Prevention and Control of Communicable Diseases - Missouri ...

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July 2011 STREPTOCOCCAL INFECTION (Strep Throat/Scarlet Fever) 206 PROVIDER Streptococcal sore throat (strep throat) and a strep throat with a rash (scarlet fever) are common infections in children. CAUSE Streptococcus bacteria (Group A beta-hemolytic strep). SYMPTOMS Strep throat - Scarlet fever - Starts suddenly with fever, red sore throat, and swollen glands. Headache may occur. Nausea, abdominal pain, and vomiting may be more common in children. A very fine raised rash (feels like sandpaper) is present. The rash blanches with pressure. The rash appears most often on the neck, chest, elbow, and groin, and in the inner thigh and folds of the armpit. Later on, there may be peeling of the skin on the fingertips and toes. These illnesses are usually not serious; however, rare problems such as rheumatic fever (which can damage heart valves) or kidney disease may develop if children do not receive proper antibiotic treatment. SPREAD Coughing or sneezing tiny droplets into the air and another person breathes them in. INCUBATION It usually takes 2 to 5 days from the time a person is exposed until symptoms start. CONTAGIOUS PERIOD Until 24 hours after antibiotic treatment begins. EXCLUSION Childcare and School: Until 24 hours after antibiotic treatment begins and the child is without fever. Children without symptoms, regardless of a positive throat culture, do not need to be excluded from childcare or school. Persons who have strep bacteria in their throats and do not have any symptoms (carriers) appear to be at little risk of spreading infection to those who live, go to childcare or school, or work around them. Check with your local environmental health department to see if people with skin lesions need to be excluded from food handling. DIAGNOSIS Recommend parents/guardians call their healthcare provider. Strep may be identified in the throat either by using a rapid strep test, which can provide results the same day, or by throat culture. TREATMENT Oral or injectable antibiotics may be prescribed. Treatment may be dependent on how severe the infection is and will help prevent more serious illness such as rheumatic fever.
STREPTOCOCCAL INFECTION PROVIDER PREVENTION/CONTROL July 2011 � Cover nose and mouth when coughing or sneezing or cough/sneeze into your sleeve. Dispose of used tissues. � Regular and thorough handwashing is the best way to prevent the spread of communicable diseases. Wash hands thoroughly with soap and warm running water after contact with secretions from the nose or mouth. � Clean and sanitize mouthed objects and surfaces at least daily and when soiled. (See pgs 35-41) � Recommend a new toothbrush for the person with strep after they are no longer contagious. For more information, call Missouri Department of Health and Senior Services (MDHSS) at 573-751-6113 or 866-628-9891 (8-5 Monday thru Friday) or call your local health department. 207
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Prevention and Control of Communica
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FOREWORD HELP CONTROL COMMUNICABLE
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INTRODUCTION The number of families
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SECTION 4 Reports from Staff 71 (CO
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SECTION 6 Parent Fact Sheet 170 (CO
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GENERAL EXCLUSION GUIDELINES FOR IL
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July 2011 SPECIFIC DISEASE EXCLUSIO
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SPECIFIC DISEASE EXCLUSION GUIDELIN
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July 2011 SPECIFIC DISEASE EXCLUSIO
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What is CMV? July 2011 CYTOMEGALOVI
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July 2011 FIFTH DISEASE (PARVOVIRUS
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July 2011 HAND, FOOT, AND MOUTH DIS
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July 2011 HEPATITIS B VIRUS AND PRE
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HUMAN IMMUNODEFICIENCY VIRUS (HIV)
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What is rubella? July 2011 RUBELLA
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July 2011 VARICELLA-ZOSTER VIRUS (C
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July 2011 HUMAN BITING INCIDENTS Bi
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July 2011 CLEANING, SANITIZING, AND
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CLEANING, SANITIZING, AND DISINFECT
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CLEANING, SANITIZING, AND DISINFECT
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July 2011 41
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DIAPERING Handwashing procedures Th
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July 2011 45
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July 2011 FOOD SAFETY IN CHILDCARE
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FOOD SAFETY IN CHILDCARE SETTINGS A
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PETS IN CHILDCARE SETTINGS AND SCHO
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July 2011 SWIMMING AND WADING POOLS
