Baby

ENTchild: drooling

​

Drooling happens when your child is unable to control what happens to the saliva in the mouth. The problem usually isn’t too much saliva, the usual problem is that your child isn’t able to control the saliva that is there.

​

Drooling is common and normal in children under the age 2, because at that stage they have’t yet developed sufficiently to learn to control their mouth, tongue and swallowing well enough to control the saliva. Drooling can also affect children with neurological problems such as cerebral palsy, or those with developmental delay.

​

What should I do if I am concerned about drooling?

​

In the first instance, talk to your GP or your paediatrician. The important things to determine are:

-Is there an acute problem that has suddenly caused drooling in a child that is unwell (for example, tonsillitis could cause it)

-Is there a cause for drooling (for example delayed development, neuromuscular weakness or coordination problems, inability to close mouth due to blocked nose). Your GP might need to ask a paediatrician to review the child to look for any problems

​

What treatment is available in children that are otherwise-healthy?

​

In children that don’t have any other health problems to account for long-standing drooling, a period of observation is usually helpful. Drooling usually just settles over time.

​

Working with a speech and language therapist will be useful. They will assess your child’s mouth and tongue movement and swallowing, and provide exercises to teach your child how to gain control over the saliva.

​

Medication can be used to dry the flow of saliva. However, this can lead to dry mouth, which isn’t pleasant for the child. In addition, the antibacterial effectiveness of saliva is then also removed, which may predispose to tooth decay.

​

Surgery would be considered only in exceptional circumstances. Usually, a major contributing factor for drooling is the presence of large adenoids and tonsils, which interfere with the child’s ability to breathe with their mouth closed. If your child constantly has their mouth open because otherwise they can’t breathe, then saliva escapes through the mouth. Removal of tonsils and adenoids therefore would be one of the options for drooling management. However, because drooling often just gets better as the child gets older, surgery shouldn’t be undertaken lightly. An additional problem is the fact that NHS at present would probably not fund tonsil and adenoid surgery for drooling.

​

What treatment is available in children with neurological problems?

 

Children with neurological problems may be affected by drooling, which can have a significant impact on their quality of life. Again, working with a speech and language therapist is important. Medication is likely to play a role. It is also worth looking at your child’s posture, and seeing whether posture or seating modification could alter how saliva flows.

​

Removal of tonsils and adenoids may be suitable for some, but there are also other options available to reduce saliva flow, such as botox and surgery.

​

Botox

​

Botox injections into saliva glands can reduce the flow of saliva. However, the effect is temporary, and has to be repeated. Many children require a general anaesthetic for the injection, so this would mean repeat general anaesthetics. Botox injections are also not as simple to do as it may seem, and in fact there is the potential for significant problems in swallowing as a result of the injection.

​

Submandibular duct relocation

​

If your child has a safe swallow, then submandibular duct relocation would be an option. This operation moves the submandibular gland duct drainage from the front of the mouth to the back of the throat. So instead of saliva appearing at the front, it appears at the back, and the child therefore finds it easier to swallow the saliva rather than drool.

 

The procedure is not suitable for children who aspirate and have an unsafe swallow, because diversion of salivary flow to the back of the throat will increase the risk of aspiration.

 

Also, some surgeons find that operating on the very delicate salivary ducts is a challenge, and believe that in fact all that surgery achieves is to block off the salivary glands. In other words, surgery doesn’t work because saliva is diverted, it works because it has closed and blocked the flow of saliva. So those surgeons may suggest that rather than relocating the submandibular ducts, we may as well just stitch them closed. The downside of that is that because we create a block in the flow of saliva the glands swell up after surgery and are painful usually for a week or more.

​

The benefit of duct relocation is that saliva flow is preserved, so your child keeps the beneficial effects that saliva provides. If you remove the saliva glands, you remove the beneficial effect of saliva.

​

Submandibular gland excision

​

Removal of submandibular glands is another option. This is done from the outside, so a scar on each side of the neck will be required. Removal of the submandibular glands reduces the flow of saliva, and aspiration isn’t a risk, neither is significant pain. However, this surgery requires external scars, and there is a small chance of injury to the nerves of tongue and mouth.

​

What about other salivary glands?

​

You will note that so far we have largely talked about the submandibular glands, but the body has other salivary glands also. The submandibular glands produce the vast bulk of saliva that is present on a constant basis. The parotid glands tend to produce more saliva just in response to feeding. So for drooling, we need to address the salivary flow that is there all the time, and that means focusing on the submandibular glands. We may however also often look at reducing the flow from the parotid glands, which would typically involve blocking off the parotid duct to stop salivary flow. We do not advise surgical removal of the parotid glands because surgery would be unlikely to lead to major reduction in drooling and could lead to weakness of the nerve that moves the face. As you might expect, surgery to block of the parotid salivary ducts is likely to lead to painful swelling for a week or more. 

​

Keeping some saliva production is a good thing, because saliva serves important functions. So the goal of surgery isn’t to completely remove saliva flow, it is to reduce the flow to a manageable level.

​

​

You will see that the management of drooling is quite complex. In children that are otherwise-healthy, just waiting for them to get older is usually a good option. For children with neurological problems, working with a multidisciplinary team experienced in drooling management is key.

​

​

​

​

​

Section contributor:

Rachael Lawrence MBBS BSc MRCS

ENT Registrar

​

​

Bacterial Sore Throat: Strep Confirmed (Child)

Sore throat (pharyngitis) is a common condition in children. It can be caused by an infection with the bacterium streptococcus. This is commonly known as strep throat.

Strep throat starts suddenly. Symptoms include a red, swollen throat and swollen lymph nodes, which make it painful to swallow. Red spots may appear on the roof of the mouth or white spots on the tonsils. Some children will be flushed and have a fever. Young children may not show that they feel pain. But they may refuse to eat or drink, or drool a lot.

Testing has confirmed strep throat. Antibiotic treatment has been prescribed. This treatment may be given by injection or pills. Children with strep throat are contagious until they have been taking an antibiotic for 24 hours. 

Home care

Medicines

Follow these guidelines when giving your child medicine at home:

• The healthcare provider has prescribed an antibiotic to treat the infection and possibly medicine to treat a fever. Follow the provider’s instructions for giving these medicines to your child. Make sure your child takes the medicine every day until it’s gone. You should not have any left over. 

• If your child has pain or fever, you can give him or her medicine as advised by the healthcare provider.  

• Don’t give your child any other medicine without first asking the healthcare provider, especially the first time.

• If your child received an antibiotic shot, your child should not need any other antibiotics.

Follow these tips when giving fever medicine to a usually healthy child:

• Don’t give ibuprofen to children younger than 6 months old. Also don’t give ibuprofen to an older child who is vomiting constantly and is dehydrated.

• Read the label before giving fever medicine. This is to make sure that you are giving the right dose. The dose should be right for your child’s age and weight.

• If your child is taking other medicine, check the list of ingredients. Look for acetaminophen or ibuprofen. If the medicine contains either of these, tell your child’s healthcare provider before giving your child the medicine. This is to prevent a possible overdose.

• If your child is younger than 2 years, talk with your child’s healthcare provider before giving any medicines to find out the right medicine to use and how much to give.

• Don’t give aspirin to a child younger than 19 years old who is ill with a fever. Aspirin can cause serious side effects such as liver damage and Reye syndrome. Although rare, Reye syndrome is a very serious illness usually found in children younger than age 15. The syndrome is closely linked to the use of aspirin or aspirin-containing medicines during viral infections.

General care

• Wash your hands with clean, running water and soap before and after caring for your child. This is to help prevent the spread of infection. Others should do the same.

• Limit your child’s contact with others until he or she is no longer contagious. This is 24 hours after starting antibiotics or as advised by your child’s provider. Keep him or her home from school or day care.

• Give your child plenty of time to rest.

• Encourage your child to drink liquids.

• Don’t force your child to eat. If your child feels like eating, don’t give him or her salty or spicy foods. These can irritate the throat.

• Older children may prefer ice chips, cold drinks, frozen desserts, or ice pops.

• Older children may also like warm chicken soup or beverages with lemon and honey. Don’t give honey to a child younger than 1 year old.

• Older children may gargle with warm salt water to ease throat pain. Have your child spit out the gargle afterward and not swallow it. 

• Tell people who may have had contact with your child about his or her illness. This may include school officials and daycare center workers. 

Follow-up care

Follow up with your child’s healthcare provider, or as advised.

When to seek medical advice

Call your child’s healthcare provider right away if any of these occur:

• Fever (see Fever and children, below)

• Symptoms don’t get better after taking prescribed medicine or seem to be getting worse

• New or worsening ear pain, sinus pain, or headache

• Painful lumps in the back of neck

• Lymph nodes are getting larger 

• Your child can’t swallow liquids, has lots of drooling, or can’t open his or her mouth wide because of throat pain

• Signs of dehydration. These include very dark urine or no urine, sunken eyes, and dizziness.

• Noisy breathing

• Muffled voice

• New rash

Call 911

Call 911 if your child has any of these:

• Fever and your child has been in a very hot place such as an overheated car

• Trouble breathing

• Confusion

• Feeling drowsy or having trouble waking up

• Unresponsive

• Fainting or loss of consciousness

• Fast (rapid) heart rate

• Seizure

• Stiff neck

Fever and children

Use a digital thermometer to check your child’s temperature. Don’t use a mercury thermometer. There are different kinds and uses of digital thermometers. They include:

• 
  Rectal. For children younger than 3 years, a rectal temperature is the most accurate.

• 
  Forehead (temporal). This works for children age 3 months and older. If a child under 3 months old has signs of illness, this can be used for a first pass. The provider may want to confirm with a rectal temperature.

• 
  Ear (tympanic). Ear temperatures are accurate after 6 months of age, but not before.

• 
  Armpit (axillary). This is the least reliable but may be used for a first pass to check a child of any age with signs of illness. The provider may want to confirm with a rectal temperature.

• 
  Mouth (oral). Don’t use a thermometer in your child’s mouth until he or she is at least 4 years old.

Use the rectal thermometer with care. Follow the product maker’s directions for correct use. Insert it gently. Label it and make sure it’s not used in the mouth. It may pass on germs from the stool. If you don’t feel OK using a rectal thermometer, ask the healthcare provider what type to use instead. When you talk with any healthcare provider about your child’s fever, tell him or her which type you used.

Below are guidelines to know if your young child has a fever. Your child’s healthcare provider may give you different numbers for your child. Follow your provider’s specific instructions.

Fever readings for a baby under 3 months old:

Fever readings for a child age 3 months to 36 months (3 years):

• Rectal, forehead, or ear: 102°F (38. 9°C) or higher

• Armpit: 101°F (38.3°C) or higher

Call the healthcare provider in these cases:

• Repeated temperature of 104°F (40°C) or higher in a child of any age

• Fever of 100.4° F (38° C) or higher in baby younger than 3 months

• Fever that lasts more than 24 hours in a child under age 2

• Fever that lasts for 3 days in a child age 2 or older

© 2000-2022 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional’s instructions.

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Enterovirus infection in children

Enterovirus infections include a group of diseases. Their specificity is such that lifelong immunity is formed after an infection. However, immunity will only be to the type of virus, the type of which the child has been ill with. Therefore, a child can get sick with an enterovirus infection several times in his life. For the same reason, there is no vaccine for this disease.

Children aged 3 to 10 get sick most often. In breastfed children, there is immunity in the body received from the mother through breast milk, however, this immunity is not stable and quickly disappears after the cessation of breastfeeding.

The virus is transmitted from a sick child or from a child who carries the virus. Viruses are well preserved in water and soil, when frozen they can survive for several years, resistant to disinfectants, but susceptible to high temperatures (when heated to 45ºС, they die in 45-60 seconds).

Route of Virus transmission:

– airborne (when sneezing and coughing with droplets of saliva from a sick child to a healthy one)

– fecal -oral when not comply with personal hygiene rules

– through water, when consuming raw ( not boiled) water

– it is possible to infect children through toys if children take them into their mouths

Symptoms of enterovirus infection

Enterovirus infections have both similar manifestations and different ones, depending on the type. Once in the child’s body, the viruses migrate to the lymph nodes, where they settle and begin to multiply. The incubation period for all enterovirus infections is the same – from 1 to 10 days (usually 2-5 days).

The disease begins acutely – with an increase in body temperature to 38-39º C. The temperature most often lasts 3-5 days, after which it drops to normal numbers. Very often, the temperature has a wave-like course: the temperature stays for 2-3 days, after which it decreases and stays at normal levels for 2-3 days, then rises again for 1-2 days and finally returns to normal. When the temperature rises, the child feels weakness, drowsiness, headache, nausea, and vomiting may occur. With a decrease in body temperature, all these symptoms disappear, but with a repeated increase, they may return. The cervical and submandibular lymph nodes also increase, as viruses multiply in them.

