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Staying Healthy in Child Care - National Health and Medical ...

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Molluscum contagiosum<br />

Description<br />

A common sk<strong>in</strong> <strong>in</strong>fection caused by the Molluscipox virus.<br />

The virus causes small, usually 2-5mm, pa<strong>in</strong>less, p<strong>in</strong>k or pearly white lumps on the<br />

sk<strong>in</strong>. The top of the lump is <strong>in</strong>dented <strong>and</strong> conta<strong>in</strong>s a white core.<br />

The <strong>in</strong>fection is not serious, only affects the sk<strong>in</strong>, <strong>and</strong> will disappear without<br />

treatment, although this may take several months. Individual lumps often disappear<br />

after about two months, but often there will be more than one lump <strong>and</strong> they will not<br />

all disappear until 6-9 months. There are no long-term ill effects follow<strong>in</strong>g molluscum<br />

contagiosum. People who are immunosuppressed may have more lesions, <strong>and</strong> these<br />

may take longer to clear up.<br />

The virus is spread by direct sk<strong>in</strong>-to-sk<strong>in</strong> contact where there are m<strong>in</strong>or breaks <strong>in</strong> the<br />

sk<strong>in</strong>, <strong>and</strong> is most common <strong>in</strong> children.<br />

Incubation period<br />

2-7 weeks, sometimes longer 87 .<br />

Infectious period<br />

As long as the lumps are present. This may be for several months.<br />

Exclusion period<br />

Nil.<br />

Responsibilities of child care providers/staff<br />

Inform the director of the <strong>in</strong>fection.<br />

Responsibilities of parents<br />

Inform child care provider/staff of <strong>in</strong>fection.<br />

Controll<strong>in</strong>g the spread of <strong>in</strong>fection<br />

Direct contact with the lumps should be avoided.<br />

Cover<strong>in</strong>g lumps is not necessary.<br />

Treatment<br />

Lumps will disappear without treatment, although this may take several months.<br />

Various treatments such as laser therapy, freez<strong>in</strong>g <strong>and</strong> surgery are occasionally used<br />

for cosmetic reasons.<br />

108<br />

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