Sickness Exclusion

Exclusion Procedure for Illnesses / Communicable Diseases

Minimum period of exclusion from Nursery

Disease/Illness Minimal exclusion period
Diarrhoea and / or vomiting 48 hours from episode of diarrhoea or vomiting
E.Coli 0157
VTEC
Exclusion is important for young children
Typhoid fever and Paratyphoid Until declared free from infection from the appropriate public health official
Shigella (dysentery) 48 hours from episode of diarrhoea or vomiting
Respiratory infections
‘Flu’ (influenza) Till recovered fully
Tuberculosis Until declared free from the infection from the appropriate public health official
Hooping Cough (pertussis) 5 days from commencing antibiotic treatment or 21 days from onset of illness is non antibiotic treatment
Rashes and skin infections
Athletes foot None. Treatment required
Chicken Pox 5 days from onset of rash or until they are all scabbed over.
Cold sores (Herpes simplex) None. Avoid kissing and contact with the sores. Treatment required.
German Measles (Rubella) 5 days from onset of rash
Hand, foot and mouth None. Notify nursery
Impetigo Until lesions and crusted or heeled
Measles 5 days from onset of rash
Molluscum contagiosum None.
Ringworm Until treatment commenced.
(scalp until cured)
Roseola (infantum) None.
Scabies Can return after first treatment
Scarlet fever 5 days after first treatment
Slapped cheek / fifth disease parvovirus B19 None.
Shingles Excluded only if rash is weeping and cannot be covered
Warts and verrucas None. But should be treated and covered
Other infections
Conjunctivitis Keep at home for one day, longer if eyes are still weeping.
Diphtheria Exclusion is important consult with public health official
Glandular fever Treat with Antibiotics (48hours)
Head lice Until appropriate treatment has been given
Hepatitis A Exclusion maybe necessary consult public health official
Hepatitis B and C None.
HIV / AIDS None.
Meningococcal Meningitis / Septicaemia Until they have recovered
Meningitis due to other bacteria Until they have recovered
Meningitis viral None.
MRSA None.
Mumps 7 days from onset of swollen glands
Threadworms None. Treatment is required
Tonsillitis Treat with antibiotics (48 hours)
Other exclusions in Nursery
Prescribed Antibiotics (with the exception of Amoxicillin which is not subject to exclusion). 24 Hours
Temperature Child must have a normal temperature for 24 hours before returning to Nursery
Food poising 24 hours at home
Infective hepatitis 7 days from onset of jaundice
Poliomyelitis Until declared free from infection by the appropriate public health official
Thrush (fungal infection) Vaginal / Oral 48 hours
Broken bones / fractures Follow parents wishes

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