Hpa Guidance for infection control in childcare settings
Rashes and
skin infections
Athlete’s foot
Chickenpox*
Cold sores,
(Herpes simplex)
German measles (rubella)*
Hand, foot and mouth
Recommended period to
kept at home
None
Five days from
Onset of rash
None
Six days from
Onset of rash
None
Comments
Athlete’s foot is not a serious
Condition, treatment is
Recommended.
Vulnerable children and female staff
pregnancy
Avoid kissing and contact with the
sores. Cold sores are generally
mild and self-limiting.
Preventable by immunisation.
Female staff pregnancy
Contact the Duty Room if a large
Number of children are affected.
Exclusion may be considered in
Some circumstances.
Butterflies Policy
As HPA Guidance
AS HPA Guidance
AS HPA Guidance
AS HPA Guidance
Children should be well and comfortable, spots
should have crusted. Butterflies staff will send a
child home who is not well enough to gain
anything from the session.
Impetigo
Until lesions are
Crusted and healed
Or 48hrs after starting
antibiotics
Antibiotic treatment speeds healing
& reduces the infectious period.
As HPA Guidance
Measles*
Four days from onset
Of rash
Preventable by vaccination
See: Vulnerable children and preg.
AS HPA Guidance
A self-limiting condition
AS HPA Guidance
Exclusion not usually
required
Treatment is required
AS HPA Guidance
Roseola (infantum)
None
None
AS HPA Guidance
Scabies
Child can return after
First treatment
Molluscum contagiosum
Ringworm
None
Household and close contacts
Require treatment
As HPA Guidance
Scarlet fever*
Slapped cheek
Child can return 24
Hours after commencing appropriate
Antibiotic treatment
See vulnerable children &
pregnancy
None
Shingles
Warts and verrucae
As HPA
Exclude only if rash is weeping
and cannot be covered
None
Can cause chickenpox in
Those who are not immune
i.e. have not had chickenpox.
It is spread by very close
contact and touch.
If further information
is required, contact the
Duty Room. SEE:
Vulnerable Children and
Female Staff – Pregnancy
Verrucae should be covered
in swimming pools, gymnasiums
and changing rooms
As HPA
As HPA
As HPA