Depending on which organs are most affected, there are several forms of enterovirus infection. Enteroviruses can affect: the central and peripheral nervous systems, oropharyngeal mucosa, eye mucosa, skin, muscles, heart, intestinal mucosa, liver; in boys, testicular damage is possible.

The most severe consequence of enterovirus is the development of serous enteroviral meningitis. It can develop in a child of any age and is recognized by the following signs:

– diffuse headache, the intensity of which increases every hour;

– vomiting without nausea, after which the child does not feel relief;

– increased pain and repeated episode of vomiting may be provoked by a bright light or loud sound;

– the child may be inhibited or, conversely, extremely agitated;

– in severe cases, convulsions of all muscle groups develop;

The final diagnosis of meningitis can only be made by a doctor after a lumbar puncture and examination of the laboratory parameters of the obtained cerebrospinal fluid.

Treatment of enterovirus infection

There is no specific treatment for enterovirus infection. Treatment is carried out at home, hospitalization is indicated in the presence of damage to the nervous system, heart, high temperature, which cannot be reduced for a long time when using antipyretics. The child is shown bed rest for the entire period of fever.

Meals should be light and rich in proteins. A sufficient amount of liquid is needed: boiled water, mineral water without gases, compotes, juices, fruit drinks.

Treatment is carried out symptomatically, depending on the manifestations of the infection. In some cases (tonsillitis, diarrhea, conjunctivitis), bacterial complications are prevented.

Children are isolated for the entire period of illness. In the children’s team may be after the disappearance of all symptoms of the disease.

Prevention of enterovirus infection

For prevention, it is necessary to observe the rules of personal hygiene: wash hands after going to the toilet, walking on the street, drink only boiled water or water from a factory bottle, it is unacceptable to use water from an open source (river, lake) for drinking a child ).

There is no specific vaccine against enterovirus infection, since a large number of serotypes of these viruses are present in the environment.

It is IMPORTANT to consult a doctor at the first signs of the disease, who will determine the treatment tactics!

Diseases of the salivary glands and their ducts causes, symptoms, treatment |

The duties of a dental surgeon, in addition to removing teeth, include monitoring the condition of the salivary glands and removing cystic formations. Patients often come to the clinic with complaints about the viscosity of saliva or its absence, the appearance of pus in the oral cavity, pain when chewing, and the feeling of a foreign body. All this may indicate the presence of a cyst in the salivary gland. This disease is accompanied by specific symptoms and requires surgical treatment.

Causes of neoplasms of the salivary glands

Neoplasms in the salivary gland can occur regardless of age and status. Equally often this problem is faced by young children and the elderly. The main risk factors are changes in the consistency of saliva against the background of systemic diseases of the body. Also, unhealthy diet, non-observance of hygiene rules can provoke a cystic process.

Other common causes of cyst formation:

• traumatic injury with rupture of the duct of the saliva gland, occurs with the ingress of a foreign body or infection, may be both;
• scarring after surgery in the jaw area can provoke a narrowing of the canal, the outflow of saliva is delayed, which causes the disease;
• obstruction of the duct of the salivary gland against the background of thickening of saliva;
• infections coming directly from the oral cavity.

There are several types of diseases of the ducts of the salivary glands.

• Large salivary gland cysts are parotid, sublingual, submandibular;
• Cysts of the parenchyma of the gland.
• Retention and post-traumatic.
• Cysts of minor salivary glands – they are located everywhere under the oral mucosa.

When should I see a dental surgeon?

Once a cyst begins to form, certain symptoms cannot be elicited. But even then, the outflow of saliva begins to be disturbed. Dryness of the mucous membrane, the severity of swallowing may indicate the beginning of the pathological process. Over time, the cyst grows and already creates significant discomfort.

• There is pain at the mere mention of food, that is, at any time when saliva is secreted, the patient feels a sharp pain.
• When palpating, a small round formation can be detected in the region of the large salivary glands.
• Pain is aggravated by talking, eating and mechanical damage to the site in the area of ​​the cyst.

How to detect a cyst in the salivary gland?

Once a patient presents with specific symptoms, the diagnosis must be confirmed before treatment can begin. For this purpose, palpation, examination by a dentist of the oral cavity, laboratory examination of the oral fluid and saliva from the gland are carried out. As additional measures, ultrasound diagnostics and CT are used.

How are salivary gland duct cysts removed?

Some specialists are still trying to defeat salivary duct tumors with conservative methods. But this approach is increasingly futile and only exacerbates the course of the disease. It is better to immediately carry out surgical removal, followed by restorative therapy.

During the operation, the cyst and part of the healthy tissue is removed in order to prevent the risk of recurrence of the disease. The operation is performed under local anesthesia directly in the surgical room of the dental clinic. Removal of the cyst by the surgical method guarantees a complete recovery.

For a speedy recovery, it is necessary to refrain from salty, spicy, sour, solid foods for some time after the operation. Firstly, it will be very painful, and secondly, it can provoke a complication in the form of inflammation with swelling.

If there is a suspicion of a neoplasm in the jaw area, you should immediately contact the clinic. The risk of involuntary rupture of the capsule is increased, which threatens the spread of infection and intoxication of the body. At best, rupture of the cyst will lead to infection of the oral mucosa. Digestive complications may also occur when infected saliva is swallowed. A considerable risk of damage to the respiratory organs, which is associated with their close location.

As a preventive measure, you need to follow hygiene rules, monitor the state of saliva, drink plenty of fluids and undergo regular consultations with the dentist.

If a neoplasm occurs in a child, it should also be taken to a pediatric surgeon for further removal. But in fact, the development of a cyst in a child is a very complex process, and special difficulties arise at the time of treatment.

ENTchild: drooling

​

Drooling happens when your child is unable to control what happens to the saliva in the mouth. The problem usually isn’t too much saliva, the usual problem is that your child isn’t able to control the saliva that is there.

​

Drooling is common and normal in children under the age 2, because at that stage they have’t yet developed sufficiently to learn to control their mouth, tongue and swallowing well enough to control the saliva. Drooling can also affect children with neurological problems such as cerebral palsy, or those with developmental delay.

​

What should I do if I am concerned about drooling?

​

In the first instance, talk to your GP or your paediatrician. The important things to determine are:

-Is there an acute problem that has suddenly caused drooling in a child that is unwell (for example, tonsillitis could cause it)

-Is there a cause for drooling (for example delayed development, neuromuscular weakness or coordination problems, inability to close mouth due to blocked nose). Your GP might need to ask a paediatrician to review the child to look for any problems

​

What treatment is available in children that are otherwise-healthy?

​

In children that don’t have any other health problems to account for long-standing drooling, a period of observation is usually helpful. Drooling usually just settles over time.

​

Working with a speech and language therapist will be useful. They will assess your child’s mouth and tongue movement and swallowing, and provide exercises to teach your child how to gain control over the saliva.

​

Medication can be used to dry the flow of saliva. However, this can lead to dry mouth, which isn’t pleasant for the child. In addition, the antibacterial effectiveness of saliva is then also removed, which may predispose to tooth decay.

​

Surgery would be considered only in exceptional circumstances. Usually, a major contributing factor for drooling is the presence of large adenoids and tonsils, which interfere with the child’s ability to breathe with their mouth closed. If your child constantly has their mouth open because otherwise they can’t breathe, then saliva escapes through the mouth. Removal of tonsils and adenoids therefore would be one of the options for drooling management. However, because drooling often just gets better as the child gets older, surgery shouldn’t be undertaken lightly. An additional problem is the fact that NHS at present would probably not fund tonsil and adenoid surgery for drooling.

​

What treatment is available in children with neurological problems?

 

Children with neurological problems may be affected by drooling, which can have a significant impact on their quality of life. Again, working with a speech and language therapist is important. Medication is likely to play a role. It is also worth looking at your child’s posture, and seeing whether posture or seating modification could alter how saliva flows.

​

Removal of tonsils and adenoids may be suitable for some, but there are also other options available to reduce saliva flow, such as botox and surgery.

​

Botox

​

Botox injections into saliva glands can reduce the flow of saliva. However, the effect is temporary, and has to be repeated. Many children require a general anaesthetic for the injection, so this would mean repeat general anaesthetics. Botox injections are also not as simple to do as it may seem, and in fact there is the potential for significant problems in swallowing as a result of the injection.

​

Submandibular duct relocation

​

If your child has a safe swallow, then submandibular duct relocation would be an option. This operation moves the submandibular gland duct drainage from the front of the mouth to the back of the throat. So instead of saliva appearing at the front, it appears at the back, and the child therefore finds it easier to swallow the saliva rather than drool.

 

The procedure is not suitable for children who aspirate and have an unsafe swallow, because diversion of salivary flow to the back of the throat will increase the risk of aspiration.

 

Also, some surgeons find that operating on the very delicate salivary ducts is a challenge, and believe that in fact all that surgery achieves is to block off the salivary glands. In other words, surgery doesn’t work because saliva is diverted, it works because it has closed and blocked the flow of saliva. So those surgeons may suggest that rather than relocating the submandibular ducts, we may as well just stitch them closed. The downside of that is that because we create a block in the flow of saliva the glands swell up after surgery and are painful usually for a week or more.

​

The benefit of duct relocation is that saliva flow is preserved, so your child keeps the beneficial effects that saliva provides. If you remove the saliva glands, you remove the beneficial effect of saliva.

​

Submandibular gland excision

​

Removal of submandibular glands is another option. This is done from the outside, so a scar on each side of the neck will be required. Removal of the submandibular glands reduces the flow of saliva, and aspiration isn’t a risk, neither is significant pain. However, this surgery requires external scars, and there is a small chance of injury to the nerves of tongue and mouth.

​

What about other salivary glands?

​

You will note that so far we have largely talked about the submandibular glands, but the body has other salivary glands also. The submandibular glands produce the vast bulk of saliva that is present on a constant basis. The parotid glands tend to produce more saliva just in response to feeding. So for drooling, we need to address the salivary flow that is there all the time, and that means focusing on the submandibular glands. We may however also often look at reducing the flow from the parotid glands, which would typically involve blocking off the parotid duct to stop salivary flow. We do not advise surgical removal of the parotid glands because surgery would be unlikely to lead to major reduction in drooling and could lead to weakness of the nerve that moves the face. As you might expect, surgery to block of the parotid salivary ducts is likely to lead to painful swelling for a week or more. 

​

Keeping some saliva production is a good thing, because saliva serves important functions. So the goal of surgery isn’t to completely remove saliva flow, it is to reduce the flow to a manageable level.

​

​

You will see that the management of drooling is quite complex. In children that are otherwise-healthy, just waiting for them to get older is usually a good option. For children with neurological problems, working with a multidisciplinary team experienced in drooling management is key.

​

​

​

​

​

Section contributor:

Rachael Lawrence MBBS BSc MRCS

ENT Registrar

​

​

Bacterial Sore Throat: Strep Confirmed (Child)

Sore throat (pharyngitis) is a common condition in children. It can be caused by an infection with the bacterium streptococcus. This is commonly known as strep throat.

Strep throat starts suddenly. Symptoms include a red, swollen throat and swollen lymph nodes, which make it painful to swallow. Red spots may appear on the roof of the mouth or white spots on the tonsils. Some children will be flushed and have a fever. Young children may not show that they feel pain. But they may refuse to eat or drink, or drool a lot.

Testing has confirmed strep throat. Antibiotic treatment has been prescribed. This treatment may be given by injection or pills. Children with strep throat are contagious until they have been taking an antibiotic for 24 hours. 

Home care

Medicines

Follow these guidelines when giving your child medicine at home:

• The healthcare provider has prescribed an antibiotic to treat the infection and possibly medicine to treat a fever. Follow the provider’s instructions for giving these medicines to your child. Make sure your child takes the medicine every day until it’s gone. You should not have any left over. 

• If your child has pain or fever, you can give him or her medicine as advised by the healthcare provider.  

• Don’t give your child any other medicine without first asking the healthcare provider, especially the first time.

• If your child received an antibiotic shot, your child should not need any other antibiotics.

Follow these tips when giving fever medicine to a usually healthy child:

• Don’t give ibuprofen to children younger than 6 months old. Also don’t give ibuprofen to an older child who is vomiting constantly and is dehydrated.

• Read the label before giving fever medicine. This is to make sure that you are giving the right dose. The dose should be right for your child’s age and weight.

