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

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Comments Watch for new or more severe symptoms. They may indicate other, more serious infections. Influenza vaccine is available and may protect staff against influenza. Staff wishing to have the influenza vaccine should consult their own doctor. Influenza vaccine is not given routinely to children unless the child has a chronic, debilitating disease, for example, a chronic cardiac (heart) disorder, a pulmonary (lung) disorder, a renal (kidney) disorder or a metabolic disorder. 65 Draft for Public Consultation
Pneumococcal disease Description Pneumococcal disease refers to a number of different types of infection due to the bacteria called ‘the pneumococcus’ (also called Streptococcus pneumoniae). The bacteria are commonly found in the nose and throat of healthy people and usually live there harmlessly, especially in young children (up to 1 in 4 children in winter 42 ). It is not known why the bacteria cause disease in some people and not in others. The bacteria is spread in droplets shed from the mouth or nose through kissing or contact with articles that have been contaminated with the infected droplets. Pneumococcal disease occurs most commonly in children under the age of 2 years 43 . In children less than 5 years of age, Pneumococcus is the most common bacterial cause of otitis media (middle ear infection), pneumonia (lung infection), bacteraemia (infection of the blood stream) and meningitis (a life threatening infection of the lining of the brain) 44 . In children, severe pneumococcal disease (meningitis, septicaemia) peaks at around 12 months of age but cases of meningitis may occur from about 2 months of age 45 . The symptoms of pneumococcal disease depend upon the site of the infection. The symptoms are not exactly the same as meningococcal disease and a skin rash is not common with pneumococcal disease. When the bacteria invade the blood stream the disease can become a life-threatening condition. Incubation period Not well determined. It may be as short as 1-3 days 46 . Infectious period The person is infectious whilst nasal and mouth secretions still contain the pneumococcal bacteria. People are no longer infectious 24-48 hours after commencing an appropriate antibiotic. Exclusion period The child needs to be excluded until 48 hours after the commencement of an appropriate antibiotic. Responsibilities of child care providers/staff Report the infection to the director. Advise the parent the child needs to be excluded until 48 hours after the commencement of an appropriate antibiotic. Even after this period of time, the child should stay at home until they are feeling well. Responsibilities of parents The child needs to be excluded until 48 hours after the commencement of an appropriate antibiotic. Even after this period of time, the child should stay at home until they are feeling well. 66 Draft for Public Consultation
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Staying Healthy in Child Care Preve
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Salmonella……………………
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How infections spread There are fou
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Blood Some infections are spread wh
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• Encourage parents to tell you w
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Sample report form for parent/docto
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Responsibilities of parents • Com
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Exclusion of sick children and staf
Page 17 and 18: for 24 hours Campylobacter Exclude
Page 19 and 20: Norovirus swelling goes down (which
Page 21 and 22: Hand washing Infections can be spre
Page 23 and 24: Cover your cough and stop the sprea
Page 25 and 26: the paper and do not reach the tabl
Page 27 and 28: Cleaning the centre Washing germs a
Page 29 and 30: Wear gloves when handling soiled li
Page 31 and 32: Dealing with spills of blood, faece
Page 33 and 34: Sandpits Sandpits can be great fun.
Page 35 and 36: Immunisation Childhood vaccination
Page 37 and 38: antibiotic (neomycin). Reactions to
Page 39 and 40: Meningococcal C immunisation A sing
Page 41 and 42: Vaccine Key Hepatitis B Hepatitis B
Page 43 and 44: Mumps - contagious virus spread by
Page 45 and 46: Parent Advice Sheet Commonly observ
Page 47 and 48: 23vPPV 23-valent pneumococcal polys
Page 49 and 50: • Keep a non-mercury thermometer
Page 51 and 52: Occupational Health and Safety for
Page 53 and 54: Erythema infectiosum, also called p
Page 55 and 56: Part 2 Respiratory complaints Asthm
Page 57 and 58: Bronchiolitis Description Bronchiol
Page 59 and 60: Bronchitis Description Many childre
Page 61 and 62: Common cold Description The common
Page 63 and 64: Croup Description Croup is caused b
Page 65 and 66: Ear infections (otitis) Description
Page 67: Influenza Description Influenza is
Page 71 and 72: Runny noses (with green or yellow d
Page 73 and 74: Responsibilities of the parents Kee
Page 75 and 76: Treatment People with TB require an
Page 77 and 78: Controlling the spread of infection
Page 79 and 80: Controlling the spread of infection
Page 81 and 82: Make sure that effective hand washi
Page 83 and 84: with infectious diarrhoea should no
Page 85 and 86: Giardiasis Description Giardiasis i
Page 87 and 88: Norovirus Description Norovirus is
Page 89 and 90: Rotavirus Description Rotavirus is
Page 91 and 92: Salmonellosis Description Salmonell
Page 93 and 94: Shigellosis Description Shigellosis
Page 95 and 96: Worms: Pinworms Description There a
Page 97 and 98: Worms: Roundworm, hookworm and tape
Page 99 and 100: Chickenpox (varicella) Description
Page 101 and 102: Cold sores (herpes simplex) Descrip
Page 103 and 104: Parvovirus B19 (Erythema infectiosu
Page 105 and 106: Head lice (Pediculosis capitis) Des
Page 107 and 108: 7. Comb each section twice until yo
Page 109 and 110: Measles Description Measles is a hi
Page 111 and 112: Molluscum contagiosum Description A
Page 113 and 114: Responsibilities of parents Observe
Page 115 and 116: Rubella (german measles) Descriptio
Page 117 and 118: Scabies and other mites causing ski
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Scarlet fever Description Scarlet f
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Thrush (candida) Description Thrush
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Treatment Warts will usually go awa
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Responsibilities of child care prov
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• not kissing infants on the mout
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Haemophilus influenzae type b (Hib)
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Hepatitis A Description Hepatitis A
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Hepatitis B Description Hepatitis B
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Hepatitis C Description Hepatitis C
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HIV (Human immunodeficiency virus),
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Meningococcal infection Description
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Mumps Description Mumps is an infec
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Viral Meningitis Description Viral
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the invading organisms. Immunoglobu
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Useful Web Sites (Taken from Health
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References 1 You’ve got what? 200
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38 Parenting and Child Health - Cro
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79 You’ve got what? 2004. Fifth d
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118 You’ve Got What? Meningococca
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