![]() This statement is directed to physicians who care for children in general paediatric office settings. It discusses published recommendations and areas of controversy, and provides suggestions and recommendations based on professional opinion. This document updates the Canadian Paediatric Society position statement published in 2008. Published recommendations specific to physicians’ offices are sparse, imprecise in some areas, and may be difficult to implement –. However, the risk of acquiring infection in ambulatory care settings, and the efficacy and feasibility of infection control measures in these settings, are unknown. There is a large body of data on infections acquired by children admitted to hospital, and there are established infection control protocols to reduce the risk of infection in hospital. Preventing transmission of infection in the physician’s office is an important component of patient care and is of concern to health care providers, patients and parents. Behavioural characteristics, such as incontinence or inadequate hygiene, frequent mouthing of hands and toys or other objects, drooling and direct contact among children during play, facilitate the spread of infection. In places where young children gather, close proximity of large numbers of infectious and susceptible hosts favours transmission. They frequently harbour infectious organisms and may shed pathogens, especially respiratory and gastrointestinal viruses, even when asymptomatic. Young children readily acquire and transmit infections. Keywords: Ambulatory Infection control Infection transmission Paediatric office Personnel should be adequately immunized, and those infected should follow work-restriction policies. Prevention includes appropriate office design and administrative policies, triage, routine practices for the care of all patients (e.g., hand hygiene use of gloves, masks, eye protection, and gowns for specific procedures adequate cleaning, disinfection, and sterilization of surfaces and equipment, including toys and aseptic technique for invasive procedures), and additional precautions for specific infections. This document discusses routes of transmission of infection and the principles of current infection control measures. Transmission of infection in the paediatric office is an issue of increasing concern. Moore Canadian Paediatric Society, Infectious Diseases and Immunization Committee
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