|
|
2-4 weeks |
Case: exclude during acute illness, until treated and until stools are free of oocysts.
Contacts: symptomatic contacts should be excluded until stools are screened for oocysts. |
Campylobacter enteritis |
Feces; contaminated food or water |
1-7 days |
Case: exclude until 48 hours of effective therapy or until asymptomatic, whichever is shorter.
Contacts: exclusion not required. |
Chickenpox(varicella) |
Infected exudate; respiratory secretions |
10-21 days |
Case: exclude until lesions are dry and crusted. Shingles lesions must be kept covered.
Contacts: exclude immunosuppressed children during outbreak. |
Shingles |
Blisters |
Very long timeframe- years |
Case: exclude only if lesions cannot be covered
Contacts: exclusion not required. |
Conjunctivitis, Bacterial |
Purulent exudate |
24-72 hours |
Case: do not exclude unless child meets other criteria for exclusion.
Contacts: exclusion not required. |
Conjunctivitis, Viral (adenovirus, etc.) |
Purulent exudate |
12-72 hours |
Case: do not exclude unless child meets criteria for exclusion.
Contacts:
exclusion not required. |
Cytomegalovirus |
Infected urine and saliva |
weeks to months |
Case: exclusion not required. See Notif. Guidelines regarding pregnant contacts.
Contacts:
exclusion not required. |
Diarrhea (increase of frequency and change of consistency in bowel movement) |
Feces |
1-3 days |
Case: exclude until symptoms resolve.
Contacts: exclusion not required. |
Fifth disease (erythema infectiosum) |
Respiratory secretions |
4-14 days (usually 12-14 days) |
Case: exclusion not required. See Notification Guidelines regarding pregnant contacts.
Contacts: exclusion not required. |
German measles *
(rubella) |
Respiratory secretions |
14-23 days (usually 16-18 days) |
Case: exclude for 7 days after onset of rash. See Notification Guidelines for pregnant contacts.
Contacts: those who are pregnant should be notified-
unimmunized should be excluded until outbreak is over. |
Giardia lamblia |
Feces; contaminated food or water |
1-4 weeks |
Case: exclude until asymptomatic.
Contacts: no exclusion required. |
Gingivostomatitis (herpes simplex virus) |
Infected secretions |
2-14 days |
Case: do not exclude unless child has mouth ulcers and uncontrolled drooling.
Contacts: recurrent cold sores need not be excluded. |
Haemophilus influenzae |
Respiratory secretions |
2-14 days |
Case: exclude when child meets other criteria for exclusion.
Contacts: seek physician’s advice concerning prophylaxis. |
Hand-foot-mouth disease (Coxsackie A16) |
Feces: respiratory secretions |
3-6 days |
Case: exclude when child meets other criteria for exclusion.
Contacts: exclusion not required. |
Hepatitis A |
Feces, contaminated food or water |
15-50 days (usually 25-30 days) |
Case: exclude until 7 days after onset of symptoms and symptomatically able to participate in general activity.
Contacts: prophylaxis should be considered for staff and children. |
Hepatitis B * |
Infected saliva or blood |
6 weeks- 6 months |
Case: weeping sores that cannot be covered, open wounds or weeping tissue fluid.
Contacts: no exclusion required. |
HIV/AIDS |
See District Policy #1415 |
|
|
Impetigo contagiosa (Staphylococcus)
MRSA or MSSA |
Lesion secretions |
unknown |
Case: no exclusion unless sores cannot be covered.
Contacts: no exclusion required. |
Infectious mononucleosis |
Saliva |
5-7 weeks |
Case: exclude until symptomatically able to tolerate general activity.
Contacts: no exclusion required. |
Influenza |
Respiratory secretions |
1-3 days |
Case: exclude until symptomatically able to tolerate general activity.
Contacts: no exclusion required. monitor for symptoms. |
Lice (pediculosis) |
Infested area |
Approx. 7-10 days after eggs hatch |
no exclusion. school nurse will contact family and help monitor student. |
Lyme Disease |
Infected ticks |
3-31 days after bite |
no exclusion necessary. |
Measles (rubeola) |
Respiratory secretions |
6-21 days (usually 10-12 days) |
Case: exclude until 5 days after appearance of rash. See Notification Guidelines regarding pregnant contacts.
Contacts: Check immunization status. Exclude immediately on signs of prodrome. |
Meningitis (Meningococcal) |
Respiratory secretions |
2-10 days |
Case: exclude during acute illness and until treated. See Notification Guidelines regarding pregnant contacts.
Contacts: seek physician’s advice concerning prophylaxis. |
Mononucleosis (Mono) |
See Infectious Mononucleosis |
|
|
Mumps (infectious parotitis) |
Respiratory secretions |
12-25 days |
Case: exclude for 9 days from onset of swelling; less if swelling subsides.
Contacts: susceptible contacts should seek physician’s advice. |
Molluscum Contagiosum |
Person to person |
2-7 weeks |
no exclusion necessary |
Pharyngitis (nonspecific |
Respiratory secretions |
12-72 hours |
Case: exclude only if child has fever or is unable to participate in general activities.
Contacts: exclusion not required |
Pharyngitis (streptococcal) |
Respiratory secretions |
1-4 days |
Case: exclude until 24 hours after start of antibiotic therapy.
Contacts: exclusion not required. |
Pinworms (Enterobius vermicularis) |
Feces, contaminated fomites., clothing, house dust, etc. |
one – two months |
Case: no exclusion necessary
Contacts: exclusion not required. |
Respiratory infections (upper respiratory infections, colds, bronchitis) |
Respiratory secretions |
12-72 hours |
Case: exclude only if child meets other exclusion criteria.
Contacts: exclusion not required. |
Ringworm |
(See Tinea capitis) |
|
|
Rotavirus |
Feces |
1-3 days |
Case: exclude until asymptomatic.
Contacts: no exclusion required |
Salmonellosis |
Feces; contaminated food. |
6-72 hours |
Case: exclude during acute illness, usually 5-7 days, or until three successive stool cultures are negative.
Contacts: stool cultures not indicated in absence of symptoms. |
Scabies |
Infested areas |
2-6 weeks; 1-4 days after repeat exposure |
Case: exclude until treated.
Contacts: direct inspection of body |
Streptococcus (including scarlet fever, impetigo, vaginal strep) |
Repiratory secretions |
1-4 days |
Case: exclude for 24 hours of effective therapy. Contacts: exclusion not required. |
Shigellosis |
Feces |
1-7 days (usually 1-2 days) |
Case: exclude for 5 days of antibiotics or until two successive stool cultures are negative
Contacts: stool cultures indicated only in suspected outbreak. |
Tinea capitis corporis, cruris, and pedis (Ringworm, Athlete’s foot, Jock itch. |
Imperfect fungi |
3-5 days for microscopic infection
2-3 weeks for clinical manifestation |
Case: exclude until treated. |
Tuberculosis * |
Respiratory secretions |
2-10 weeks |
Case: exclude at the end of the day until treatment is started. |
Whooping Cough (pertussis) * |
Respiratory secretions |
7-21 days (usually 7-10 days) |
Case: exclude until 5 days of effective therapy.
Contacts: seek physician’s advice concerning prophylactic treatment. |
Yersiniosis* |
Feces; contaminated food or water. |
2-11 days (usually 3-7 days) |
Case: exclude during acute illness.
Contacts: exclusion not required. |
* denotes disease that must be reported to the Health Dept |