• If your child is taking other medicine, check the list of ingredients. Look for acetaminophen or ibuprofen. If the medicine contains either of these, tell your child’s healthcare provider before giving your child the medicine. This is to prevent a possible overdose.

• If your child is younger than 2 years, talk with your child’s healthcare provider before giving any medicines to find out the right medicine to use and how much to give.

• Don’t give aspirin to a child younger than 19 years old who is ill with a fever. Aspirin can cause serious side effects such as liver damage and Reye syndrome. Although rare, Reye syndrome is a very serious illness usually found in children younger than age 15. The syndrome is closely linked to the use of aspirin or aspirin-containing medicines during viral infections.

General care

• Wash your hands with clean, running water and soap before and after caring for your child. This is to help prevent the spread of infection. Others should do the same.

• Limit your child’s contact with others until he or she is no longer contagious. This is 24 hours after starting antibiotics or as advised by your child’s provider. Keep him or her home from school or day care.

• Give your child plenty of time to rest.

• Encourage your child to drink liquids.

• Don’t force your child to eat. If your child feels like eating, don’t give him or her salty or spicy foods. These can irritate the throat.

• Older children may prefer ice chips, cold drinks, frozen desserts, or ice pops.

• Older children may also like warm chicken soup or beverages with lemon and honey. Don’t give honey to a child younger than 1 year old.

• Older children may gargle with warm salt water to ease throat pain. Have your child spit out the gargle afterward and not swallow it. 

• Tell people who may have had contact with your child about his or her illness. This may include school officials and daycare center workers. 

Follow-up care

Follow up with your child’s healthcare provider, or as advised.

When to seek medical advice

Call your child’s healthcare provider right away if any of these occur:

• Fever (see Fever and children, below)

• Symptoms don’t get better after taking prescribed medicine or seem to be getting worse

• New or worsening ear pain, sinus pain, or headache

• Painful lumps in the back of neck

• Lymph nodes are getting larger 

• Your child can’t swallow liquids, has lots of drooling, or can’t open his or her mouth wide because of throat pain

• Signs of dehydration. These include very dark urine or no urine, sunken eyes, and dizziness.

• Noisy breathing

• Muffled voice

• New rash

Call 911

Call 911 if your child has any of these:

• Fever and your child has been in a very hot place such as an overheated car

• Trouble breathing

• Confusion

• Feeling drowsy or having trouble waking up

• Unresponsive

• Fainting or loss of consciousness

• Fast (rapid) heart rate

• Seizure

• Stiff neck

Fever and children

Use a digital thermometer to check your child’s temperature. Don’t use a mercury thermometer. There are different kinds and uses of digital thermometers. They include:

• 
  Rectal. For children younger than 3 years, a rectal temperature is the most accurate.

• 
  Forehead (temporal). This works for children age 3 months and older. If a child under 3 months old has signs of illness, this can be used for a first pass. The provider may want to confirm with a rectal temperature.

• 
  Ear (tympanic). Ear temperatures are accurate after 6 months of age, but not before.

• 
  Armpit (axillary). This is the least reliable but may be used for a first pass to check a child of any age with signs of illness. The provider may want to confirm with a rectal temperature.

• 
  Mouth (oral). Don’t use a thermometer in your child’s mouth until he or she is at least 4 years old.

Use the rectal thermometer with care. Follow the product maker’s directions for correct use. Insert it gently. Label it and make sure it’s not used in the mouth. It may pass on germs from the stool. If you don’t feel OK using a rectal thermometer, ask the healthcare provider what type to use instead. When you talk with any healthcare provider about your child’s fever, tell him or her which type you used.

Below are guidelines to know if your young child has a fever. Your child’s healthcare provider may give you different numbers for your child. Follow your provider’s specific instructions.

Fever readings for a baby under 3 months old:

Fever readings for a child age 3 months to 36 months (3 years):

• Rectal, forehead, or ear: 102°F (38. 9°C) or higher

• Armpit: 101°F (38.3°C) or higher

Call the healthcare provider in these cases:

• Repeated temperature of 104°F (40°C) or higher in a child of any age

• Fever of 100.4° F (38° C) or higher in baby younger than 3 months

• Fever that lasts more than 24 hours in a child under age 2

• Fever that lasts for 3 days in a child age 2 or older

© 2000-2022 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional’s instructions.

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Enterovirus infection in children

Enterovirus infections include a group of diseases. Their specificity is such that lifelong immunity is formed after an infection. However, immunity will only be to the type of virus, the type of which the child has been ill with. Therefore, a child can get sick with an enterovirus infection several times in his life. For the same reason, there is no vaccine for this disease.

Children aged 3 to 10 get sick most often. In breastfed children, there is immunity in the body received from the mother through breast milk, however, this immunity is not stable and quickly disappears after the cessation of breastfeeding.

The virus is transmitted from a sick child or from a child who carries the virus. Viruses are well preserved in water and soil, when frozen they can survive for several years, resistant to disinfectants, but susceptible to high temperatures (when heated to 45ºС, they die in 45-60 seconds).

Route of Virus transmission:

– airborne (when sneezing and coughing with droplets of saliva from a sick child to a healthy one)

– fecal -oral when not comply with personal hygiene rules

– through water, when consuming raw ( not boiled) water

– it is possible to infect children through toys if children take them into their mouths

Symptoms of enterovirus infection

Enterovirus infections have both similar manifestations and different ones, depending on the type. Once in the child’s body, the viruses migrate to the lymph nodes, where they settle and begin to multiply. The incubation period for all enterovirus infections is the same – from 1 to 10 days (usually 2-5 days).

The disease begins acutely – with an increase in body temperature to 38-39º C. The temperature most often lasts 3-5 days, after which it drops to normal numbers. Very often, the temperature has a wave-like course: the temperature stays for 2-3 days, after which it decreases and stays at normal levels for 2-3 days, then rises again for 1-2 days and finally returns to normal. When the temperature rises, the child feels weakness, drowsiness, headache, nausea, and vomiting may occur. With a decrease in body temperature, all these symptoms disappear, but with a repeated increase, they may return. The cervical and submandibular lymph nodes also increase, as viruses multiply in them.

Depending on which organs are most affected, there are several forms of enterovirus infection. Enteroviruses can affect: the central and peripheral nervous systems, oropharyngeal mucosa, eye mucosa, skin, muscles, heart, intestinal mucosa, liver; in boys, testicular damage is possible.

The most severe consequence of enterovirus is the development of serous enteroviral meningitis. It can develop in a child of any age and is recognized by the following signs:

– diffuse headache, the intensity of which increases every hour;

– vomiting without nausea, after which the child does not feel relief;

– increased pain and repeated episode of vomiting may be provoked by a bright light or loud sound;

– the child may be inhibited or, conversely, extremely agitated;

– in severe cases, convulsions of all muscle groups develop;

The final diagnosis of meningitis can only be made by a doctor after a lumbar puncture and examination of the laboratory parameters of the obtained cerebrospinal fluid.

Treatment of enterovirus infection

There is no specific treatment for enterovirus infection. Treatment is carried out at home, hospitalization is indicated in the presence of damage to the nervous system, heart, high temperature, which cannot be reduced for a long time when using antipyretics. The child is shown bed rest for the entire period of fever.

Meals should be light and rich in proteins. A sufficient amount of liquid is needed: boiled water, mineral water without gases, compotes, juices, fruit drinks.

Treatment is carried out symptomatically, depending on the manifestations of the infection. In some cases (tonsillitis, diarrhea, conjunctivitis), bacterial complications are prevented.

Children are isolated for the entire period of illness. In the children’s team may be after the disappearance of all symptoms of the disease.

Prevention of enterovirus infection

For prevention, it is necessary to observe the rules of personal hygiene: wash hands after going to the toilet, walking on the street, drink only boiled water or water from a factory bottle, it is unacceptable to use water from an open source (river, lake) for drinking a child ).

There is no specific vaccine against enterovirus infection, since a large number of serotypes of these viruses are present in the environment.

It is IMPORTANT to consult a doctor at the first signs of the disease, who will determine the treatment tactics!

Diseases of the salivary glands and their ducts causes, symptoms, treatment |

The duties of a dental surgeon, in addition to removing teeth, include monitoring the condition of the salivary glands and removing cystic formations. Patients often come to the clinic with complaints about the viscosity of saliva or its absence, the appearance of pus in the oral cavity, pain when chewing, and the feeling of a foreign body. All this may indicate the presence of a cyst in the salivary gland. This disease is accompanied by specific symptoms and requires surgical treatment.

Causes of neoplasms of the salivary glands

Neoplasms in the salivary gland can occur regardless of age and status. Equally often this problem is faced by young children and the elderly. The main risk factors are changes in the consistency of saliva against the background of systemic diseases of the body. Also, unhealthy diet, non-observance of hygiene rules can provoke a cystic process.

Other common causes of cyst formation:

• traumatic injury with rupture of the duct of the saliva gland, occurs with the ingress of a foreign body or infection, may be both;
• scarring after surgery in the jaw area can provoke a narrowing of the canal, the outflow of saliva is delayed, which causes the disease;
• obstruction of the duct of the salivary gland against the background of thickening of saliva;
• infections coming directly from the oral cavity.

There are several types of diseases of the ducts of the salivary glands.

• Large salivary gland cysts are parotid, sublingual, submandibular;
• Cysts of the parenchyma of the gland.
• Retention and post-traumatic.
• Cysts of minor salivary glands – they are located everywhere under the oral mucosa.

When should I see a dental surgeon?

Once a cyst begins to form, certain symptoms cannot be elicited. But even then, the outflow of saliva begins to be disturbed. Dryness of the mucous membrane, the severity of swallowing may indicate the beginning of the pathological process. Over time, the cyst grows and already creates significant discomfort.

• There is pain at the mere mention of food, that is, at any time when saliva is secreted, the patient feels a sharp pain.
• When palpating, a small round formation can be detected in the region of the large salivary glands.
• Pain is aggravated by talking, eating and mechanical damage to the site in the area of ​​the cyst.

How to detect a cyst in the salivary gland?

Once a patient presents with specific symptoms, the diagnosis must be confirmed before treatment can begin. For this purpose, palpation, examination by a dentist of the oral cavity, laboratory examination of the oral fluid and saliva from the gland are carried out. As additional measures, ultrasound diagnostics and CT are used.

How are salivary gland duct cysts removed?

Some specialists are still trying to defeat salivary duct tumors with conservative methods. But this approach is increasingly futile and only exacerbates the course of the disease. It is better to immediately carry out surgical removal, followed by restorative therapy.

During the operation, the cyst and part of the healthy tissue is removed in order to prevent the risk of recurrence of the disease. The operation is performed under local anesthesia directly in the surgical room of the dental clinic. Removal of the cyst by the surgical method guarantees a complete recovery.

For a speedy recovery, it is necessary to refrain from salty, spicy, sour, solid foods for some time after the operation. Firstly, it will be very painful, and secondly, it can provoke a complication in the form of inflammation with swelling.

If there is a suspicion of a neoplasm in the jaw area, you should immediately contact the clinic. The risk of involuntary rupture of the capsule is increased, which threatens the spread of infection and intoxication of the body. At best, rupture of the cyst will lead to infection of the oral mucosa. Digestive complications may also occur when infected saliva is swallowed. A considerable risk of damage to the respiratory organs, which is associated with their close location.

As a preventive measure, you need to follow hygiene rules, monitor the state of saliva, drink plenty of fluids and undergo regular consultations with the dentist.

If a neoplasm occurs in a child, it should also be taken to a pediatric surgeon for further removal. But in fact, the development of a cyst in a child is a very complex process, and special difficulties arise at the time of treatment.

ENTchild: drooling

​

Drooling happens when your child is unable to control what happens to the saliva in the mouth. The problem usually isn’t too much saliva, the usual problem is that your child isn’t able to control the saliva that is there.

​

Drooling is common and normal in children under the age 2, because at that stage they have’t yet developed sufficiently to learn to control their mouth, tongue and swallowing well enough to control the saliva. Drooling can also affect children with neurological problems such as cerebral palsy, or those with developmental delay.

​

What should I do if I am concerned about drooling?

​

In the first instance, talk to your GP or your paediatrician. The important things to determine are:

-Is there an acute problem that has suddenly caused drooling in a child that is unwell (for example, tonsillitis could cause it)

-Is there a cause for drooling (for example delayed development, neuromuscular weakness or coordination problems, inability to close mouth due to blocked nose). Your GP might need to ask a paediatrician to review the child to look for any problems

​

What treatment is available in children that are otherwise-healthy?

​

In children that don’t have any other health problems to account for long-standing drooling, a period of observation is usually helpful. Drooling usually just settles over time.

