Table 1 Design of the KIzSS sentinel surveillance network

Numerator Denominator Data

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Numerator Denominator Data

Number of syndromic episodes Child/staff-weeks at risk

Number of positive samples Number of fecal samples

Demographics

Children attending, capacity, group structure, child/caregiver ratio, s, degree of urbanization, religious background etc.

Demographics

Date of birth, gender, co-morbidity

Date of birth, gender, date of sampling

Symptoms

Fever, ear ache, runny ear, diarrhea, vomiting, coughing, exanthema, other symptoms

Escherichia, Salmonella, Shigella, Campylobacter, Clostridium

Facility design

Presence of sandpit, paddling pool, toilet, sink, nappy changing area, paper towels, animals etc.

Syndromes

Chicken pox, impetigo, common cold, eye infection, otitis media, gastroenteritis, influenza-like illness, other syndromes

Norovirus, Sapovirus, Rotavirus, Adenovirus, Astrovirus

Hygiene policy

Hand/food hygiene, group/staff mixing, hand washing/cleaning policies, covering sandpits/pools etc.

Morbidity

Duration of illness, absenteeism, exclusion, medical consultation, hospital admission, medication

Giardia, Cryptosporidium, Dientamoeba

Surveillance and control

Documentation of illness, co-morbidity, medication use, cohorting/exclusion, public health notification etc.

Diarrhea, vomiting

Population at risk

Number of attending children Number of attending staff

Standard panel of 14 antibiotics and ESBL producing bacteria

Reporting

Per DCC By DCC manager Using questionnaire Via mail Every two years

Reporting

Per child/staff member By DCC staff member Using paper and/or digital logbook Via internet Daily (numerator)/weekly (denominator)

Per child By DCC staff member Using feces envelope Via mail Every month