Tuberculosis outbreak in a day care centre: always a risk

A Tuberculosis Outbreak in a Private-Home Family Child Care Center in San Francisco, 2002 to 2004

“…[9][10][11][12][13][14] In this outbreak involving very young children, child-to-child or child-to-adult transmission of TB was thus unlikely. M tuberculosis transmission in child care centers has been reported rarely, 6,15 but this outbreak demonstrated that child care centers should be considered and investigated as potential sites of exposure when children are identified as having TB infection. In California, licensure requirements for child care facilities include annual TB screening of adults who work or live at the facility.…”

Primary Tuberculosis Infection in 35 Children at a Swedish Day Care Center

“…7 The high proportion of infected children in the Young Group, 83%, is comparable to what was previously seen within households and in a day care center outbreak. 8,9 It implies that the contact between care providers and children at a day care center is at the same risk level for transmission as within a household setting. If a center is used by more children, parents, and staff than it was originally designed for, this risk is often higher.…”