​

Working with a speech and language therapist will be useful. They will assess your child’s mouth and tongue movement and swallowing, and provide exercises to teach your child how to gain control over the saliva.

​

Medication can be used to dry the flow of saliva. However, this can lead to dry mouth, which isn’t pleasant for the child. In addition, the antibacterial effectiveness of saliva is then also removed, which may predispose to tooth decay.

​

Surgery would be considered only in exceptional circumstances. Usually, a major contributing factor for drooling is the presence of large adenoids and tonsils, which interfere with the child’s ability to breathe with their mouth closed. If your child constantly has their mouth open because otherwise they can’t breathe, then saliva escapes through the mouth. Removal of tonsils and adenoids therefore would be one of the options for drooling management. However, because drooling often just gets better as the child gets older, surgery shouldn’t be undertaken lightly. An additional problem is the fact that NHS at present would probably not fund tonsil and adenoid surgery for drooling.

​

What treatment is available in children with neurological problems?

 

Children with neurological problems may be affected by drooling, which can have a significant impact on their quality of life. Again, working with a speech and language therapist is important. Medication is likely to play a role. It is also worth looking at your child’s posture, and seeing whether posture or seating modification could alter how saliva flows.

​

Removal of tonsils and adenoids may be suitable for some, but there are also other options available to reduce saliva flow, such as botox and surgery.

​

Botox

​

Botox injections into saliva glands can reduce the flow of saliva. However, the effect is temporary, and has to be repeated. Many children require a general anaesthetic for the injection, so this would mean repeat general anaesthetics. Botox injections are also not as simple to do as it may seem, and in fact there is the potential for significant problems in swallowing as a result of the injection.

​

Submandibular duct relocation

​

If your child has a safe swallow, then submandibular duct relocation would be an option. This operation moves the submandibular gland duct drainage from the front of the mouth to the back of the throat. So instead of saliva appearing at the front, it appears at the back, and the child therefore finds it easier to swallow the saliva rather than drool.

 

The procedure is not suitable for children who aspirate and have an unsafe swallow, because diversion of salivary flow to the back of the throat will increase the risk of aspiration.

 

Also, some surgeons find that operating on the very delicate salivary ducts is a challenge, and believe that in fact all that surgery achieves is to block off the salivary glands. In other words, surgery doesn’t work because saliva is diverted, it works because it has closed and blocked the flow of saliva. So those surgeons may suggest that rather than relocating the submandibular ducts, we may as well just stitch them closed. The downside of that is that because we create a block in the flow of saliva the glands swell up after surgery and are painful usually for a week or more.

​

The benefit of duct relocation is that saliva flow is preserved, so your child keeps the beneficial effects that saliva provides. If you remove the saliva glands, you remove the beneficial effect of saliva.

​

Submandibular gland excision

​

Removal of submandibular glands is another option. This is done from the outside, so a scar on each side of the neck will be required. Removal of the submandibular glands reduces the flow of saliva, and aspiration isn’t a risk, neither is significant pain. However, this surgery requires external scars, and there is a small chance of injury to the nerves of tongue and mouth.

​

What about other salivary glands?

​

You will note that so far we have largely talked about the submandibular glands, but the body has other salivary glands also. The submandibular glands produce the vast bulk of saliva that is present on a constant basis. The parotid glands tend to produce more saliva just in response to feeding. So for drooling, we need to address the salivary flow that is there all the time, and that means focusing on the submandibular glands. We may however also often look at reducing the flow from the parotid glands, which would typically involve blocking off the parotid duct to stop salivary flow. We do not advise surgical removal of the parotid glands because surgery would be unlikely to lead to major reduction in drooling and could lead to weakness of the nerve that moves the face. As you might expect, surgery to block of the parotid salivary ducts is likely to lead to painful swelling for a week or more. 

​

Keeping some saliva production is a good thing, because saliva serves important functions. So the goal of surgery isn’t to completely remove saliva flow, it is to reduce the flow to a manageable level.

​

​

You will see that the management of drooling is quite complex. In children that are otherwise-healthy, just waiting for them to get older is usually a good option. For children with neurological problems, working with a multidisciplinary team experienced in drooling management is key.

​

​

​

​

​

Section contributor:

Rachael Lawrence MBBS BSc MRCS

ENT Registrar

​

​

Bacterial Sore Throat: Strep Confirmed (Child)

Sore throat (pharyngitis) is a common condition in children. It can be caused by an infection with the bacterium streptococcus. This is commonly known as strep throat.

Strep throat starts suddenly. Symptoms include a red, swollen throat and swollen lymph nodes, which make it painful to swallow. Red spots may appear on the roof of the mouth or white spots on the tonsils. Some children will be flushed and have a fever. Young children may not show that they feel pain. But they may refuse to eat or drink, or drool a lot.

Testing has confirmed strep throat. Antibiotic treatment has been prescribed. This treatment may be given by injection or pills. Children with strep throat are contagious until they have been taking an antibiotic for 24 hours. 

Home care

Medicines

Follow these guidelines when giving your child medicine at home:

• The healthcare provider has prescribed an antibiotic to treat the infection and possibly medicine to treat a fever. Follow the provider’s instructions for giving these medicines to your child. Make sure your child takes the medicine every day until it’s gone. You should not have any left over. 

• If your child has pain or fever, you can give him or her medicine as advised by the healthcare provider.  

• Don’t give your child any other medicine without first asking the healthcare provider, especially the first time.

• If your child received an antibiotic shot, your child should not need any other antibiotics.

Follow these tips when giving fever medicine to a usually healthy child:

• Don’t give ibuprofen to children younger than 6 months old. Also don’t give ibuprofen to an older child who is vomiting constantly and is dehydrated.

• Read the label before giving fever medicine. This is to make sure that you are giving the right dose. The dose should be right for your child’s age and weight.

• If your child is taking other medicine, check the list of ingredients. Look for acetaminophen or ibuprofen. If the medicine contains either of these, tell your child’s healthcare provider before giving your child the medicine. This is to prevent a possible overdose.

• If your child is younger than 2 years, talk with your child’s healthcare provider before giving any medicines to find out the right medicine to use and how much to give.

• Don’t give aspirin to a child younger than 19 years old who is ill with a fever. Aspirin can cause serious side effects such as liver damage and Reye syndrome. Although rare, Reye syndrome is a very serious illness usually found in children younger than age 15. The syndrome is closely linked to the use of aspirin or aspirin-containing medicines during viral infections.

General care

• Wash your hands with clean, running water and soap before and after caring for your child. This is to help prevent the spread of infection. Others should do the same.

• Limit your child’s contact with others until he or she is no longer contagious. This is 24 hours after starting antibiotics or as advised by your child’s provider. Keep him or her home from school or day care.

• Give your child plenty of time to rest.

• Encourage your child to drink liquids.

• Don’t force your child to eat. If your child feels like eating, don’t give him or her salty or spicy foods. These can irritate the throat.

• Older children may prefer ice chips, cold drinks, frozen desserts, or ice pops.

• Older children may also like warm chicken soup or beverages with lemon and honey. Don’t give honey to a child younger than 1 year old.

• Older children may gargle with warm salt water to ease throat pain. Have your child spit out the gargle afterward and not swallow it. 

• Tell people who may have had contact with your child about his or her illness. This may include school officials and daycare center workers. 

Follow-up care

Follow up with your child’s healthcare provider, or as advised.

When to seek medical advice

Call your child’s healthcare provider right away if any of these occur:

• Fever (see Fever and children, below)

• Symptoms don’t get better after taking prescribed medicine or seem to be getting worse

• New or worsening ear pain, sinus pain, or headache

• Painful lumps in the back of neck

• Lymph nodes are getting larger 

• Your child can’t swallow liquids, has lots of drooling, or can’t open his or her mouth wide because of throat pain

• Signs of dehydration. These include very dark urine or no urine, sunken eyes, and dizziness.

• Noisy breathing

• Muffled voice

• New rash

Call 911

Call 911 if your child has any of these:

• Fever and your child has been in a very hot place such as an overheated car

• Trouble breathing

• Confusion

• Feeling drowsy or having trouble waking up

• Unresponsive

• Fainting or loss of consciousness

• Fast (rapid) heart rate

• Seizure

• Stiff neck

Fever and children

Use a digital thermometer to check your child’s temperature. Don’t use a mercury thermometer. There are different kinds and uses of digital thermometers. They include:

• 
  Rectal. For children younger than 3 years, a rectal temperature is the most accurate.

• 
  Forehead (temporal). This works for children age 3 months and older. If a child under 3 months old has signs of illness, this can be used for a first pass. The provider may want to confirm with a rectal temperature.

• 
  Ear (tympanic). Ear temperatures are accurate after 6 months of age, but not before.

• 
  Armpit (axillary). This is the least reliable but may be used for a first pass to check a child of any age with signs of illness. The provider may want to confirm with a rectal temperature.

• 
  Mouth (oral). Don’t use a thermometer in your child’s mouth until he or she is at least 4 years old.

Use the rectal thermometer with care. Follow the product maker’s directions for correct use. Insert it gently. Label it and make sure it’s not used in the mouth. It may pass on germs from the stool. If you don’t feel OK using a rectal thermometer, ask the healthcare provider what type to use instead. When you talk with any healthcare provider about your child’s fever, tell him or her which type you used.

Below are guidelines to know if your young child has a fever. Your child’s healthcare provider may give you different numbers for your child. Follow your provider’s specific instructions.

Fever readings for a baby under 3 months old:

Fever readings for a child age 3 months to 36 months (3 years):

• Rectal, forehead, or ear: 102°F (38. 9°C) or higher

• Armpit: 101°F (38.3°C) or higher

Call the healthcare provider in these cases:

• Repeated temperature of 104°F (40°C) or higher in a child of any age

• Fever of 100.4° F (38° C) or higher in baby younger than 3 months

• Fever that lasts more than 24 hours in a child under age 2

• Fever that lasts for 3 days in a child age 2 or older

© 2000-2022 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional’s instructions.

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Diseases of the salivary glands and their ducts causes, signs, treatment |

The duties of a dental surgeon, in addition to removing teeth, include monitoring the condition of the salivary glands and removing cystic formations. Patients often come to the clinic with complaints about the viscosity of saliva or its absence, the appearance of pus in the oral cavity, pain when chewing, and the feeling of a foreign body. All this may indicate the presence of a cyst in the salivary gland. This disease is accompanied by specific symptoms and requires surgical treatment.

Causes of neoplasms of the salivary glands

Neoplasms in the salivary gland can occur regardless of age and status. Equally often this problem is faced by young children and the elderly. The main risk factors are changes in the consistency of saliva against the background of systemic diseases of the body. Also, unhealthy diet, non-observance of hygiene rules can provoke a cystic process.

Other common causes of cyst formation:

• traumatic injury with rupture of the duct of the saliva gland, occurs with the ingress of a foreign body or infection, may be both;
• scarring after surgery in the jaw area can provoke a narrowing of the canal, the outflow of saliva is delayed, which causes the disease;
• obstruction of the duct of the salivary gland against the background of thickening of saliva;
• infections coming directly from the oral cavity.

There are several types of diseases of the ducts of the salivary glands.

• Cysts of the major salivary glands are parotid, sublingual, submandibular;
• Cysts of the parenchyma of the gland.
• Retention and post-traumatic.
• Cysts of minor salivary glands – they are located everywhere under the oral mucosa.

When should I see a dental surgeon?

Once a cyst begins to form, certain symptoms cannot be elicited. But even then, the outflow of saliva begins to be disturbed. Dryness of the mucous membrane, the severity of swallowing may indicate the beginning of the pathological process. Over time, the cyst grows and already creates significant discomfort.

• There is pain at the mere mention of food, that is, at any time when saliva is secreted, the patient feels a sharp pain.
• Palpation reveals a small round formation in the area of ​​the major salivary glands.
• Pain is aggravated by talking, eating and mechanical damage to the site in the area of ​​the cyst.

How to detect a cyst in the salivary gland?

Once a patient presents with specific symptoms, the diagnosis must be confirmed before treatment can begin. For this purpose, palpation, examination by a dentist of the oral cavity, laboratory examination of the oral fluid and saliva from the gland are carried out. As additional measures, ultrasound diagnostics and CT are used.

How are salivary gland duct cysts removed?

Some specialists are still trying to defeat salivary duct tumors with conservative methods. But this approach is increasingly futile and only exacerbates the course of the disease. It is better to immediately carry out surgical removal, followed by restorative therapy.

During the operation, the cyst and part of the healthy tissue is removed in order to prevent the risk of recurrence of the disease. The operation is performed under local anesthesia directly in the surgical room of the dental clinic. Removal of the cyst by the surgical method guarantees a complete recovery.