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July 2011 55
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August General information August 2
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HANDWASHING Why, How, When: A Handw
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July 2011 INFECTION CONTROL GUIDELI
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INFECTION CONTROL RECOMMENDATIONS F
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MISUSE OF ANTIBIOTICS � Does acut
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SAFE HANDLING OF BREAST MILK Prepar
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July 2011 COMMUNICABLE DISEASE REPO
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COMMUNICABLE DISEASE REPORTING �
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July 2011 CONTROL AND MANAGEMENT OF
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July 2011 SAMPLE: Line List for Gas
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July 2011 BED BUGS 77 PROVIDER The
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July 2011 79 PROVIDER BRONCHITIS, A
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July 2011 CAMPYLOBACTERIOSIS Report
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Your child may have been exposed to
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CHICKENPOX (VARICELLA) PROVIDER EXC
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July 2011 CONJUNCTIVITIS (PINKEYE)
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CRYPTOSPORIDIOSIS PROVIDER TREATMEN
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July 2011 CYTOMEGALOVIRUS (CMV) INF
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July 2011 DIARRHEA (INFECTIOUS) 97
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FIFTH DISEASE PROVIDER INFORMATION
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July 2011 GIARDIASIS Reportable to
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HAEMOPHILUS INFLUENZAE TYPE B (HIB)
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July 2011 HAND, FOOT, AND MOUTH DIS
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July 2011 HEAD LICE 113 PROVIDER He
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HEAD LICE PROVIDER PREVENTION/CONTR
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July 2011 HEPATITIS A Reportable to
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HEPATITIS B PROVIDER PREVENTION/CON
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HEPATITIS C PROVIDER PREVENTION/CON
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HERPES GLADIATORUM PROVIDER PREVENT
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July 2011 HERPES, ORAL Commonly, th
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July 2011 131 PROVIDER HUMAN IMMUNO
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July 2011 IMPETIGO 133 PROVIDER Imp
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July 2011 INFLUENZA Reportable to l
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July 2011 � Childcare programs sh
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July 2011 MEASLES Reportable to loc
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MENINGOCOCCAL DISEASE PROVIDER PREV
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July 2011 METHICILLIN-RESISTANT STA
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MOLLUSCUM CONTAGIOSUM PROVIDER PREV
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July 2011 MONONUCLEOSIS 151 PROVIDE
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July 2011 MOSQUITO-BORNE DISEASE (V
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Page 169 and 170: NOROVIRUS PROVIDER PREVENTION/CONTR
Page 171 and 172: July 2011 PARAPERTUSSIS Parapertuss
Page 173 and 174: PERTUSSIS (WHOOPING COUGH) Reportab
Page 179 and 180: PNEUMOCOCCAL INFECTION PROVIDER PRE
Page 181 and 182: July 2011 PNEUMONIA 171 PROVIDER Pn
Page 183 and 184: July 2011 RESPIRATORY INFECTION (VI
Page 185 and 186: July 2011 RESPIRATORY SYNCYTIAL VIR
Page 189 and 190: RINGWORM PROVIDER PREVENTION/CONTRO
Page 191 and 192: July 2011 ROSEOLA 181 PROVIDER Rose
Page 193 and 194: July 2011 ROTAVIRAL INFECTION 183 P
Page 197 and 198: RUBELLA (GERMAN MEASLES) PROVIDER P
Page 199 and 200: July 2011 SALMONELLOSIS Reportable
Page 205 and 206: SHIGA TOXIN-PRODUCING ESCHERICHIA C
Page 207 and 208: July 2011 SHIGELLOSIS Reportable to
Page 211 and 212: SHINGLES (ZOSTER) PROVIDER PREVENTI
Page 213 and 214: July 2011 STAPH SKIN INFECTION 203
Page 215: Your child may have been exposed to
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Page 221 and 222: July 2011 TUBERCULOSIS (TB) Reporta
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Page 229 and 230: YEAST INFECTION (CANDIDIASIS) PROVI
Page 231 and 232: Prepared by Missouri Department of
Page 233 and 234: MISSOURI LAWS RELATED TO CHILDCARE
Page 235 and 236: July 2011 EMERGENCY PREPAREDNESS PL
Page 237 and 238: July 2011 EMERGENCY PREPAREDNESS PL
Page 239 and 240: INDIVIDUAL AND FAMILY EMERGENCY PRE
Page 241 and 242: GLOSSARY COLONIZATION: When bacteri
Page 243 and 244: GLOSSARY MENINGITIS: A swelling or
Page 245 and 246: REFERENCES American Academy of Pedi
Page 247: REFERENCES Website Resources Americ
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