Download Recommended minimum exclusion periods.

Recommended minimum exclusion periods.
ADAPTED FROM staying healthy | 5th edition | 2013
Condition
Campylobacter infection
Candidiasis (thrush)
Cytomegalovirus (CMV)
infection
Conjunctivitis
Cryptosporidium
Diarrhoea
(No organism identified)
Fungal infections of the
skin or nails
(e.g. ringworm, tinea)
Giardiasis
Glandular fever
(mononucleosis, Epstein
Barr virus [EBV] infection)
Hand, foot and mouth
disease
Haemophilus influenzae
type b (Hib)
Exclusion of case
Exclude until there has not been a loose bowel
motion for 24 hoursb
Not excluded
Not excluded
Exclude until discharge from the eyes has
stopped, unless a doctor has diagnosed noninfectious conjunctivitis
Exclude until there has not been a loose bowel
motion for 24 hoursb
Exclude until there has not been a loose bowel
motion for 24 hoursb
Exclusion of contactsa
Not excluded
Not excluded
Not excluded
Not excluded
Not excluded
Not excluded
Exclude until the day after starting appropriate
antifungal treatment
Not excluded
Exclude until there has not been a loose bowel
motion for 24 hoursb
Not excluded
Not excluded
Not excluded
Exclude until all blisters have dried
Not excluded
Exclude until the person has received appropriate
antibiotic treatment for at least 4 days
Not excluded if effective treatment begins before
the next day at the education and care service.
Head lice (pediculosis)
The child does not need to be sent home immediately if head lice are detected
Exclude until a medical certificate of recovery is
Hepatitis A
received and until at least 7 days after the onset
of jaundice
Hepatitis B
Not excluded
Hepatitis C
Not excluded
Not excluded if the person can maintain hygiene
practices to minimise the risk of transmission. If
Herpes simplex (cold
the person cannot comply with these practices
sores, fever blisters)
(e.g. because they are too young), they should
be excluded until the sores are dry. Sores should
be covered with a dressing, where possible
Not excluded. If the person is severely immune
Human immunodeficiency
compromised, they will be vulnerable to other
virus (HIV)
people’s illnesses
Human parvovirus B19
(fifth disease, erythema inNot excluded
fectiosum, slapped cheek
syndrome)
Hydatid disease
Not excluded
Exclude until appropriate antibiotic treatment has
Impetigo
started. Any sores on exposed skin
should be covered with a watertight dressing
Influenza and
Exclude until person is well
influenza-like illnesses
Not excluded. Contact a public health unit
for specialist advice
Not excluded
Not excluded. Contact a public health unit
for specialist advice about vaccinating or
treating children in the same room/group
Not excluded
Not excluded
Not excluded
Not excluded
Not excluded
Not excluded
Not excluded
Not excluded
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Condition
Exclusion of case
Listeriosis
Not excluded
Measles
Meningitis (viral)
Meningococcal infection
Molluscum contagiosum
Mumps
Norovirus
Pertussis
(whooping cough)
Pneumococcal disease
Roseola
Ross River virus
Rotavirus infection
Rubella (German measles)
Salmonellosis
Scabies
Shigellosis
Streptococcal sore throat
(including scarlet fever)
Toxoplasmosis
Tuberculosis (TB)
Varicella (chickenpox)
Viral gastroenteritis (viral
diarrhoea)
Worms
Exclusion of contactsa
Not excluded
Immunised and immune contacts are not
excluded. For non-immunised contacts,
contact a public health unit for specialist
Exclude for 4 days after the onset of the rash
advice.
All immunocompromised children should be
excluded until 14 days after the
appearance of the rash in the last case
Exclude until person is well
Not excluded
Not excluded. Contact a public health unit
Exclude until appropriate antibiotic treatment has for specialist advice about antibiotics and/
been completed
or vaccination for people who were in the
same room as the case
Not excluded
Not excluded
Exclude for 9 days or until swelling goes down
Not excluded
(whichever is sooner)
Exclude until there has not been a loose bowel
Not excluded
motion or vomiting for 48 hours
Contact a public health unit for specialist
Exclude until 5 days after starting appropriate
advice about excluding non-vaccinated
antibiotic treatment, or for 21 days from the onset
and incompletely vaccinated contacts, or
of coughing
antibiotics
Exclude until person is well
Not excluded
Not excluded
Not excluded
Not excluded
Not excluded
Exclude until there has not been a loose bowel
Not excluded
motion or vomiting for 24 hoursb
Exclude until fully recovered or for at least 4 days
Not excluded
after the onset of the rash
Exclude until there has not been a loose bowel
Not excluded
motion for 24 hoursb
Exclude until the day after starting appropriate
Not excluded
treatment
Exclude until there has not been a loose bowel
Not excluded
motion for 24 hoursb
Exclude until the person has received antibiotic
Not excluded
treatment for at least 24 hours and feels well
Exclude until there has not been a loose bowel
Not excluded
motion for 24 hoursb
Not excluded. Contact a public health unit
Exclude until medical certificate is produced from
for specialist advice about screening, antibithe appropriate health authority
otics or specialist TB clinics
Any child with an immune deficiency
Exclude until all blisters have dried—this is usu(for example, leukaemia) or receiving
ally at least 5 days after the rash first
chemotherapy should be excluded for their
appeared in non-immunised children, and less in
own protection.
immunised children
Otherwise, not excluded
Exclude until there has not been a loose bowel
Not excluded
motion for 24 hoursb
Exclude if loose bowel motions are occurring. ExNot excluded
clusion is not necessary if treatment has occurred
The definition of ‘contacts’ will vary according to the disease.
If the cause is unknown, possible exclusion for 48hours until cause is identified. However, educators and other staff who have a food handling role
should always be excluded until there has not been a loose bowel motion for 48 hours. Adapted from SA Health Communicable Disease Control
Branch: http://www.dh.sa.gov.au/pehs/branches/branch-communicable.htm. Note that exclusion advice is consistent with Series
of National Guidelines (SoNGs) where available.
a
b
Staying Healthy. Preventing infectious diseases in early childhood education and care services | 5th Edition | Printed June 2013 NHMRC Ref. CH55e
www.renown.org.au
‘your community kindergarten’
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