Slaithwaite Playgroup. Taken from Public Health England: Guidance on Infection Control in Schools and other Childcare Settings

Transcription

1 Slaithwaite Playgroup Promoting health and hygiene Appendix 6 - Excludable Diseases and Exclusion Times Taken from Public Health England: Guidance on Infection Control in Schools and other Childcare Settings Disease / Illness Athlete s Foot Chickenpox Cold Sores, (Herpes Simplex) Conjunctivitis Cryptosporidiosis Diarrhoea Diptheria* Fifth Disease (Slapped Cheek disease) E.coli O 157 VTEC Typhoid* [and paratyphoid*] (enteric fever) Shigella (dysentery) Flu (influenza) Gastro-enteritis, food poisoning, salmonellas and dysentery Glandular Fever Minimal Exclusion Period. Athlete s Foot is not a serious condition. Treatment is recommended. Until all of the blisters have fully crusted over, and this usually happens 5 to 7 days after the first blister appears. After the last blister has burst and crusted over, they are no longer infectious. [see Vulnerable Children and Female Staff pregnancy]. Avoid contact with the sores. Cold sores are generally mild and self-limiting. If an outbreak/cluster occurs, consult your local health PHE centre. Exclude for 48 hours from the last episode of diarrhoea. 48 hours after the last incident. Exclusion is essential. Always consult with you HPT. Family contacts must be excluded until cleared to return by your local PHE centre.. Not infectious when rash appears. See: Vulnerable Children and Female Staff Pregnancy. Should be excluded for 48 hours from the last episode of diarrhoea. Further exclusion is required for children aged 5 years and younger until there is evidence of microbiological clearance. Until recovered. See: Vulnerable Children 48 hours or for notifiable diseases, until advised by the relevant public health official..

2 Hand, Foot and Mouth Disease Special care with hand washing after defaecation. Virus present in faeces several weeks after infection. SPlaT! to contact local HPT if a large number of children are affected. Exclusion may be considered in some circumstances Head Lice Hepatitus A* Hepatitus B*, C*, HIV/AIDS Impetigo Infective hepatitis (Hepatitis A) Measles* Meningitis* due to other bacteria Meningitis* viral Meningococcal* infection Molluscum Contagiosum MRSA Mumps* Pertussis* (whooping cough) Poliomyelitis Pollomyellitis Roseola (infantum) Rubella* (German Measles) Scabies Scarlet fever* and streptococcal infection of the throat. Treatment is recommended only in cases where live lice have been seen. Exclude until seven days after onset of jaundice (or seven days after symptom onset if no jaundice) Until lesions are crusted and healed, or 48 hours after commencing antibiotic treatment. 7 days from onset of jaundice. 4 days from appearance of the rash. See: Vulnerable Children and Female Staff pregnancy. Until recovered Until fully recovered from the illness.. A self-limiting condition. Exclude child for five days after onset of swelling 5 days from commencing antibiotic treatment, or 21 days from the onset of illness if no antibiotic treatment. Until declared free from infection by the appropriate public health official. As advised by local Department of Health department. 4 days after appearance of rash. See: Female Staff pregnancy. Household and close contacts require treatment. Child can return after first treatment. Antibiotic treatment recommended for the affected child. Child can return 24 hours after commencing appropriate antibiotic treatment.

3 Shingles Exclude only if rash is weeping and cannot be covered. See: Vulnerable Children and Female Staff pregnancy. Threadworms Tonsillitis Tuberculosis* Typhoid* fever Pediculosis (lice) Plantar warts Ringworm Scabies Raised Temperature Vomiting Warts and verrucae As advised by local Department of Health department. Always consult your local PHE centre. Requires prolonged close contact for spread. As advised by local Department of Health department. Until appropriate treatment has been given. No exclusion. Should be treated and covered. Treatment is required. Exclusion not usually required. Child can return after first treatment. 24 hours. 48 hours after the last incident.. Verrucae should be covered in swimming pools, gymnasiums and changing rooms. *Denotes a notifiable disease. It is a statutory requirement that doctors report a notifiable disease to the proper officer of the local authority. In addition, organisations may be required via locally agreed arrangements to inform their local PHE centre. Regulating bodies (for example Ofsted / CSCI) may wish to be informed. Vulnerable Children Some medical conditions make children vulnerable to infections that would rarely be serious in most children, these include those being treated for leukaemia or other cancers, on high doses of steroids and with conditions that seriously reduce immunity. Schools and nurseries and childminders will normally have been made aware of such children. These children are particularly vulnerable to chickenpox, measles or parvovirus B19 and, if exposed to either of these, the parent/carer should be informed promptly and further medical advice sought. It may be advisable for these children to have additional immunisations, for example pneumococcal and influenza. Female Staff Pregnancy If a pregnant woman develops a rash or is in direct contact with someone with a potentially infectious rash, this should be investigated according to PHE guidelines by a

