Download Infection Control

West Derby
Liverpool
L12 8SJ
0151 220 4772
[email protected]
www.springgrovenursery.co.uk
Registration Number EY429494
Infection Control Procedure
Infection
Athlete’s Foot
Recommended period to be kept
away from nursery
None
Chicken Pox
Until all vesicles have crusted
over
Cold sores
(Herpes)
None
German Measles
Hand, Foot and Mouth
Four days from onset of rash
None
Impetigo
Until lesions are crusted and
healed, or 48 hours after starting
antibiotic treatment
Four days from onset of rash
None
Exclusion not usually required
None
Children can return after first
treatment
Child can return 24 hours after
starting appropriate antibiotic
treatment
None
Measles
Molluscum Contagiosum
Ringworm
Roseola
Scabies
Scarlet fever
Hepatitis B, C
HIV/AIDS
Meningitis viral
None
Comments
Athlete’s foot is not a serious
condition, although treatment is
recommended
Can be serious to pregnant women
and babies, we will provide
information if we have a
confirmed case
Avoid contact with the sores.
Cold sores are generally mild and
self-limiting
Preventable by immunisation
Contact local HPT if a large
number of children are affected.
Exclusion may be considered in
some circumstances
Antibiotic treatment speeds
healing and reduces the
infectious period
Preventable from vaccinatio
A self-limiting condition
Treatment is required
None
Close contacts require treatment
Antibiotic treatment is
recommended for the affected
child
Hepatitis B,C and HIV are
bloodborne viruses that are not
infectious through casual contact
Milder illness. There is no reason
to exclude siblings and other
close contacts of a case. Contact
tracing is not required
Meningococcal
Meningitis
Septicaemia
Until recovered
Meningitis
(Due to other bacteria)
Until recovered
Meningitis Viral
None
MRSA
None
Mumps
Threadworms
Exclude child for five days after
onset of swelling
None
Tonsillitis
None
Slapped cheek/fifth disease.
Parvovirus B19
None (Once rash has developed)
Shingles
Exclude only if rash is weeping
and cannot be covered
Warts and Verrucae
None
Diarrhoea/Vomiting
48 hours from the last episode of
diarrhoea or vomiting
Should be excluded for 48 hours
from the last episode of
diarrhoea. Further exclusion may
be required for some children
until they are no longer excreting
E coli
Meningitis C is preventable by
vaccination. There is no reason to
exclude siblings or other close
contacts of a case. Your local PHE
centre will give you any advice on
any action needed
Hib and pneumococcal meningitis
are preventable by 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
Milder illness. There is no reason
to exclude siblings and other
close contacts of a case. Contact
tracing is not required
Good hygiene, in particular hand
washing and environmental
cleaning, are important to
minimise any danger to spread. I
further information is required,
contact your local PHE centre
Preventable by vaccination
(MMR x2 doses)
Treatment is recommended for
the child and household contacts
There are many causes, but most
cases are due to viruses and do
not need an antibiotic
If exposed to a pregnant person,
inform whoever is giving antenatal
care as this must be investigated
promptly
Can cause chickenpox in those
who are not immune (if not had
chickenpox before) It is spread
by very close contact and touch.
