Exanthema Subitum (Roseola Infantum)

Barenberg, Louis H.; Greenspan, Leon

doi:10.1001/archpedi.1939.01990100065007

Cited by 6 publications

(4 citation statements)

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“…The inclusion of asymptomatic cases or in some contexts, low levels of exposure with poor hygiene standards could have prolonged the length of the incubation period [ 29 ]. When the incubation period was not available for diseases, serial intervals were retrieved [ 28 , 38 ]. For highly infectious diseases such as measles or diseases with asymptomatic onset such as hepatitis A in settings with frequent contact between subjects, serial interval is likely to be a good approximation for the incubation period [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2018

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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.

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