Postnatal - Infectious Diseases School Exclusion: Difference between revisions

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==Australian Recommendations==
==Australian Recommendations==
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These are NHMRC (2005) recommended minimum periods (due for review in 2010) of exclusion from schools, pre-schools and child care centres based on risk of infection but a child or staff member may need to stay at home longer than the exclusion period to recover from an illness. Different exclusion periods will apply to people whose work involves food handling.
These are NHMRC (2005) recommended minimum periods (due for review in 2010) of exclusion from schools, pre-schools and child care centres based on risk of infection but a child or staff member may need to stay at home longer than the exclusion period to recover from an illness. Different exclusion periods will apply to people whose work involves food handling.


{|
 
|-bgcolor="lightsteelblue"
| width=200px |'''Condition'''
| '''Exclusion of Case'''
| '''Exclusion of Contacts'''
|-
| Amoebiasis <br>(Entamoeba histolytica)
| Exclude until there has not been a loose bowel motion for 24 hours
| Not excluded
|-bgcolor="#AFEEEE"
| Campylobacter
| Exclude until there has not been a loose bowel motion for 24 hours
| Not excluded
|-
| Candidiasis
| See ‘Thrush’
|
|-bgcolor="#AFEEEE"
| Chickenpox <br>(Varicella)
| Exclude until all blisters have dried.This is usually at least 5 days after the rash first appeared in unimmunised children and less in immunised children.
| Any child with an immune deficiency (for example, leukaemia) or receiving chemotherapy should be excluded for their own protection. Otherwise, | Not excluded.
|-
| [[C#cytomegalovirus|Cytomegalovirus infection]] <br>(CMV)
| Exclusion is NOT necessary
| Not excluded
|-bgcolor="#AFEEEE"
| Conjunctivitis
| Exclude until the discharge from the eyes has stopped unless doctor has diagnosed a non- infectious conjunctivitis.
| Not excluded
|-
| Cryptosporidium infection
| Exclude until there has not been a loose bowel motion for 24 hours
| Not excluded
|-bgcolor="#AFEEEE"
| Diarrhoea <br>(No organism identified)
| Exclude until there has not been a loose bowel motion for 24 hours
| Not excluded
|-
| Diphtheria
| Exclude until medical certificate of recovery is received following at least 2 negative throat swabs, the first swab not less than 24 hours after finishing a course of antibiotics followed by another swab 48 hours later.
| Exclude contacts that live in the same house until cleared to return by an appropriate health authority.
|-bgcolor="#AFEEEE"
| German measles
| See ‘Rubella’
|
|-
| Giardiasis
| Exclude until there has not been a loose bowel motion for 24 hours
| Not excluded
|-bgcolor="#AFEEEE"
| Glandular fever <br>(Mononucleosis, EBV infection)
| Exclusion is NOT necessary
| Not excluded
|-
| Hand, foot and mouth disease
| Exclude until all blisters have dried
| Not excluded
|-bgcolor="#AFEEEE"
| Haemophilus influenzae type b (Hib)
| Exclude until the person has received appropriate antibiotic treatment for at least 4 days.
| Not excluded
|-
| Head lice <br>(Pediculosis)
| Exclusion is NOT necessary if effective treatment is commenced prior to the next day at child care (i.e. the child doesn’t need to be sent home immediately if head lice are detected).
| Not excluded
|-bgcolor="#AFEEEE"
| Hepatitis A
| Exclude until a medical certificate of recovery is received, but not before seven days after the onset of jaundice.
| Not excluded
|-
| Hepatitis B
| Exclusion is NOT necessary
| Not excluded
|-bgcolor="#AFEEEE"
| Hepatitis C
| Exclusion is NOT necessary
| Not excluded
|-
| Herpes simplex <br>(cold sores, fever blisters)
| Exclusion is not necessary if the person is developmentally capable of maintaining hygiene practices to minimise the risk of transmission. If the person is unable to comply with these practices they should be excluded until the sores are dry. Sores should be covered by a dressing where possible.
| Not excluded
|-bgcolor="#AFEEEE"
| Human Immunodeficiency Virus <br>(HIV/AIDS)
| Exclusion is NOT necessary. If the person is severely immunocompromised, they will be vulnerable to other people’s illnesses.
| Not excluded
|-
| Hydatid disease
| Exclusion is NOT necessary
| Not excluded
|-bgcolor="#AFEEEE"
| Impetigo (school sores)
| Exclude until appropriate antibiotic treatment has commenced. Any sores on exposed skin should be covered with a watertight dressing.
| Not excluded
|-
| Influenza and influenza-like illnesses
| Exclude until well
| Not excluded
|-bgcolor="#AFEEEE"
| Legionnaires’ disease
| Exclusion is NOT necessary
| Not excluded
|-
| Leprosy
| Exclude until approval to return has been given by an appropriate health authority
| Not excluded
|-bgcolor="#AFEEEE"
| Measles
| Exclude for 4 days after the onset of the rash
| Immunised and immune contacts are not excluded.
Non-immunised contacts of a case are to be excluded from child care until 14 days after the first day of appearance of rash in the last case, unless immunised within 72 hours of first contact during the infectious period with the first case.
All immunocompromised children should be excluded until 14 days after the first day of appearance of rash in the last case.
|-
| Meningitis (bacterial)
| Exclude until well and has received appropriate antibiotics
|
|-bgcolor="#AFEEEE"
| Meningitis (viral)
| Exclude until well
| Not excluded
|-
| Meningococcal infection
| Exclude until appropriate antibiotic treatment has been completed
| Not excluded
|-bgcolor="#AFEEEE"
| Molluscum contagiosum
| Exclusion is NOT necessary
| Not excluded
|-
| Mumps
| Exclude for nine days after onset of swelling.
| Not excluded
|-bgcolor="#AFEEEE"
| Norovirus
| Exclude until there has not been a loose bowel motion or vomiting for 48 hours
| Not excluded
|-
| Parvovirus infection <br>(fifth disease, erythema infectiosum, slapped cheek syndrome)
| Exclusion is NOT necessary
| Not excluded
|-bgcolor="#AFEEEE"
| Pertussis
| See ‘Whooping Cough’
|
|-
| Respiratory Syncytial virus
| Exclusion is NOT necessary
| Not excluded
|-bgcolor="#AFEEEE"
| Ringworm/tinea
| Exclude until the day after appropriate antifungal treatment has commenced
| Not excluded
|-
| Roseola
| Exclusion is NOT necessary
| Not excluded
|-bgcolor="#AFEEEE"
| Ross River virus
| Exclusion is NOT necessary
| Not excluded
|-
| Rotavirus infection
| Children are to be excluded from the centre until there has not been a loose bowel motion or vomiting for 24 hours.
| Not excluded
|-bgcolor="#AFEEEE"
| Rubella (German measles)
| Exclude until fully recovered or for at least four days after the onset of the rash
| Not excluded
|-
| Salmonella infection
| Exclude until there has not been a loose bowel motion for 24 hours
| Not excluded
|-bgcolor="#AFEEEE"
| Scabies
| Exclude until the day after appropriate treatment has commenced
| Not excluded
|-
| Scarlet fever
| See ‘Streptococcal sore throat’
|
|-bgcolor="#AFEEEE"
| School sores
| See ‘Impetigo’
|
|-
| Shigella infection
| Exclude until there has not been a loose bowel motion for 24 hours
| Not excluded
|-bgcolor="#AFEEEE"
| Streptococcal sore throat (including scarlet fever)
| Exclude until the person has received antibiotic treatment for at least 24 hours and feels well
| Not excluded
|-
| Thrush <br>(candidiasis)
| Exclusion is NOT necessary
| Not excluded
|-bgcolor="#AFEEEE"
| Toxoplasmosis
| Exclusion is NOT necessary
| Not excluded
|-
| Tuberculosis (TB)
| Exclude until medical certificate is produced from an appropriate health authority
| Not excluded
|-bgcolor="#AFEEEE"
| Typhoid, Paratyphoid
| Exclude until medical certificate is produced from an appropriate health authority
| Not excluded unless considered necessary by public health authorities
|-
| Varicella
| See ‘Chickenpox’
|
|-bgcolor="#AFEEEE"
| Viral gastroenteritis <br>(viral diarrhoea)
| Children are to be excluded from the centre until there has not been a loose bowel motion or vomiting for 24 hours.
| Not excluded
|-
| Warts
| Exclusion is NOT necessary
| Not excluded
|-bgcolor="#AFEEEE"
| Whooping cough <br>(pertussis)
| Exclude until five days after starting appropriate antibiotic treatment or for 21 days from the onset of coughing.
| Contacts that live in the same house as the case and have received less than three doses of pertussis vaccine are to be excluded from the centre until they have had 5 days of an appropriate course of antibiotics. If antibiotics have not been taken, these contacts must be excluded for 21 days after their last exposure to the case while the person was infectious.
|-
| Worms
| Exclusion not necessary if treatment has occurred
| Not excluded
|}