If further information is
required, contact your local PHE
centre
Verrucae should be covered in
swimming pools, gymnasiums and
changing rooms
Monitor child
Further exclusion is required for
children ages five years or
younger and those who have
difficulty in adhering to hygiene
practices. Children in these
categories should be excluded
until there is evidence of
microbiological clearance. Contact
local PHE for further advice
Cryptosporidiosis
Exclude for 48 hours form the
last episode of diarrhoea
Flu (influenza)
Tuberculosis
Until recovered
Always consult your local PHE
centre
Five days from starting antibiotic
treatment, or 21 days from onset
of illness if no antibiotic
treatment is given
Whooping cough
(Pertussis)
Conjunctivitis
Diphtheria
Glandular fever
Head lice
Hepatitis A
None
(Drops will be required)
Exclusion is essential. Always
consult with your local PHE
None
None
Exclude until seven days after
onset of jaundice (or seven days
after symptom onset if no
jaundice)
Exclusion from swimming is
advisable for two weeks after the
diarrhoea has settled
Monitor child
Requires prolonged close contact
for spread
Preventable by vaccination. After
treatment, non-infectious
coughing may continue for many
weeks. Your local PHE centre will
organise any contact tracing
necessary
If outbreak/cluster occurs,
consult local PHE centre
Family contacts must be excluded
until cleared to return by your
local PHE centre. Preventable by
vaccination. Your local PHE centre
will organise any contact tracing
necessary
Monitor child
Treatment required
In an outbreak of hepatitis A,
Your local PHE centre will advise
on control measures
Hand washing
At Spring Grove, we promote cleanliness and hygiene to be at its highest standard. We ensure all areas of
the building are clean and safe and avoid cross contamination. Hand washing is one of the most important
ways of controlling the spread of infections, especially those that cause diarrhoea and vomiting and
respiratory disease. The recommended method that Spring Grove adheres to is the use of liquid soap,
warm water and paper towels. Toddler’s and pre-school’s are encouraged to wash their own hands and will
have regular talks/activities on good hygiene and germs, children who need extra support with hand
washing will have the guidance of the key person or staff member. Key person’s or staff members will wash
the babies’ hands using the same method. The staff encourage hand washing from the following;
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Before and after eating
After toileting
After messy play activities
After outdoor play
Personal Protective Equipment (PPE)
At Spring Grove, we supply the staff with disposable, non-powdered vinyl gloves and disposable plastic
aprons. These must be worn at all meal times and changing times. During certain cleaning times, aprons and
gloves must be worn for protective reasons for the staff members .
Cleaning of the Environment
At Spring Grove, we provide a clean and safe environment for the children that attend out nursery. We
ensure staff members are regularly cleaning toys and equipment, within the guidelines of the national
guidance. COSHH and correct decontamination of cleaning equipment is supervises by management.
Cleaning of Blood or Bodily fluids
At Spring Grove, we control and diminish any spillages. All spillages whether it is blood, faeces, saliva,
vomit are cleaned immediately and appropriately, wearing the correct protective clothing. When spillages
do occur, the correct cleaning product is used, combined with a detergent and a disinfectant. We do not
use mops for cleaning up blood or body fluid spillages, paper towels should be used.
Laundry
At Spring Grove, we have a designated room for the laundry to be dealt with. Soiled clothing will be
washed out separately at the hottest wash the fabric can tolerate. Appropriate clothing must be worn.
Vulnerable Children
At Spring Grove, we ensure we protect and safeguard all children form infections. 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. We encourage all immunisations and any additional immunisations are regularly checked
and up to date.
Female staff – Pregnancy
At Spring Grove, we ensure all staff are protected and safeguarded. Pregnant women are risk assessed and
will have some light duties. If a pregnant woman develops a rash or is in direct contact with someone with a
potentially infectious rash, this will be investigated in the accordance to PHE guidelines by a doctor. The
greatest risk to pregnant women from such infections comes from their own child/children, rather than
the workplace. Some specific risks are;
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Chicken pox – 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. Shingled is caused by the same virus as chicken pox, so anyone
who has not had chicken pox is potentially vulnerable to the infection if they have close contact
with a case of shingles
German measles – 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 – 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
Immunisation Schedule
Two Months Old
Three Months Old
Four Months Old
Between 12-13 Months Old
Two, Three and Four Years Old
Three years and Four Months Old
or after
Diphtheria, Tetanus, Pertussis,
Polio and HIB
Pneumococcal (PCV13)
Rotavirus Vaccine
Diphtheria, Tetanus, Pertussis,
Polio and HIB
Meningitis C (Men C)
Rotavirus Vaccine
Diphtheria, Tetanus, Pertussis,
Polio and HIB
Pneumococcal (PCV13)
HIB/Meningitis C
Measles, Mumps and Rubella
Pneumococcal (PCV13)
Influenza
Diphtheria, Tetanus, Pertussis,
Polio
Measles, Mumps and Rubella
Completed on: July 2015
Review on: July 2016
One Injection
One Injection
Given Orally
One Injection
One Injection
Given Orally
One Injection
One Injection
One Injection
One Injection
One Injection
Nasal Spray or One Injection
One Injection
One Injection