Download Guidelines for Illness

Guidelines for Illness
Rashes and Skin Infections
Infection or
Complaint
Recommended
period to be
kept away from
Nursery
(Incubation
period)
Infectious Period
Athletes Foot
Chicken Pox
None
(Exclude for at least
5 days after spots
appear or until they
become dry and
crusted over)
None
None
Infectious from 5 days before to 5 days after the
appearance of spots
Cold Sores
German
Measles/Rubella
Hand Foot & Mouth
Impetigo
Measles
Molluscum
contagiosum
Ringworm
Roseola (infantum)
Scabies
Scarlet Fever
(4 days from onset of
rash as per green
book)
Exclusion until
symptoms are
cleared
Until Lesions are
crusted and healed,
or 48 hours after
starting antibiotic
treatment
4 days from onset of
rash
None
Exclusion not
necessary once
treatment
commenced
None
Child can return after
1st treatment
Child can return 24
hours after starting
appropriate antibiotic
treatment
Avoid kissing and contact with sores – cold sores are
generally mild and self-limiting.
Infectious for about 1 week before and for 5 days
after)
Whilst symptoms are present.
Highly infectious until lesions have healed
Infectious from just before illness starts until 3 days
after the appearance of rash.
A self-limiting condition
Infectious whilst red ring like lesions are present
None
Infectious until treated
Antibiotic treatment is recommended.
Slapped cheek/fifth
disease. Parvovirus
B19
Shingles
None (once rash has
developed)
Exclusion until feeling well
Exclude until
recovered
Warts and Verruca
None
Can cause chickenpox in those who are not immune,
i.e.- have not had chickenpox. It is spread by very
close contact and touch.
Verruca/s should be covered at all times.
Diarrhoea and vomiting Illnesses
Infection or
Complaint
Recommended
period to be kept
away from Nursery
(Incubation period)
Infectious Period
Diarrhoea and/or vomiting
48 hours from 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.
Varies according to cause.
Exclude for 48 hours from the
last episode of diarrhoea.
Varies according to cause.
E. Coli
Cryptosporidiosis
Children under 5 years who
have difficulty adhering to
hygiene practices.
Respiratory Infections
Infection or
Complaint
Recommended
period to be kept
away from Nursery
(Incubation period)
Infectious Period
Flu (Influenza)
Until recovered a minimum
of 1 week
Always consult your local
PHE centre
Five days from starting
antibiotic treatment, or 21
days from onset of illness if
no antibiotic treatment
Infectious up to one week
after onset.
Requires of close contact
for spread.
Preventable by vaccination.
After treatment, noninfectious coughing may
continue for many weeks.
Your local PHE centre will
organise any contact tracing
necessary.
Tuberculosis
Whooping cough
(pertussis)
Other Infections
Infection or
Complaint
Recommended
period to be kept
away from Nursery
(Incubation period)
Infectious Period
Conjunctivitis
Diphtheria
Exclusion until the infection
is cleared
Exclusion is essential –
always consult with your
local HPT
Glandular Fever
Exclusion is not necessary
Head Lice
Exclusion is not necessary
once treated
Exclude until 7 days after
onset of jaundice or 7 days
after symptom onset (no
jaundice)
None
Can remain infectious whilst
eye remains inflamed
Family contacts must be
excluded until cleared by
return by your local PHE
centre. Preventable by
vaccination. Your local
PHE centre will organise
any contact tracing
necessary.
Virus may be carried for up
to a year after the illness
When heads are in contact
Hepatitis A
Hepatitis B. C, HIV and
AIDS
Meningococcal
meningitis/septicaemia
Until recovered
Meningitis (due to other
bacteria)
Until recovered
Meningitis Viral
None
Mumps
Exclude for 5 days after
onset of swelling
Threadworms
None
Tonsillitis
None
If there is an outbreak of
Hepatitis A – the local PHE
centre will advise on control
measures.
These are blood Bourne
viruses that are not
infectious through casual
contact. For cleaning of
body fluids, we have good
hygiene practice.
Meningitis C is preventable
by vaccination. Your local
PHE centre will advise on
any action needed.
Hib and pneumococcal
meningitis are preventable
by vaccination. Your local
PHE centre will advise on
any action needed.
Milder illness. There is no
reason to exclude.
Preventable by vaccination
(MMR x2 doses) Infectious
for 1 week either side on
the onset of facial swelling.
Treatment is recommended
for the child and any
household contacts.
Many causes but most
cases are due to viruses
and do not need an
antibiotic.