For a speedy recovery, it is necessary to refrain from salty, spicy, sour, solid foods for some time after the operation. Firstly, it will be very painful, and secondly, it can provoke a complication in the form of inflammation with swelling.

If there is a suspicion of a neoplasm in the jaw area, you should immediately contact the clinic. The risk of involuntary rupture of the capsule is increased, which threatens the spread of infection and intoxication of the body. At best, rupture of the cyst will lead to infection of the oral mucosa. Digestive complications may also occur when infected saliva is swallowed. A considerable risk of damage to the respiratory organs, which is associated with their close location.

As a preventive measure, you need to follow hygiene rules, monitor the state of saliva, drink plenty of fluids and undergo regular consultations with the dentist.

If a neoplasm occurs in a child, it should also be taken to a pediatric surgeon for further removal. But in fact, the development of a cyst in a child is a very complex process, and special difficulties arise at the time of treatment. A child’s fear of surgery can lead to problematic removal of the cyst. But, given that today dental clinics are sufficiently adapted for a children’s audience, treatment promises to be fast and with a 100% guarantee.

Enteroviral infection in children

Enteroviral infections include a group of diseases. Their specificity is such that lifelong immunity is formed after an infection. However, immunity will only be to the type of virus, the type of which the child has been ill with. Therefore, a child can get sick with an enterovirus infection several times in his life. For the same reason, there is no vaccine for this disease.

Most often, children aged 3 to 10 get sick. In breastfed children, there is immunity in the body received from the mother through breast milk, however, this immunity is not stable and quickly disappears after the cessation of breastfeeding.

The virus is transmitted from a sick child or from a child who is a carrier of the virus. Viruses are well preserved in water and soil, when frozen they can survive for several years, resistant to disinfectants, but susceptible to high temperatures (when heated to 45ºС, they die in 45-60 seconds).

Virus transmission routes:

– airborne (when sneezing and coughing with droplets of saliva from a sick child to a healthy one)

– fecal -oral when not comply with personal hygiene rules

– through water, when consuming raw ( not boiled) water

– it is possible to infect children through toys if children take them in their mouth

Symptoms of enterovirus infection

Enterovirus infections have both similar manifestations and different ones, depending on the type. Once in the child’s body, the viruses migrate to the lymph nodes, where they settle and begin to multiply. The incubation period for all enterovirus infections is the same – from 1 to 10 days (usually 2-5 days).

The disease begins acutely – with an increase in body temperature to 38-39º C. The temperature most often lasts 3-5 days, after which it drops to normal numbers. Very often, the temperature has a wave-like course: the temperature stays for 2-3 days, after which it decreases and stays at normal levels for 2-3 days, then rises again for 1-2 days and finally returns to normal. When the temperature rises, the child feels weakness, drowsiness, headache, nausea, and vomiting may occur. With a decrease in body temperature, all these symptoms disappear, but with a repeated increase, they may return. The cervical and submandibular lymph nodes also increase, as viruses multiply in them.

Depending on which organs are most affected, there are several forms of enterovirus infection. Enteroviruses can affect: the central and peripheral nervous systems, oropharyngeal mucosa, eye mucosa, skin, muscles, heart, intestinal mucosa, liver; in boys, testicular damage is possible.

The most severe consequence of enterovirus is the development of serous enteroviral meningitis. It can develop in a child of any age and is recognized by the following signs:

– diffuse headache, the intensity of which increases every hour;

– vomiting without nausea, after which the child does not feel relief;

– increased pain and repeated episode of vomiting may be provoked by a bright light or loud sound;

– the child may be inhibited or, conversely, extremely agitated;

– in severe cases, convulsions of all muscle groups develop;

The final diagnosis of meningitis can only be made by a doctor after a lumbar puncture and examination of the laboratory parameters of the obtained cerebrospinal fluid.

Treatment of enterovirus infection

There is no specific treatment for enterovirus infection. Treatment is carried out at home, hospitalization is indicated in the presence of damage to the nervous system, heart, high temperature, which cannot be reduced for a long time when using antipyretics.

Page 4 – Top Babysitters

Recent babysitter reviews from local parents

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Babysitters near me

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Background Check

Hi
My name is Milena and I’m professional and experienced nanny with 9 years of experience.
I have finished economic high school 4 years and Polytechnic university of Belgrade, Department of marketing management.
My experience:
July 2013 -August 2022 worked as a nanny in private family home, tookcare for kids from 0 months to 7 years.
I choose to become a nanny because I love children.
I can provide my reference.
My child care responsibilities: Cared for sick children, meal preparation, homework help, bottle feeding, spoon feeding, playing with children, doing laundry, light housekeeping, changing diapers, putting children to bed, burping, supervision in the pool, going to the park, bathing children.
I am responsible and caring, creative, outgoing, punctual, and hardworking….

Milena can also help with: Travel, Light cleaning

Recent review:

She is awesome, very professional and careful with my baby boy. Always punctual, clean and follow the instructions. I’ll recommend her

Reviewed by Sarah C.

Andrea M.

Oceano, CA

$20-35/hr • 6 yrs exp

Reliable And Responsible Babysitter Looking For Occasional Babysitting Jobs

Background Check

COVID VACCINATED
Hello! I’m Andrea. I would love to help you with your babysitting needs!
About myself: I am married with one beautiful kitty. I have my Associates degree in Early Childhood Education and a third year at Cal Poly majoring in Child Development. I have a love for anything Disney,books, arts and crafts and being outside. I have six years of experience with children 3 months to 12 years old and I also have experience with over night sitting and even whole weekends! Please let me know what you need!
I look forward to meeting you and your family :). ..

Andrea can also help with: Carpooling, Travel, Light cleaning

Recent review:

Hired Andrea to watch 5 kids during a wedding (for about 6 hours). Andrea was great with the kids and made sure everyone had a fun, safe time. Would work with again!

Reviewed by Max R.

Courtney B.

Boise, ID

$15-60/hr • 10 yrs exp

Experienced Babysitter And Childcare Worker Looking For Occasional Babysitting Jobs

Background Check

Hello! I’m Courtney and I love working with kids. I am an Early Childhood Special Education Teacher and I absolutely love what I do! Additionally, I have over 10 years of babysitting experience and previously worked in a professional childcare setting for 5 years. I am Pediatric CPR and First-Aidcertified. I have taken care of children ages 1 month and up, and am comfortable with all ages. I am currently accepting occasional evening and weekend jobs. I will have more availability over the spring and summer school breaks. Please don’t hesitate to reach out. I look forward to meeting you!…

Courtney can also help with: Carpooling, Light cleaning

Recent review:

Courtney was amazing with our little guy! They seemed to have a blast and he gave her a giant hug before she left at the end of the day!!! Will definitely hire again!

Reviewed by Caitlin G.

Isabella U.

Highwood, IL

$17-25/hr • 4 yrs exp

Local Babysitter Looking For Part-time, Daily Babysitting Jobs

Background Check

Responsible, Experienced, Punctual, Enthusiastic, Engaging 22-year-old college student available to babysit your Child(ren)
I have experience babysitting kids ages 1-11 and I worked at a daycare for over 4 years and I love to play games and engage kids in fun, safe activities during our timetogether!
References available upon request….

Recent review:

Isabella, is an extraordinary individual who loves to work with children. Her kindness and patience with children are two of the many characteristics that Isabella has. The children adore her because she isalways interacting with them. In addition, Isabella always keeps a safe environment for the children and is a very responsible individual. Isabella takes initiative on doing stuff like feeding the child, changing a diaper, and communicating with a parent….

Reviewed by Erika M.

Alexis L.

Newton, IA

$13-13/hr • 8 yrs exp

Experienced Babysitter Available For Weekdays And Weekend Babysitting Jobs.

Background Check

Hi! My name is Alexis and I’m 19 years old. I just recently got engaged and am very excited! I absolutely love working with kids, and have been babysitting since I was 10 years old. I have babysat/worked with many kids ages ranging from 6 weeks to 11 years. I have taken child development classes inschool. I have my own transportation, I work well with kids and I have many training’s with understanding them not only as a person but as a whole. I have volunteered with children in the past and I have worked at a studio teaching children dance. I am a mandatory reporter, I also have my CDA. I love pets: I have a dog named Asher and a kitty named Hercules. I also love to cook, swim, play games, watch movies, etc. I’m really excited to meet with you!…

Alexis can also help with: Carpooling, Light cleaning, Travel

Recent review:

Alexis was punctual and dependable. Our kids had a great time with her.

Reviewed by Rachel P.

Brooke P.

Everett, WA

$25-27/hr • 10 yrs exp

Experienced Babysitter Available For Weeknight And Weekend Babysitting Jobs.

Background Check

Hello, My name is Brooke! I have been working full time as a family resource coordinator for a local early intervention organization to provide support and guidance to caregivers in their process of supporting their child’s development. I am taking a break as I begin a social work masters program atUW this year.
Its important to me to take the time to get to know each family I work with in order to meet their individual needs. I enjoy working with children from a learning orientation to nourish their interests and talents. Everything can be a learning experience with the right attitude and a creative outlook!
I’m available for PART-time nannying, and evening and weekend care. I live in Everett and am open to care in Seattle on the days I am there for class (Thursday). I love working with young kids and infants. If you feel like we might be a good fit, please reach out! References upon request….

Brooke can also help with: Light cleaning, Carpooling, Travel

Recent review:

Brooke is a genuinely caring and kind person. She always exhibited patience and attentiveness with our boys that exceeded our expectations. We thoroughly enjoyed the peace we had leaving our little ones in hercare and couldn’t give her a higher recommendation….

Reviewed by Heather Scherie M.

Linda C.

Ocean View, NJ

$15-25/hr • 5 yrs exp

Experienced Babysitter Available For Weeknights And Weekend Babysitting Jobs

Background Check

I am a graduate from Stockton University with a Bachelors Degree in Elementary Education, so I am capable/able to tutor your child/children. I understand education is a little crazy right now with virtual learning, so I am happy to help your child/children with homework and online schoolwork. I haveworked in a Daycare setting for over 5 years, working with children from age 0 to age 14. I have over 4 years of experience volunteering with disabled children on horseback. My goal is to be a Special Education teacher just like my mother! I am also a huge animal lover. I have three dogs and one horse myself! I am a fun, dedicated, passionate, and patient worker with a great love for all children and animals!…

Linda can also help with: Travel, Carpooling, Light cleaning

Lisa D.

Canoga Park, CA

$15-25/hr • 5 yrs exp

Part-Time And Or Full-Time Babysitter. I Am Willing To Babysit For Up To 3 Children

Background Check

A friendly and disciplined individual with 5+ years extensive experience in nurturing and developing children of different ages. Detail-oriented with strong analytical skills and a demonstrated ability to make a positive change in the lives of children. Well-versed in making children schedules,managing development problems and monitoring the safety and well-being of children. In-depth knowledge of age appropriate nutritional needs. KEY QUALIFICATIONS CPR and First Aid Certified Clean medical and criminal background Valid driver’s license with excellent driving record….

Recent review:

I’ve sat down to write this multiple times, but I’m always afraid it just won’t express how absolutely WONDERFUL Lisa is! So here goes – you won’t regret hiring her!
Lisa has been watching our twin girlssince they were newborns, and she has been an absolute lifesaver. The best parent’s assistant you could ask for. She is fantastic with our babies (who just adore her) and loves them as if they were her own. She is gentle, calm, loving and patient. I love how she’s always coming up with new games or activities with them as they grow, and she is always willing to try whatever new methods or changes we have for the girls.
She fits in really well with our laid-back personalities, but I know she’d be great in any household, and would get along great with anyone (she’s met both my in-laws and my parents, and has charmed them all!).
Lisa is incredibly easy to communicate with – I consider this to be a huge priority, since life with kids is so hectic. Lisa gets that we’re busy, and she’s always a phone call or text away. She responds so promptly, and is nearly always available for last-minute scheduling. She’s seriously been our life-saver on more than one occasion!…

Reviewed by Emily T.

Background Check

I’ve been babysitting for about 10 years now. I am a recent graduate of Towson University with a B. S. in Sociology. Interested in getting my Master’s degree in social work. I was a summer camp counselor for St. Mary’s County Recreation & Parks in 2017. Genuinely love kids and cant wait to speak toyou about assisting you with child care….

Recent review:

She is so great with my son. We even have her stay over night so we can have a weekend away. I recommend her. A lot.

Reviewed by Karen D.

Alison N.