==References==
==References==

Revision as of 11:43, 6 February 2013

Introduction

The recommendations for exclusion from school of children with infectious diseases will vary from country to country and is continuously being updated to include new recommendations based upon research and medical changes.

In Australia, the National Health and Medical Research Council had a "Recommended minimum periods of exclusion from school, pre-school and child care centres for cases of and contact with infectious diseases (1997)" that has been revoked and replaced with updated information in a publication Staying Healthy in Child Care (2005).[1]

These recommendations are designed to assist those working with children, but should also be considered in terms of the effects of maternal infections.


Postnatal Links: birth | neonatal | neonatal diagnosis | milk | Nutrition | growth charts | Disease School Exclusion | vaccination | puberty | genital

Australian Recommendations

The following modified table and information is provided for educational purposes only, please refer to the original document.[1]

These are NHMRC (2005) recommended minimum periods (due for review in 2010) of exclusion from schools, pre-schools and child care centres based on risk of infection but a child or staff member may need to stay at home longer than the exclusion period to recover from an illness. Different exclusion periods will apply to people whose work involves food handling.


References

  1. ↑ 1.0 1.1 Staying Healthy in Child Care - Preventing infectious diseases in child care - Fourth Edition (2005), accessed 9 July 2010 (scheduled for review in 2010) http://www.nhmrc.gov.au/publications/synopses/ch43syn.htm

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Cite this page: Hill, M.A. (2024, April 26) Embryology Postnatal - Infectious Diseases School Exclusion. Retrieved from https://embryology.med.unsw.edu.au/embryology/index.php/Postnatal_-_Infectious_Diseases_School_Exclusion

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