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Table 3 Ambiguities with the handling of ill children as reported by Swiss CCC directors

From: Temporary exclusion of ill children from childcare centres in Switzerland: practice, problems and potential solutions

Description of the ambiguous situation %a AAP?b
Conjunctivitis 23.7  
 Not specified 8.4 Yes
 Unclear when or for how long conjunctivitis is contagious 5.6 No; MK
 Differentiation between infectious and non-infectious conjunctivitis 4.4 Yes
 Parents want to bring the child without seeing a doctor first 1.6 Yes
 Parents insist on conjunctivitis not being contagious 1.6 No; PC
 Different doctors give different recommendations 1.2 No; CWP
Antipyretic drugs 22.9  
 If a feverish child has received antipyretic drugs and is increasingly ill, as the effect is fading 13.3 No; IL
 Parents administer antipyretic drugs without informing us 12.4 No; IL
 Not specified 3.2 No; IL
 Parents insist on inclusion after use of antipyretic drugs 2.8 No; IL
 Parents want us to administer antipyretic drugs 0.8 No; IL
Rashes 16.5  
 We cannot gauge the cause 6.0 No; MK
 Not specified 3.6 Yes
 Chickenpox; parents want to bring children before all lesions are dry 3.2 Yes
 Hand foot and mouth disease 1.6 Yes
Teething 10.4  
 We are not sure, if teething causes illness, diarrhoea or fever 5.2 No; IL
 Parents insist on teething causing illness, diarrhoea or fever 3.2 No; IL
 Not specified 2.0 No; IL
Fever 10.0  
 If the child is ill, but does not have fever; or vice versa 5.6 Yes
 If the child had fever in the past 24 h, but is well now 3.6 Yes
 Not specified 1.6 Yes
Vomiting 5.6  
 Parents insist on inclusion or find excuses like eating too much 2.4 No; PC
 Vomiting only once 1.6 Yes
 Not specified 0.8 Yes
Diarrhoea 5.2  
 Parents insist on inclusion or do not think it is diarrhoea 2.0 No; PC
 Not specified 1.2 Yes
 Child has diarrhoea, but is normally active 0.8 Yes
 Only one unformed stool 0.8 Yes
Other 24.9  
 If exclusion criteria are met, but there is no alternative care available 5.2 No; OAC
 Common cold 4.8 Yes
 Parents give us wrong or incomplete information 3.6 No; PC
 Child is uncomfortable without any obvious reason 2.8 Yes
 Parents do not have the same perception of when a child is ill 2.8 No; PC
 If we think a child should be excluded, but the paediatrician does not 2.4 No, CWP
 Parents call us in the morning to ask whether we care for their ill child 1.2 No; PC
 If one of our attendees’ family members has an infectious disease 1.2 Yes
 Lice 1.2 Yes
 Oral infections 0.8 Yes
 Different doctors give different recommendations 0.8 No; CWP
 Suspicion of contagious diseases 0.8 No; MK
  1. This table integrates answers to survey questions 1) and 2), as mentioned in Methods
  2. athe sum of the percentages of the subcategories may not be equal to the total percentage of the category, due to (i) once-only mentions not described in the table but counted for the category’s total percentage and (ii) directors who stated several ambiguities (subcategories) within one category
  3. bProcedure provided by the AAP guideline? If not: What is the issue underlying this ambiguity? Possible answers, if the AAP guideline does not state a procedure: Information lacking in the current AAP guideline (IL), parental communication (PC), medical knowledge (MK), organization of alternative care (OAC), collaboration with paediatricians (CWP)