Protect children from viruses, dirt and the like!
I received an interesting question from a mum. Namely: How can you, or to what extent do you have to avoid possible disease transmission to children in everyday life? Note in advance: We are making this generalised here, i.e. independent of coronavirus. Because it's clear that sensitivity to the transmission of infection is extremely high at the moment. But I think the question is generally important and will therefore be answered accordingly.
My first point is to leave the church in the village when it comes to this topic. It is not possible to live everyday life with children in such a way that there is no exchange of viruses, that children do not come into contact with dirt and grime. In fact, there is no need to avoid this at all, because it is actually good for children to have to work on their immune defences. This is good training for the immune system, comparable to muscle training with dumbbells. Children should and may have contact with pathogens.
Nevertheless, there are of course points that need to be considered. An important one is that the transmission of caries bacteria from adults to children should be avoided as far as possible. Licking the dummy and then putting it in the child's mouth or always licking the child's spoon is absolutely not advisable. And of course, if you as an adult have an infectious disease, for example a gastrointestinal infection, then you should try to stay away from the child as much as possible.
Another issue that often arises in practice is herpes. Herpes viruses are not entirely unproblematic in newborns in the first four weeks, but transmission is less problematic later on. However, here and with other specific clinical pictures, it is advisable to discuss the issues of infectivity and transmission specifically with your paediatrician.
Then there are two more points that are important to me, which have nothing directly to do with disease transmission. Rather, it's about how we treat our children. To choose a classic example: The aunt who storms into the house and then rubs the children down from top to bottom is perhaps not so much a problem from an infectiological point of view. It's more about accepting and recognising that every child has their own individual need for more or less closeness and touch. As parents, we have to keep asking ourselves whether it is not overbearing what we are asking the child to do if they are given a lot of closeness that they may not want.
The second point is that the older children get, the more they develop their own need for hygiene. A good example is drinking from a bottle together. One person finds this completely unproblematic, the other finds it unhygienic, uncool and simply doesn't like it. This should be taken into consideration.
To summarise: Stay relaxed in everyday life, but pay attention to the needs of the individual family members.
Further interesting tips
U3 provision
A topic for new parents or people who are about to become parents: the U3 check-up. This is usually the first check-up that takes place at the paediatrician's practice. The U1 is actually always carried out in the hospital or maternity centre, and the U2 usually takes place there too.
Bark/ground lichen
A small and also a little bit disgusting clinical picture, which does not occur so rarely, is bark lichen. How do you recognise it and how is it treated?
Worms
Something from the disgusting box again today. It's about worms. This is actually a very, very common story in small children - and often causes a lot of disgust in the children concerned and their families, even though the whole thing is a fairly harmless story from a medical point of view.