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Appendices

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Section 2. Recommendations for Care of Children in Special Circumstances

School Health

Infections Spread by the Respiratory Route

Some pathogens that cause severe lower respiratory tract disease in infants and toddlers, such as respiratory syncytial virus, are of less concern in healthy school-aged children. Respiratory tract viruses, however, are associated with exacerbations of reactive airway disease and an increase in the incidence of otitis media and can cause significant complications for children with chronic respiratory tract disease, such as cystic fibrosis, or for children who are immunocompromised.

Influenza virus infection is a common cause of febrile respiratory tract disease and school absenteeism. Annual influenza immunization should be administered to children 6 months through 18 years of age and to all eligible close contacts of children 0 through 59 months of age and contacts of children 5 through 18 years of age who have an underlying medical condition that predisposes them to influenza complications (see Influenza Vaccine, p 405).

Mycoplasma pneumoniae causes upper and . . . [Go to Full Text]


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