Child Health - School Exclusion

Question 1

Whooping Cough

Answer 1

Until at least 2 days after commencing Antibiotics

or

21 days from the onset of symptoms if no antibiotics

Bordetella pertussis

• Gram Negative
• Vaccinated at 2,3,4 months and 3 - 5 Years

Antibiotic: Macrolide

• e.g. Clarithromycin, Azithromycin, Erythromycin
• SE: GI Upset, QT Prolongation, Cholestatic Hepatitis, interaction with Statins (can cause myopathy through inhibition of CYP450)

Question 2

Conjunctivitis

Answer 2

No Exclusion Required

Question 3

Fifth Disease (Erythema infectiosum)

Answer 3

No Exclusion Required

The child is no longer infectious once the rash appears

Caused by the Parvovirus B19

Question 4

Roseola

Answer 4

No Exclusion Required

Question 5

Infectious Mononucleosis

Answer 5

No Exclusion Required

Question 6

Head Lice

Answer 6

No Exclusion Required

Question 7

Hand, Foot & Mouth

Answer 7

No Exclusion Required

Question 8

Scarlet Fever

Answer 8

24 hours after commencing antibiotics

Management:
- Oral Penicillin V for 10 days

Question 9

Measles

Answer 9

4 days from onset of rash

Question 10

Rubella

Answer 10

4 days from onset of rash

Question 11

Chickenpox

Answer 11

All lesions crusted over

Generally infectious from:

2 days before and 5 days after the onset of the rash

However all lesions should be crusted over before retuning to school

Question 12

Mumps

Answer 12

5 days from onset of swollen glands

Question 13

Diarrhoea & Vomiting

Answer 13

Until symptoms have settled for 48 hours

Question 14

Impetigo

Answer 14

Until lesions are crusted and healed

or

48 hours after commencing antibiotic treatment

Treatment (Limited disease):

• Hydrogen Peroxide 1% Cream
• Topical Fusidic Acid

Treatment (Extensive Disease):

• Oral Flucloxacillin
• Erythromycin if penicillin- allergic

Question 15

Scabies

Answer 15

Until treated

Treat with Permethrin 5%

Question 16

Influenza

Answer 16

Until recovered