonal influenza 2019-2020: USA.Wiener klinische Wochenschrift · 2020
    Article
  14. Article
  15. Article
  16. Activating Childcare Environments for All Children: the Importance of Children's Individual Needs.International journal of environmental research and public health · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ida CzumbelEuropean Centre for Disease Prevention and Control, Solna Municipality, Sweden.
Chantal QuintenEuropean Centre for Disease Prevention and Control, Solna Municipality, Sweden.
Pierluigi LopalcoEuropean Centre for Disease Prevention and Control, Solna Municipality, Sweden.
Jan C SemenzaEuropean Centre for Disease Prevention and Control, Solna Municipality, Sweden. Jan.Semenza@ecdc.europa.eu.
ECDC expert panel working group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInformation on the incubation period and period of infectiousness or shedding of infectious pathogens is critical for management and control of communicable diseases in schools and other childcare settings.

methodsWe performed a systematic literature review (Pubmed and Embase) to identify and critically appraise all relevant published articles using incubation, infectiousness or shedding, and exclusion period as parameters for the search. No language, time, geographical or study design restrictions were applied.

resultsA total of 112 articles met the eligibility criteria. A relatively large number were retrieved for gastrointestinal diseases and influenza or respiratory syncytial virus, but there were few or no studies for other diseases. Although a considerable number of publications reported the incubation and shedding periods, there was less evidence concerning the period of infectiousness. On average, five days of exclusion is considered for measles, mumps, rubella, varicella and pertussis. For other diseases, such as most cases of meningococcal disease, hepatitis A and influenza exclusion is considered as long as severe symptoms persist. However, these results are based on a diverse range of study characteristics, including age, treatment, vaccination, underlying diseases, diagnostic tools, viral load, study design and definitions, making statistical analysis difficult.

conclusionsDespite inconsistent definitions for key variables and the diversity of studies reviewed, published data provide sufficient quantitative estimates to inform decision making in schools and other childcare settings. The results can be used as a reference when deciding about the exclusion of a child with a communicable disease that both prevents exposure and avoids unnecessary absenteeism.

Indexed as

Infectious Disease Incubation PeriodAdolescentChickenpoxChildChild CareChild, PreschoolCommunicable Disease ControlCommunicable DiseasesHepatitis AHumansInfantInfluenza, HumanMeaslesMumpsRubellaSchoolsInfectious diseasesMeaslesMumpsPertussisRubellaVaricella

Identifiers

PMID29716545
PMCPMC5930806

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.