Infection Control Guidance

Transcription

1 Infection Control Guidance Links to Key Legislation and Guidance Children Act 1989 and 2004 United Nations Convention on the rights of the child 1989 Every Child Matters 2004 Early years Foundation Stage 2014 The Health and Safety at Work Act 1974 The Management of Health and Safety regulations 1992 Public Health Act 1988 &1989 Health Protection Agency 2004 Working together to safeguard children 2015 Policy Statement Busy understands the importance of trying to keep illnesses contained, therefore we follow the guidance from the public health on infection control. below is a table of all illnesses and there recommended periods to be kept away from nursery. Illness marked with * must notify Ofsted, see health and hygiene policy. Rashes and Skin Infections Athletes foot None. Athletes foot is not a serious condition. Treatment is recommended. Chickenpox Until all vesicles have Refer to vulnerable child crusted over. and pregnant women on page 11 of the public health document if needed. Cold sores None Avoid contact with the German Measles * Four days from onset of rash. sores. Preventable immunisation, MMR. Refer

2 to pregnant women. Hand, foot and mouth None Contact local HPT if large number of children affected, exclusion may be considered in some circumstances. Impetigo Measles * Until lesions are crusted and healed, or 48 hours after starting antibiotic treatment. Four days from onset of rash. Antibiotic treatment speeds healing and reduces infectious period. Preventable immunisation, MMR. Refer to pregnant women and vulnerable children. Molluscum contagiosum None. A self limiting condition. Ringworm None. Treatment is required. Roseola (infantum) None. None. Scabies Can return after first treatment. Scarlet fever * 24 hours after starting antibiotic treatment,. Slapped cheek/fifth None disease Shingles Exclusion only is rash weeping and cannot be covered. Household and close contacts require treatment. Antibiotic treatment is recommended for the affected child. Refer to vulnerable children and pregnant women. Can cause chickenpox in those who are not immune, have not had chickenpox. See vulnerable children and pregnant women. Warts and verrucae None Verrucaes should be covered. Diarrhoea and vomiting illnesses Diarrhoea and or vomiting 48 hours from last episode of diarrhoea or vomiting. E.coli Should be excluded for 48 hours from last episode of diarrhoea. Further exclusion may be required for some children until they Further exclusion is required for children aged five years or younger and for those who have difficulty adhering to

3 Cryptosporidiosis Respiratory infections are no longer excreting. Exclusion for 48 hours from last episode of diarrhoea. hygiene practices. Children in these categories should be excluded until there is evidence of microbiological clearance. This guidance may also apply to some contacts who may also require microbiological clearance. Please consult your local PHE centre for further advise. Exclusion from swimming is advisable for two weeks after the diarrhoea has settled. Flu, influenza Until recovered See vulnerable children Tuberculosis* Always consult your local PHE centre. Requires prolonged close contact for spread. Whooping Cough* Five days from starting Preventable antibiotic treatment, or 21 vaccination. After treatment days from onset of illness if non infectious coughing no antibiotic treatment. may continue for many weeks. Your local PHE centre will organise any contact tracing necessary. Other infections Conjunctivitis None. If an outbreak occurs consult your local PHE centre. Diphtheria* Exclusion is essential. Always consult your local Family contacts must be excluded until cleared to

4 HPT return your local PHE centre. Preventable vaccinations. Your local PHE centre will organise any contact tracing necessary. Glandular fever None. Head lice None. Treatment is only recommended where live lice have been seen. Hepatitis A* Exclude until seven days after onset of jaundice, or seven days after symptom onset if no jaundice. In an outbreak of hepatitis A, your local PHE centre will advise on control measures. Hepatitis B*, C* HIV/AIDS None. Hepatitis B and C and HIV are blood borne viruses that are not infectious through casual contact. For cleaning of body fluid spills see good hygiene practice. Meningococcal meningitis* septicaemia* Meningitis* due to other bacteria Until recovered. Meningitis C is preventable vaccination. There is no reason to exclude siblings or other close contacts of a case. In case of an outbreak, it may be necessary to provide antibiotics with or without meningococcal vaccination to close school contact. Your local PHE centre will advise on any action if needed. Until recovered. Hib and pneumococcal meningitis are preventable le vaccination. There is no reason to exclude siblings or other close contacts of a case. Your local PHE centre will give advice on any action needed. Meningitis viral None. Milder illness. There is no reason to exclude siblings and other close contacts of a case. Contact tracing is

5 not required. MRSA None. Good hygiene, in particular hand washing and environmental cleaning are important to minimise any danger of spread. If further information is required, contact your local PHE centre. Mumps* Exclude child for five days after onset of swelling. Preventable vaccination, 2 doses. Threadworms None. Treatment is recommended for the child and household contacts. Tonsillitis None. There are many causes, but most cases are due to viruses and do not need antibiotic treatment.