Champaign, IL

$18-25/hr • 9 yrs exp

Babysitter Available For Early Morning, Weeknight, And Weekend Babysitting Jobs

Background Check

I am currently a Research Scientist at the University after having graduated in May. I am available for early morning, weeknights in the evenings, as well at most times during the weekend. I am caring, outgoing, energetic, and ready to have fun! I’m a strong student who would love to help out thelittle ones with any school related work and would also be ready to play games and relax. I’m an avid cooker and baker, so meals would not be a problem. In the past, I have cared for a little girl from an infant to 5 years old. Recently I have babysat repeatedly for a family with three girls: A 4-year-old, 9-year-old, and an 11-year-old. My most recent jobs entailed babysitting a little girl under the age of two for date nights and regularly babysitting for three children aged two, five, and seven….

Alison can also help with: Carpooling, Travel

Recent review:

Ali is a responsible and enthusiastic young lady. She’s extremely well prepared and organized with projects for young children that keep them entertained. She’s also eager to help others in any capacity andhighly dependable. …

Reviewed by Julie B.

Gabriela V.

Elizabeth, NJ

$25-40/hr • 6 yrs exp

Experienced Babysitter Available For Weekdays And Weekend Babysitting Jobs.

Background Check

Hi, my name is Gabby! I have 7 years of babysitting experience. I have experience working with babies, toddlers, and older children, ranging from Newborns to 11 years old. I am receiving a Bachelors degree in Education and Social and Behavioral Sciences this Summer of 2023. I am currently lookingfor a summer employment gig, I do have a teaching job lined up to begin this September so my optimal timeline would be beginning June until August. I am extremely reliable and truly love spending time with children, as my future career choice reflects. Feel free to message me!…

Gabriela can also help with: Travel, Light cleaning, Carpooling

Recent review:

Gabby took care of our two children part time for about a year – starting when my daughter was 3 months old and my son just having turned 2. This was the first time we hired someone to watch our kids and Gabbywas the perfect person. She is caring, extremely knowledgeable, friendly, and is great at sticking to the kids’ schedule. She is flexible and accommodating and was a huge part of my ability to return to work knowing my kids were in excellent hands. If we could have Gabby for forever we would! You will be lucky to have her!…

Reviewed by Maxx K.

Ebonie M.

Brandon, FL

$22-22/hr • 6 yrs exp

Experienced Babysitter Available For Weeknight And Weekend Babysitting Jobs.

Background Check

I am a safety-first kind of person. I have been a babysitter for 8 years now. I have also helped with Acre Daycare providers. I have four other siblings and my twin and I are the oldest, so I’ve been babysitting for a while. I have recently decided on changing to minimal living and would like a jobthat would mirror that. Caring for children makes me feel accomplished and maybe make a difference in one kids life. No matter how big or small. I just moved back home from Florida and have open availability and can start ASAP. I would love to continue on this career so if you are interested please contact me….

Ebonie can also help with: Travel, Light cleaning, Carpooling

Recent review:

Eboni was awesome with my little one. She took care of her and knew what to do with out my direction. I really loved the way they got along and plan on hiring her gain for babysitting jobs!

Reviewed by Raye C.

Samantha C.

Roselle, NJ

$15-25/hr • 10 yrs exp

Experienced Babysitter Available For Weeknight Babysitting Jobs

Background Check

Hi! I’m a caring, organized, responsible and enthusiastic caregiver with 11 years experience. I am an educator so my hours have to be tailored towards late afternoons into the evening. The age groups I have babysat range from infants to children up to the age of 13. The care provided includes but isnot limited to pick and drop off at friends houses, games and activities, meal preparation, homework, swimming, playing at the park, arts and crafts etc. If you have further questions please feel free to contact me!…

Recent review:

She’s very funny and likes to make people laugh and will be great with kids.

Reviewed by annie A.

Jessica T.

Baton Rouge, LA

$12-50/hr • 10 yrs exp

Experienced Babysitter Looking For During The Week Babysitting Jobs

Background Check

Hello!
I’m Jessica, and I am 32 years old. I recently relocated to Baton Rouge, LA from Morgantown, WV. I am originally from Rochester Hills, MI. I am married to my high school sweetheart and we have been together for almost 17 years. We share a 10-year-old daughter and an 8-year-old son.
Igraduated from Fairmont State University in 2015, with a Regents Bachelor of Arts. My main focus in courses was child development, child psychology & elementary education. I have 20 years experience working with children, in various environments and all ages. I have experience working with children with behavioral and disabilities and think that every child is special and love to push them to their full potential in a gentle way.
I am very excited to be in a new town and eager to meet new families. I thrive on building long term, family like relationships because I strongly believe TEAMWORK makes the DREAM WORK.
My family and I look forward to meeting you! :)…

Jessica can also help with: Carpooling, Light cleaning, Travel

Recent review:

Jess has been so wonderful for our family and takes great care if our kids when we need her. She is kind and flexible!

Reviewed by Emily F.

Background Check

Ive been babysiting since I Was 13 Available On Weekday After School And On Weekends I Do Have Transportation And I’m Great With All Kids I Have Taken A Few First Aid Classes And Am Experienced With Special Needs Kids
I’ve watched kids a little as 1 to as old as 12 I’m very good at keeping the kidsentertained with fun educational activities I worked at a special needs camp one summer and had lots of training and I volunteer at my church with children of all ages…

Sarah can also help with: Light cleaning, Carpooling, Travel

Recent review:

We hired Sarah for a date night and she immediately connected with our kids. Very friendly and the kids enjoyed being with her!

Reviewed by Laura H.

Grace R.

Milwaukee, WI

$25-25/hr • 9 yrs exp

Babysitter Available For Weeknight And Weekend Babysitting Jobs

Background Check

Hi everyone! I am beginning to put out some feelers for a position starting this fall. I’ve been working with the same family for the past three years, but their youngest is heading off to school next year! I recently graduated from Marquette, where I double majored in Education and Psychology.Beginning in September, I’ll be in grad school at UWM (during the evenings) to get my masters in school counseling. I have over nine years of childcare experience, and have taken care of kids from ages 4 months – 14 years old. I am happy to help with homework, and love pets if you have them!! I also have experience working with children with down syndrome, ASD, and ADHD. I am Lifeguard and CPR certified, and I have been teaching swim lessons to children ages 6 months – 12 years old for the past seven years. I’d love to hear about what you’re looking for to see if we’d be a good match! Reach out to me if it sounds like I would be a good fit for your family :)…

Grace can also help with: Carpooling, Travel, Light cleaning, Grocery shopping

Recent review:

Grace picked my son up from school, transported him home safely and watched my son until I came home from class, very nice, reliable and trustworthy.

Reviewed by Shayla B.

Maura W.

Philadelphia, PA

$20-25/hr • 8 yrs exp

Experienced Babysitter With 5 Years Experience In Babysitting And Daycare.

Background Check

Hello, my name is Maura. I am a graduate student in an Occupational Therapy program. I have availability on Wednesday, Fridays, weekends or after 3 p.m. I have always loved working with children. I have been babysitting since I was 13 years old, and I have worked in day cares for four years. Morerecently I have nanny experience. My first nannying job was with three children aged 1, 5, and 10. I am great with multiples of different ages. My most recent nannying job was with a 3-month-old. I am responsible, reliable, and patient. I love to keep kids active whether it be taking them to the park, going on walks or playing games. I am comfortable working with any age, as I have worked with children aged 4 weeks – 12 years. I am CPR certified, vaccinated and have clearances and references! Please let me know if you want to know more! I look forward to hearing from you!…

Recent review:

Our family has had the pleasure of having Maura babysit our two children since December 2020. We wanted someone cautious, responsible and careful with the pandemic. We trusted Maura right away, and she treatedour 1 and 4 year old as her own. Maura is reliable, honest, and amazing at what she does. She made watching a curious infant and energetic toddler look easy! As working professionals, it was great having a home in order at the end of the day too. Maura always goes above and beyond for us and anyone would be lucky to have her watch their children!. ..

Reviewed by Caitlin H.

Debra C.

Newport News, VA

$10-15/hr • 10 yrs exp

Experienced Babysitter Available for Weeknights and Weekend Babysitting Jobs

Background Check

Hi, I was born in Portsmouth, Virginia where Portsmouth Naval Shipyard is located. My father served in the armed forces as a Naval Officer for 30 years and my mother was a homemaker for my two younger brothers, one older sister and myself. I graduated from high school in Virginia and later moved toTexas where I was married. I have two lovely daughters, 28 and 23. One is graduating with her BA in May from the University of Richmond in London, England. And one is going to have my second grand baby in July. For 13 years, I was a full time parent and homemaker. I moved to the Bay Area with my family in 1993. In 1995 my two daughters began attending Fremont Christian School. I started working for Fremont Christian School as a Preschool Teacher at which time I began studying early childhood development at the local community colleges. I have earned a Certificate of Achievement in Early Childhood Development. With 47.5 completed semester units in Early Childhood Development and 43 completed semester units in General Education. I have recently relocated back to Texas and I am transferring to a local college to complete my degree in Early Childhood Development. I also hold a Child Development Teacher Permit and a Child Development Site Supervisor Permit. I am certified in first aid and CPR….

Debra can also help with: Carpooling, Grocery shopping, Light cleaning, Travel

Recent review:

She still works for us and we love her!

Reviewed by Mandi R.

Background Check

Hi I’m a very experienced baby sitter/nanny. I’ve been baby sitting over 22 year’s I’m a kind, understanding very reliable hardworking honest person. I treat every child in my care as my own. I’m married we have a 14-year-old daughter that we love dearly. We enjoy traveling and spending time withfamily and friend’s. I’ve been working in the school system for over 20 year’s. I have significant experience working with Multiple children at a time. I am a teacher assistance I work with special need children which I love. I have training’s in( CPI) crisis prevention intervention, child abuse preventing, CPR first aid etc. I Also have a commercial driver license. I’m interested in your job post and would like to know more about it. I can help your family with transportation, date night, last minute care, weekend’s care , occasional, back up, As needed care etc. Thank you!…

Lotoya can also help with: Travel, Carpooling, Light cleaning

Recent review:

Lotoya is awesome. We came to town and I needed someone to watch my two toddlers (2 and 3) and Lotoya came to the rescue. She was great with them and was easy to talk to. Thanks Lotoya! It was such a pleasuremeeting you and I will be calling you in the future!…

Reviewed by Angela M.

Background Check

I love my job as a babysitter. I am both CPR and First Aid certified and I have been babysitting since I was 12 years old. I consider myself a fun and very responsible babysitter and I am also an animal lover and I have been fully vaccinated against Covid-19.
Availability: Date Night and/or Eveningbabysitting….

Recent review:

We are new to the area and were happy to find Joanne to watch our two girls, one of which has several disabilities. She was on-time, was very thorough, and asked lots of questions. Would definitely hire again!

Reviewed by Laura I.

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Find a sitter your family will love

Hiring a babysitter may be a perfect option if you are looking for someone to care for your kids while you focus on other things in life. Finding a greatbabysitter that you can trust shouldn’t be so complicated. We’re here to help you find the right type of care for your children. Compare babysitter profiles, read reviews from other parents, and search by experience or pay rates to find your perfect match. …

Hiring a babysitter may be a perfect option if you are looking for someone to care for your kids while you focus on other things in life. Finding a great babysitter that you can trust shouldn’t be so complicated. We’re here to help you find the right type of care for your children. Compare babysitter profiles, read reviews from other parents, and search by experience or pay rates to find your perfect match.

Babysitters by the numbers

454,961 providers

4.9 yrs avg. experience

214,026 member reviews

4.7 / 5 avg. rating

FAQs for finding a babysitter

What is a babysitter?

A babysitter is someone you can hire to temporarily care for children. It’s common to hear a babysitter referred to as a “sitter”. There are many babysitter duties that a babysitter can take on such as helping with homework, light cleaning, supervising swimming, or driving the kids to after school activities. Babysitters can help take care of children of all ages.

How much do babysitters charge?

The average rate for babysitters on Care.com as of July, 2023 is $16.78 per hour. A babysitter’s rate will fluctuate depending on where you live, the babysitter’s level of experience, and the number of children they will look after. Other factors that can also influence the cost of care include the need for additional babysitter duties, specialized care, and overnight care. The Care.com childcare calculator can help you calculate your child care costs.

What’s the difference between a nanny vs babysitter?

How do you know when you want to find a nanny or a babysitter? This depends on your caregiving needs. Nannies usually have more responsibilities than a babysitter does and often earn a consistent weekly or monthly salary, whereas you typically hire babysitters on an as-needed basis. Families who need consistent care during the workweek will likely want to hire a nanny and may hire a separate sitter to watch their children on the occasional night or weekend. If you’re looking for a nanny or babysitter, Care.com can help you find someone trustworthy.

