Infection Exclusion period Comments Ringworm Not usually required. 4 days from onset of rash. Mumps* Medical diagnosis required – 5 days from the onset of swollen glands. German Measles (Rubella)* Medical diagnosis required – 5 days from onset of rash. Until lesions are crusted or healed or 48 hours after starting antibiotics . may consider exclusion. Treatment is needed. The UK initially achieved WHO measles elimination status in 2017, based on data from 2014-2016. Exclusion is not required but it is recommended that treatment is commenced before return to school/nursery/childcare setting (Symptomatic pets should also be treated) None Rubella (German Measles) 14 – 21 days 7 days before to 6 days after onset of rash 6 days from onset of rash None *Female staff see below Scabies Few days to 6 weeks The overall aim of the routine childhood immunisation schedule for children in the UK is (MMR x 2 doses). Measles. Rubella (German measles) Four days from onset of rash Preventable by vaccination with 2 doses of MMR (see national schedule @ www.nhs.uk). Caversham Nursery School 114 Amersham Road Caversham Reading RG4 5NA 0118 937 5429 Opening Hours: 8.00am-6.00pm Monday-Friday Impetigo (Streptococcal Group A skin infection). Chickenpox 5 days from the onset of the rash as long as the spots are crusted over. Promote MMR for all pupils and staff. Measles* Medical diagnosis required – 5 days from onset of rash. contact HPT. Antibiotics reduce the infectious period. However, in 2018, there was a marked increase in the number of confirmed measles cases, with 991 confirmed cases in England and Wales, compared with 284 cases in 2017. Although the usual exclusion period is 5 days, all lesions should be crusted over before children return to nursery or school. Exclusion Table for common infections The table below is correct at time of printing. Pregnant staff contacts should seek prompt advice from their GP or midwife. Measles spreads through droplets in the air. Measles is a highly infectious viral disease easily prevented by vaccination, yet it remains an important cause of morbidity and mortality globally. A rash appears after 3 to 4 days. In 2017, the World Health Organization (WHO) announced that measles was eliminated in the UK, as there … Pregnant staff contacts should seek prompt advice from their GP or midwife GPs see many patients presenting with viral rash illnesses and may not think of measles when making diagnostic decisions. Yes Is a vaccine available? exclusion from school (guidance re: common infections) Exclusion for five days (1,2): from rash onset - chickenpox*, measles from starting antibiotics - whooping cough (pertussis) from onset of swollen glands - mumps German measles (rubella) (3) Measles: Common symptoms and how it's spread: Early symptoms of measles include fever, cough, feeling tired, sore throat, runny nose, discomfort when looking at light and sore, watery eyes. Promote MMR for all pupils and staff. reduces the infectious period Measles* 4 days from onset of rash and recovered Preventable by vaccination (2 doses of MMR). Exclusion may be considered in some circumstances. Pregnant staff should seek Preventable by immunisation. The spots (or blotches) are red and slightly raised.

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