4 doctor. The greatest risk to pregnant women from such infections comes from their own child/children, rather than the workplace. Some specific risks are: chickenpox can affect the pregnancy if a woman has not already had the infection. Report exposure to midwife and GP at any stage of exposure. The GP and antenatal carer will arrange a blood test to check for immunity. Shingles is caused by the same virus as chickenpox, so anyone who has not had chickenpox is potentially vulnerable to the infection if they have close contact with a case of shingles German measles (rubella). If a pregnant woman comes into contact with german measles she should inform her GP and antenatal carer immediately to ensure investigation. The infection may affect the developing baby if the woman is not immune and is exposed in early pregnancy slapped cheek disease (parvovirus B19) can occasionally affect an unborn child. If exposed early in pregnancy (before 20 weeks), inform whoever is giving antenatal care as this must be investigated promptly measles during pregnancy can result in early delivery or even loss of the baby. If a pregnant woman is exposed she should immediately inform whoever is giving antenatal care to ensure investigation. This advice also applies to pregnant students. Swine Flu Symptoms: The symptoms of swine flu are broadly the same as those of ordinary flu, but may be more severe and cause more serious complications. The typical symptoms are: * sudden fever, and * sudden cough. Other symptoms may include: * runny nose, * sneezing, * loss of appetite. * diarrhoea or stomach upset, * headache, * tiredness, * chills, * aching muscles, * limb or joint pain, and * sore throat All Playgroup staff are aware of the symptoms and the correct hygiene procedures to try and reduce the risk of catching or spreading swine flu by: Always covering their nose and mouth with a tissue when coughing or sneezing Disposing of dirty tissues promptly and carefully. Maintaining good basic hygiene, for example washing hands frequently with soap and warm water to reduce the spread of the virus from your hands to face, or to other people.

5 Children are also encouraged to adopt the same good hygiene practices. Cleaning hard surfaces, such as door handles, frequently using a normal cleaning product. Hand sanitiser is available for staff and visitors. Remember - Catch it, Bin it, Kill it! If a child in the setting displays flu like symptoms parents / carers will be contacted to collect the child immediately. If a child is showing symptoms which might indicate swine flu, it is recommended that advice is sought from their GP over the telephone to minimise contact with others and so limit spread of the virus. Children should remain at home for the recommended 7 days. If a member of the same household has been diagnosed with, or shows symptoms of, swine flu it is at the discretion of the parent / carers as to whether the child attends the setting or not. No child will be excluded who does not show symptoms themselves. If a case of swine flu is confirmed in a setting, the Health Protection Agency will carry out an assessment to look at the risk of infection spreading, and consider whether to temporarily close the setting (initially for seven days). The risk assessment will be tailored to the individual setting s circumstances. The Health Protection Agency has concluded that seven days is the maximum swine flu incubation period - the time between getting the virus and symptoms starting to appear. We may reopen earlier than seven days if there is evidence that the suspected case is not swine flu. Current advice from The Primary Care Trust, Health Prevention and the Local Authority is to remain open as usual. The committee will ultimately be responsible for deciding when to close (and re-open) the setting if the need arises. See 5.4 Adverse Weather and Emergency Procedures for further details.

6 This policy was adopted at a meeting of Held on Latest date reviewed Slaithwaite Playgroup & Toddlers 3 rd March, 7.45pm 18 th October, 7.30pm Signed on behalf of the management committee Name and role of signatory Elizabeth Hofman, Secretary