Are babysitters background checked?

Babysitters on Care.com are asked to complete an annual background check called a CareCheck. Sitters who complete this background check will have a badge on their profile displaying the date we ran the background check. While CareCheck is a good start, we strongly recommend that you take additional steps to hire a babysitter safely, such as interviewing candidates, checking references, and running your own background check. Visit our Safety Center to learn more.

Ratings for babysitters listed on Care.com

Average Rating4.7 / 5

Babysitters are rated 4.7 out of 5 stars based on 214,026 reviews of the 454,961 listed babysitters.

Top 20 Babysitters in Fort Myers, FL

Most recent reviews for babysitters in Fort Myers, FL

Sabrianka P.

Sabrianka was absolutely amazing. She took care of our 17 month old. They went to the park and grabbed lunch afterwards. We would absolutely hire her again!

– Jojo D.

Mavel F.

I’m single father of 2 young boys. One day, had an emergency meeting for work and was able to get in touch with Mavel. Mavel got to my house very punctual despite short notice. It was obvious Mavel has had much experience with children as evident with how quickly my two boys took to her. She wasplayful with them, fed them well and when I got home later that night they were telling me all about how Mavel had kept them entertained with games, conversation and movies along with being a great cook. I would recommend Mavel 100× over and to this day my kids still ask when she will be watching them again….

– Mike R.

Isis H.

While we were on vacation on Captiva with another family, Zoe babysat for our five boys for three nights and did a great job, letting the adults go out for nice dinners while the kids were taken care of. Zoe even did some cleaning up too without our prompting. We would definitely use her again.

– Geoffrey T.

Elyse A.

Super sweet, energetic, my little guy adored her- she is very comfortable and puts him at ease, respectful and kindhearted. Helped out family out in a bind at the last minute. Thank you!

– Amy T.

Janet M.

Janet is a very pleasant person who works well with others. She is incredibly patient and kind with my mother who has Alzheimer’s.

– Jan B.

Babysitters in Fort Myers, FL

Background Check

*Will not have availability until August 2023
Hi, I am a college student who babysits on the side throughout my post-secondary studies. I have two years of paid experience, but I’ve been taking care of children of friends and family for about seven years. I am very interactive and attentive andwill ensure that your children have the best care possible….

Sabrianka can also help with: Light cleaning, Travel, Grocery shopping

Recent review:

Sabrianka was absolutely amazing. She took care of our 17 month old. They went to the park and grabbed lunch afterwards. We would absolutely hire her again!

Reviewed by Jojo D.

Background Check

Hello my name is Mavel and I am a proud mother of two amazing daughters. I have been working with children for quite a while now and I absolutely love it. I absolutely love bonding and helping children grow and succeed, some activities I like to do with the children is color, read, do outdoor games,activities, homework, and other extra curricular activities. I am also a grandma to a beautiful baby boy who is a year old, so I am also great with newborn and toddlers as well. On my free time I enjoy traveling, spend time with my family & friends and I enjoy outdoor activities as well. I am comfortable caring for children of all ages. I am also CPR certified….

Mavel can also help with: Travel, Carpooling

Recent review:

I’m single father of 2 young boys. One day, had an emergency meeting for work and was able to get in touch with Mavel. Mavel got to my house very punctual despite short notice. It was obvious Mavel has hadmuch experience with children as evident with how quickly my two boys took to her. She was playful with them, fed them well and when I got home later that night they were telling me all about how Mavel had kept them entertained with games, conversation and movies along with being a great cook. I would recommend Mavel 100× over and to this day my kids still ask when she will be watching them again….

Reviewed by Mike R.

Background Check

I’m 23 years old, I have been a babysitter/nanny on and off since I was 14. I’ve been a caregiver for children as young as 3 months to as old as 15 years. I’ve taken a college childcare education course and volunteered at learning centers (helping with reading, homework, etc.). In addition tochildcare, I’m very passionate about animals, national parks (hiking) and cooking. I do have a valid drivers license with a good driving record, my own car and can travel anywhere within the Longmont/Boulder/Broomfield areas. …

Isis can also help with: Light cleaning, Travel

Recent review:

While we were on vacation on Captiva with another family, Zoe babysat for our five boys for three nights and did a great job, letting the adults go out for nice dinners while the kids were taken care of. Zoeeven did some cleaning up too without our prompting. We would definitely use her again….

Reviewed by Geoffrey T.

Background Check

I am a trustworthy and reliable worker. I will make your house spotless and children happy!

Recent review:

Super sweet, energetic, my little guy adored her- she is very comfortable and puts him at ease, respectful and kindhearted. Helped out family out in a bind at the last minute. Thank you!

Reviewed by Amy T.

Janet M.

Fort Myers, FL

$20-50/hr • 10 yrs exp

Babysitter, Senior Care, Jack Of All Trades

Background Check

Experienced with Alzheimers, Parkinson’s, COPD, Dementia, wheelchair transfer, hoyer lift, feeding, bathing, housework,
handicap accessible van, vehicle maintenance, medication. Modern day Giver. If it is in need of fixing I will figure it out. I’m always willing to go above and beyond. If I seesomething that needs done I do it. Experienced with multiples. Mom to adult triplets and raising 12-year-old twins. Former Girl Scout and Boy Scout leader. Have been Licensed Foster Parent.. First Responder and CPR Trained. Patience of a Saint. Get hands on with kids whether it be infants or children going through their second childhood(seniors). Enjoy keeping them active.
Don’t use TV as babysitter. Excellent references….

Recent review:

Janet is a very pleasant person who works well with others. She is incredibly patient and kind with my mother who has Alzheimer’s.

Reviewed by Jan B.

Background Check

I have over 4 years of experience between babysitting and nannying various different children. I have been a nanny for a 3. 5-year-old until she turned 7 years old – I ran errands, did laundry, cooked meals, bathed her, read her stories, and recently helped her with remote learning during COVID. Ihave picked up babysitting jobs from time to time with different families while in my undergraduate studies at URI. My love for the pediatric population grows every day and I am looking forward to the day I am able to conceive/have children of my own!
I am 25 years old and have a Bachelor’s Degree in Kinesiology with a Prehealth focus. I have worked as an EMT for a little over a year and a MA for about 8 months.
I am currently a grad student at NSU in Fort Myers where I will earn my Master’s in Physician Assistant Studies in August of 2023. Thank you for reading about me! If you have any questions feel free to ask!…

Victoria can also help with: Light cleaning, Grocery shopping

Recent review:

Victoria is fantastic. Our two boys loved her. Will absolutely hire her again.

Reviewed by David W.

Background Check

Hi my name Kerstie (the kids call me KP!) and I am a physician assistant graduate student at FGCU. I have been babysitting around the SWFL area for over 4 years now and I love meeting different families and caring for their children. I am a dependable, fun-loving, and energetic caregiver withexperience that has allowed me to work with multiple infants, all the way to teenagers. I can also speak Spanish and have experience tutoring students in the language.
In my free time, I like to travel, cook, and spend time with my family. People would best describe me as a down-to-earth individual who is always caring for others. If interested, please let me know as I would love to help!…

Kerstie can also help with: Carpooling, Light cleaning

Recent review:

Kerstie was absolutely wonderful!!! She cared for my 8 month old grandson. She was on time, very knowledgeable about caring for babies. She has a great personality, needed very little direction and took chargeimmediately. My grandson was in good hands and enjoyed his time with her. I recommend Kerstie without any reservations. She checked in with us, giving updates throughout the evening. Kerstie made us feel very comfortable leaving our grandson in her care!!!. ..

Reviewed by Cheryl G.

Background Check

Hi I’m Kerstie I’m a junior at FGCU and I love helping students with math and science. I am a Health Science major with a minor in Spanish and also tutor in Spanish. I am a Division 1 college athlete as well, and work with children of all ages on developing their agility and basketball skills.

Background Check

Hi there! My name is Jamie and I started my journey of babysitting at the age of 17. I started off with my little brother and then shortly after; I started to take care of my younger cousins. My aunt then recommended me to some of her nearby friends. This shortly led me to many years of babysittingexperience, and I absolutely love it. I am CPR certified, have transportation, and would be willing to help with any housekeeping tasks and homework. I recently graduated from the University of South Florida and I hope to pursue my master’s degree in Occupational Therapy. I truly love nannying and I hope I get the chance to talk with you. …

Jamie can also help with: Travel, Carpooling

Recent review:

Jamie is AWESOME!!!!! She took care of my child who is special needs and was fantastic with him! He is a handful and she dealt with him perfectly. He adorned her! I wish I could have her around all the time!Highly recommend!…

Reviewed by Cris B.

Background Check

Hello! My name is Elyse and I live in Fort Myers. I’m highly experienced in childcare, having worked as a nanny for over 10 years. I’ve had experience with children of all ages, from newborns to 15-year-olds. I’ve also cared for multiples; ranging from triplet boys, twin girls, twins boy and girl,and families of 1-4 children. If you are interested in hiring me for childcare services, please contact me to speak further about the position. I can answer any questions you may have about myself and my childcare. Thank you!…

Elyse can also help with: Travel, Light cleaning, Carpooling

Recent review:

She stepped in for me when I had to travel at last minute- she is amazing- my son loved her joyfulness. She is calm, happy, friendly, prompt, tidy, and all around excellent.

Reviewed by Amy T.

Background Check

My dream job is to be a traveling nanny. My skills that I possess lend nicely to being a nanny, I love the stages of child development. I have watched children with my own when mine were young, I mentored a young lady from a YWCA program. All throughout grades k-6 in my children’s school I was veryactive within the school environment. I went in school field trips, volunteered at the school, helped with parties, and help with the annual book fair. In high school I took an active role and was head of the overnight prom party for the seniors. I volunteered at many events to help raise money for the boosters all through high school . Some of my qualities, I am dependable, respectable, honest, and love to have fun with the kids….

Maria can also help with: Light cleaning, Carpooling, Travel

Recent review:

We hired Maria to care for our 1y/o son for a few days a week for about 6 months. Maria was absolutely wonderful to our son and a pleasure to work with. She was very open and kind. She was respectful of any andall wishes we had for how our son was cared for, and she was proactive in continuing our efforts for early childhood development.
It was very obvious to us that her passion for caring was genuine and caring for others is an integral part of her life; it was evident through her relationship with her own children and her relationships with people she previously cared for, young and old. She would even do things like leave nice voicemails for him and go out of her way to bring things she knew he liked. It was important to her that there was a real connection, and I’m happy to say there was.
I highly recommend Maria to caring for children of any age, and I offer myself as a reference should anyone have any questions about her work….

Reviewed by Michelle C.

Background Check

I am the oldest of four and grew up in an army household. This taught me endless patience with children. I love interacting with kids. They always find a way to surprise us and teach us something about ourselves. I have over 12 years of experience with children other than family members. I find away to connect with the children, whether its through playing tag outside or being creative with arts and crafts. Pinterest is my go-to. When watching over your child my services include light housework if discussed. I’m trained in first aid and CPR. I’m currently pursuing my Master’s in clinical mental health counseling….

Samantha can also help with: Carpooling, Travel, Light cleaning

Recent review:

Sam knows that my children and pets are the world. Whenever she’s watching them, she keeps me updated with sweet photos and texts to put me at ease. She is so wonderful with each of my kiddos that they get soexcited hearing she’s coming to spend the day with them. She’s great!…

Reviewed by Rylee E.

Background Check

I’m a recent FGCU graduate with a degree in Forensic Studies and one in Criminal Justice. I began working in child care at my local church daycare in high school. For 3 years I was a full-time summer nanny for two young sisters and would transport them to and from various appointments, practices,and fun outings. For 5 years I was a camp counselor at a summer camp foster kids. It was one of the most rewarding experiences of my life and taught me so much about patience and understanding towards children….

Nicole can also help with: Grocery shopping, Light cleaning

Recent review:

Nicole is such a help around the house. I can depend on her to show up on time and ready to work. But, she’s also full of energy and so happy to play with the kids. It’s hard to find someone with as much workethic and such a fun, kind personality….

Reviewed by Patty D.

Kaidynce S.

Fort Myers, FL

$20-50/hr • 5 yrs exp

Student Seeking Babysitting/nanny/ Pet Sitting Positions Available. Flexible Schedule.

