School_Exclusion_Flashcards
What are some conditions that do not require school exclusion?
Conditions include conjunctivitis, fifth disease, roseola, infectious mononucleosis, head lice, threadworms, and hand, foot, and mouth disease.
What is the exclusion period for Scarlet Fever?
Scarlet Fever requires exclusion for 24 hours after commencing antibiotics.
What is the exclusion period for Whooping Cough?
Whooping Cough requires exclusion for 2 days after commencing antibiotics or 21 days from onset of symptoms if no antibiotics are used.
What is the exclusion period for Measles?
Measles requires exclusion for 4 days from the onset of the rash.
What is the exclusion period for Rubella?
Rubella requires exclusion for 5 days from the onset of the rash.
What is the exclusion period for Chickenpox?
Chickenpox requires exclusion until all lesions are crusted over; the most infectious period is 1-2 days before the rash appears to 5 days after.
What is the exclusion period for Mumps?
Mumps requires exclusion for 5 days from the onset of swollen glands.
What is the exclusion period for Diarrhoea and Vomiting?
Diarrhoea and Vomiting require exclusion until symptoms have settled for 48 hours.
What is the exclusion period for Impetigo?
Impetigo requires exclusion until lesions are crusted and healed, or 48 hours after commencing antibiotic treatment.
What is the exclusion period for Scabies?
Scabies requires exclusion until treated.
What is the exclusion period for Influenza?
Influenza requires exclusion until recovered.
summarise
School exclusion
The table below summarises Health Protection Agency guidance on school exclusion
Advice Condition(s)
No exclusion
Conjunctivitis
Fifth disease (slapped cheek)
Roseola
Infectious mononucleosis
Head lice
Threadworms
Hand, foot and mouth
24 hours after commencing antibiotics
Scarlet fever
2 days after commencing antibiotics (or 21 days from onset of symptoms if no antibiotics )
Whooping cough
4 days from onset of rash
Measles
5 days from onset of rash
Rubella
All lesions crusted over
Chickenpox*
5 days from onset of swollen glands
Mumps
Until symptoms have settled for 48 hours
Diarrhoea & vomiting
Until lesions are crusted and healed, or 48 hours after commencing antibiotic treatment
Impetigo
Until treated
Scabies
Until recovered
Influenza
*the official advice regarding school exclusion for chickenpox has gone back and forth over recent years. In September 2017 Public Health England advocated the following:
Cases of chickenpox are generally infectious from 2 days before the rash appears to 5 days after the onset of rash.
Although the usual exclusion period is 5 days, all lesions should be crusted over before children return to nursery or school.
However, Clinical Knowledge Summaries are a bit vaguer:
Advise that the most infectious period is 1-2 days before the rash appears, but infectivity continues until all the lesions are dry and have crusted over (usually about 5 days after the onset of the rash).
Theme: School exclusion advice
A. 5 days from onset of rash
B. 5 days from onset of swollen glands
C. 5 days after commencing antibiotics
D. Until symptoms have settled for 48 hours
E. Until lesions have crusted over
F. Until treated
G. No exclusion
H. Until symptoms have settled for 12 hours
I. 2 days after commencing antibiotics (or 21 days from onset of symptoms if no antibiotics)
For each one of the following infectious diseases, select the most appropriate advice regarding school exclusion:
- Whooping cough
- Roseola
- Diarrhoea and vomiting
- Whooping cough
The correct answer is: 2 days after commencing antibiotics (or 21 days from onset of symptoms if no antibiotics) - Roseola
The correct answer is: No exclusion - Diarrhoea and vomiting
Until symptoms have settled for 48 hours
A 6-year-old girl presents to her general practitioner with a three day history of a dry cough. The patient has been suffering from severe coughing fits that cause her to turn blue and vomit. Prior to this she had a coryzal illness with fever, sore throat and a runny nose. She is diagnosed with whooping cough and given a course of clarithromycin.
What advice should be given with regards to returning to school?
Exclusion from school for 24 hours
Exclusion from school for 48 hours
Exclusion from school for one week
Exclusion from school until the cough has resolved
No school exclusion needed
Exclusion from school for 48 hours
A child with whooping cough should be excluded from school for 48 hours following commencement of antibiotics
Whooping cough is infectious and school children should therefore be excluded from school for 48 hours following commencement of antibiotics. During this time they should also avoid contact with unvaccinated infants.
