illness school exclusion period

Topics: Hygiene, Measles, Hand washing Pages: 6 (2685 words) Published: October 30, 2014
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Guidance on
Infection Control In Schools
and other Child Care Settings
Prevent the spread of infections by ensuring: routine immunisation, high standards of personal hygiene and practice, particularly hand washing, and maintaining a clean environment. Please contact your local Health Protection Unit (HPU) on

advice or information.

Diarrhoea
and Vomiting
illness#
Diarrhoea and/or vomiting

Recommended period to be

if you would like any further

Comments

kept away from school,
nursery, or childminders

48 hours from last episode of

Exclusion from swimming should be for 2 weeks following

diarrhoea or vomiting

last episode of diarrhoea.

(48hr rule applies).
E. coli 0157

Exclusion is important for some

Exclusion applies to young children and those who may find

VTEC

children. Always consult

hygiene practices difficult to adhere to. Local HPU will advise.

with HPU.

Exclusion from swimming should be for 2 weeks following
last episode of diarrhoea.

Typhoid* [and paratyphoid*]

Exclusion is important for some

Exclusion applies to young children and those who may find

(enteric fever)

children. Always consult

hygiene practices difficult to adhere to. Local HPU will advise.

with HPU.

Exclusion from swimming should be for 2 weeks following
last episode of diarrhoea.

Shigella (Dysentery)

Exclusion may be necessary.

Exclusion (if required) applies to young children and those
who may find hygiene practices difficult to adhere to. Local HPU will advise. Exclusion from swimming should be for 2
weeks following last episode of diarrhoea.

Respiratory Infections
‘Flu’ (influenza)

Until recovered.

SEE: vulnerable children.

Tuberculosis*

Always consult with HPU.

Not usually spread from children. Requires quite prolonged,

Whooping cough* (Pertussis)

Five days from commencing

Preventable by vaccination. After treatment non-infectious

antibiotic treatment or 21 days

coughing may continue for many weeks. HPU will organise

from onset of illness if no

any contact tracing necessary.

close contact for spread.

antibiotic treatment.

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Recommended period to be kept

Comments

away from school, nursery, or

Rashes/Skin
Athletes foot

childminders

None.

Athletes foot is not a serious condition. Treatment is
recommended.

Chicken pox

5 days from onset of rash.

SEE: vulnerable children and female staff – pregnancy.

Cold sores,

None.

Avoid kissing and contact with the sores. Cold sores are

(herpes simplex)

generally a mild self-limiting disease.

German measles (rubella)*

5 days from onset of rash.

Hand, foot & mouth

None.

Impetigo

Until lesions are crusted or

Antibiotic treatment by mouth may speed healing and reduce

Preventable by immunisation ( MMR x 2 doses).
SEE: female staff - pregnancy.
Contact HPU if a large number of children are affected.
Exclusion may be considered in some circumstances.

healed.

infectious period.

Measles*

5 days from onset of rash.

Preventable by vaccination (MMR x 2).

Molluscum contagiosum

None.

A self limiting condition.

Ringworm

Until treatment commenced.

Treatment is important and is available from pharmacist.

SEE: vulnerable children and female staff – pregnancy.

N.B. For ringworm of scalp treatment by GP is required.
Also check and treat symptomatic pets.
Roseola (infantum)

None.

None.

Scabies

Child can return after first

Two treatments 1 week apart for cases. Contacts should have

treatment.

one treatment; include the entire household and any other
very close contacts. If further information is required contact your local HPU.

Scarlet fever*

5 days after commencing

Antibiotic treatment recommended for the affected child....
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