Background Check

Hi. My name is Kaidynce. I am a student at Florida Gulf Coast University. I am a freshmen this year studying nursing. I have been a nanny throughout highschool and have worked at the Montessori School of Fort Myers for more then 6 months. I enjoy children and work well with all ages. Hope to hearback from you soon!!
I’d describe my personality as outgoing, honesty, caring.
I like working with kids because they have a mind of their own, and watching them grow up brings me joy.
I’m looking for a job that is 4 or more days a week where I can clean, help with homework, and play!
I started working with kids when I was 16.
In my spare time, I like to workout, and go to the beach.
One thing you should know about me is I work well with all ages, and have a very open schedule around my college classes.
My skills include redirecting, time management, and I would say I am dependable….

Kelly G.

Fort Myers, FL

$30-30/hr • 10 yrs exp

Experienced, Non Smoker, Fun Loving, Prior Educator, Care Giver & Vaccinated Travel Nanny

Background Check

I am married with two grown children. In my pre-Florida life, I worked in Special Education at our local elementary school, primarily in Kindergarten & First grade. My last year there I led the second grade after school program which numbered 24 children on any given day. I loved the laughter, thesmiles & the beautiful organized chaos that these children brought to my life 5 days a week. At that time I had three background checks, one required for my school district, which I had been with for 12 years, the second required by the state and DCF as well as the Care Check (still have this). I held an AHA First Aid/CPR/AED certification & DMV background check. I am in the process of trying to get recert for AHA, but .. Covid. I also have twin experience. I am happy to answer any questions or concerns that you might have. My starting rate is $30+/hr. (up to 2 children), increase of $5/hour for each additional child with a 4 hour/$120+ minimum commitment & 72hr. cancel policy/50% of booking….

Recent review:

Kelly is amazing!! I hired her to watch my 6 month old daughter and 2 year old niece when we were in Naples FL for a wedding, over a 2 day period during several wedding events. When I first spoke to Kelly, Iimmediately felt at ease. She is so calm and caring and I knew she would be able to manage watching both the girls who had completely different needs and schedules. This was the first time I left my baby with someone outside of the family and it could not have gone better. I completely trusted Kelly and knew the girls were in great hands. She sent us so many beautiful photos that we now cherish. Seriously she could be a professional baby photographer!! I would recommend Kelly to anyone in the area looking for child care. You won’t be disappointed!…

Reviewed by Siana G.

Zina U.

Fort Myers, FL

$20-21/hr • 10 yrs exp

I Am Certified Nurses Assistant And Full-Time Caregiver

Background Check

I have two working skills:First I was a live in babysitter worked for couple family/two children up North starting from 1998 to 2000 y. My second skills I have worked as a caregiver live in for Alzheimer patient up in NJ state. In 2001 I moved to Florida and went to nursing vocational school. InDecember 2001 y. I was hired by HCR ManorCare/Heartland nursing home/Rehabilitation Center I worked for them as Nurses Assistant; Activity Director Assistant; Assisting with Physical Therapy; Admission Nurses Aid and worked in Alzheimer unit as a Nurses Assistant for elderly people with Dementia patient from over 14 y. In 2014 y I quit working for nursing home and get hired for private care patient. Four & half years I was full time caregiver for 80y. woman diagnosed w/Alzheimer’s. Working over 25 years as a CNA I have very good experience to take care of Alzheimer’s people and Elderly people providing them with love & care knowledge. My last job was in assisting leaving as a private contract…

Recent review:

Zina is a treasure, and it is a blessing I found her to help care for my mother for 4-5 years, until her death at 101. . Mom had dementia, vision problems and very frail. Zina did, basically, everything. Whatmade her really special is that Zina did not have to be told every little thing to do. She saw what was needed, and took care of it. Having that much initiative and understanding of what was needed, and then doing it, is very rare in my experience. Plus compassion & common sense. Mom was not easy to handle, but Zina could make her laugh and coax her into doing things (like bathing or eating) Mom needed to do. She was always on time, and willingly worked extra when needed. She saw needs quickly, and did them herself, if possible, or told me they needed to be done. She does speak up about her charges’ needs. I was grateful for all her advice and help. We were so fortunate to have her.
I cannot say enough good about her. Whoever gets her to help them is blessed….

Reviewed by Betty P.

Background Check

Hi, my name is Tayah. I have been a nanny for over 5 years and counting, working with different struggles, personalities, and passions of many kids. I do dishes, laundry, cook, light housekeeping, run kids to practice, play at the beach, travel, pick up from school, and much more. I would love tolove on your kids and feel a part of not only their lives but your families as well….

Tayah can also help with: Light cleaning, Carpooling, Travel, Grocery shopping

Recent review:

Tayah is respectful, responsible, organized, and has a great attitude and personality.

Reviewed by Jacqueline G.

Background Check

My name is Silvia, I am 56 yo, Brazilian, American citizen since January 2020. I have been working as nanny, babysitting, pet sitter, housekeeping, house sitting since I arrived in USA on 1999.
My passion for cleanliness, creativity, organization is to nurture a family in a dynamic of relationshipswith out guilt or blame .
if you feel like we can work something out please don’t hesitate to send me a message . I will be more then happy to help .
Silvia – relationship coach
Please check my references…

Recent review:

I hired three babysitters over the period of one year. I interviewed about 20 at least! Silvia was the only one that was reliable, trustworthy, honest, loving, her qualities and attributes are endless! I cannotbrag enough about her! The other two babysitters we had we had to let one go due to being on her phone all the time and my daughter complaining about it and the other one just decided to quit on us one day! It’s hard to find someone that you can rely on nowadays! . ..

Reviewed by Renata K.

Background Check

Hi, my name is Janine. I know how crucial it is to have someone there for a parent or loved one when they cannot help themself . I can be there for them . when they need someone . I am dependable, reliable , and have a clean driving record

Recent review:

Janine was wonderful. She was very helpful. I would definitely recommend her.

Reviewed by Jaye B.

Background Check

Hello, my name is Kelly and I live in Ft. Myers. I am happy to help with any pet care needs that you might have. I am comfortable working with cats and smaller dogs. I am not comfortable with Pit Bulls or similar breed dogs. I am happy to come to your home and do check ins and possible overnightsshould you need home sitting as well as pet care.
I have been a pet owner (mainly cats) my entire life, and current have three fur babies in our home. I do have experience with dogs as well, having had our own sweet beagle and then cared for two children for a year as well as their wonderful Lab.
Please contact me with any questions or concerns….

Kelly can also help with: Pet sitting

Recent review:

Kelly is reliable and responsible and shows a high degree of skill handling children of all ages. She’s amazing with her neighbors 7 children who adore her. Don’t worry about the four footed kids, because sheis caring and loving toward all furry creatures. I would highly recommend and trust her to care for any of your family….

Reviewed by Betsy B.

Showing 1 – 20 of 640

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FAQs for finding a babysitter in Fort Myers, FL:

How can I find a Fort Myers babysitter near me?

Figuring out how to find a babysitter in Fort Myers, FL can feel overwhelming at first. To make your search easier, you can use Care.com to search through the profiles of babysitters near you. You can review 640 babysitters in Fort Myers, FL on Care.com, with an average rating of 4.7. Once you choose candidates that fit your needs, you can contact them to schedule interviews, check references, and request additional background checks.

How much do babysitters charge in Fort Myers, FL?

The average rate for Fort Myers, FL babysitters on Care.com is $16.15 per hour as of July 2023. How much a babysitter charges can vary greatly depending on location, years of experience, the desired babysitter duties, and how many children will need looking after. The cost of care can also be influenced by special needs such as overnight care. You can use the Care. com childcare calculator to help you calculate your child care costs.

What type of babysitter services can I find near me in Fort Myers, FL?

You can find all kinds of babysitters in Fort Myers, FL through Care.com. As of 2023, you can browse caregivers that specialize in a range of duties, from overnight and infant care, to weekend and after school babysitters. Alongside keeping an eye on your children, caregivers can provide a variety of babysitting duties. They can help with homework or can possibly take on more extensive tutoring responsibilities, can drive your children to school or activities, and can spend time playing with them or helping them get their chores done. When you interview potential sitters, ask them what babysitting duties they are happy to take on.

Ratings for Fort Myers, FL babysitters listed on Care.com

Average Rating4.7 / 5

Babysitters in Fort Myers, FL are rated 4.7 out of 5 stars based on 377 reviews of the 640 listed babysitters.

How to find a job as a nanny abroad

Blogs › Blog cyberyak ›

The wave of emigration from Russia, Ukraine and the CIS countries is gaining momentum every year. People move with children, and often in new countries, a nanny in the absence of grandmothers is an absolute necessity if both parents work.

And if earlier parents almost always tried to find a Russian-speaking nanny first, now they increasingly want their child abroad to have a local nanny and a local school.

Families who are just about to leave are ready to look for a Russian-speaking nanny and a school to protect the child from stress, to make the move more comfortable for the child. Especially families who are traveling for a while or have not yet fully decided on their future plans and want to see and try at the beginning. They are worried that the child does not miss the school program, does not forget pure Russian speech.

Here the advantage is on the side of the Russian-speaking nanny, Russian schools and kindergartens abroad.

Another category is made up of families that are going forever: parents are no longer so worried about the school program, but at the same time they do not want their child to forget their native language. A fairly standard situation is when a baby was born abroad already in immigration and the native language for him may become the local language, since he will speak it more than Russian.

After the move, parents’ views may change: at first they worry about how to protect the child from all sorts of stresses of the move, and then they realize that the child needs to master the new language environment painlessly, to find friends.

What language should be spoken in the family to make it easier and more comfortable for the child? Which school, kindergarten, nanny to choose? A nanny who knows both languages ​​can take the edge off the issue. What can be the advantage of a Russian-speaking nanny?

It is not uncommon for children to learn the local language but forget Russian. Not everyone agrees with this situation, parents still want their children to be fluent in their native language, love it, read books and poems in it, and know their culture. This is very understandable. Here the help of a Russian-speaking nanny, a governess is invaluable, because this is an opportunity not to forget your native language, to speak it without difficulties, without an accent and additional lessons, loads.

Most parents and experienced Russian language teachers abroad believe that the main thing is not to discourage the child from speaking their native language. And with a desire, everything will follow: reading, and maybe even lessons. Bright memories, priceless moments of childhood are indispensable in this regard, if the family wants to preserve their native language.

There are families in which Russian remains the language of communication at home, and children communicate with friends in the local language, there are a lot of such families.

It turns out that in order for a nanny to get a job abroad in a Russian-speaking family, you need to have the following skills:

• Speak fluent Russian without an accent.
• It is desirable to have a pedagogical or humanitarian higher education as confirmation of your professional level.
• Knowing the language of the country you are moving to, at least at a basic level, will remove the parents’ fears that it will be difficult for you to go out into the city with your child.
• Have the possibility of legal status – in this case, nannies with a European passport and a residence permit / permanent residence receive a significant advantage.
• Have a valid passport and visa for work on a rotational basis.
• Have a driver’s license, because abroad there is often a different public transport system, or there is none.

The more points you qualify, the more likely you are to be selected over a local nanny or other candidate.

Mostly families living abroad are looking for a nanny on our website, so by registering the application and filling it out properly, that is, by completing it, you significantly increase your chances of finding your employer. To further speed up the search process, we recommend becoming our professional user or raising your profile, especially since it costs very little money.

Fill out your nanny form in 5 minutes at the link: https://arinarodionovna.com/node/add/nanny

Have a good search!

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Babysitter or nanny: who is better to hire? | Articles | Our psychologist

The very word “babysitter” *, as it is easy to understand, came to us from English-speaking countries, where the practice of temporary (hourly) babysitting is widespread. For example, in the United States, teenagers and students often work part-time as babysitters – this is a legal and respected way to earn pocket money. American grandparents do not sit with their grandchildren, they are busy with their own business, travel and hobbies. On the other hand, according to local law, children should not be left alone until they reach a certain age.

Thus, the social situation itself is such that one cannot do without hiring an assistant (we say “helpers”, but young men also work as babysitters in the USA). They are invited for the weekend if the “baby’s” parents are away somewhere for the weekend; or for the evening (when they go on a visit or to the theater). The institution of looking after and accompanying little Americans is extremely developed, and it never occurs to anyone to turn to relatives with a request to babysit when you can pay a few dollars to a neighbor girl or a classmate of your eldest son.

In our country, there is also such a practice, the concept of “babysitter” is gradually taking root (even under other names). And if earlier such a service was automatically classified as a luxury, now it is available to almost any family. And the need, in comparison with Soviet times, has grown significantly. Grandmothers are changing, they no longer want to devote themselves to educating the younger generation; mothers work, fathers are busy from morning to evening. In their free time, people want to relax a bit, go to a restaurant or a movie, be alone with their spouse. All this is absolutely normal, and does not need excuses. There is only one question left to solve: which home staff is right for your family.

Of course, a permanent nanny (and especially a live-in nanny) has a lot of advantages.