Nursery Exclusion Guidance

Parents’ Document as per Government guidelines

Infection or complaintExclusion as per government guidelinesComments
Athletes footNoneIndividuals should not go bare foot in setting
ChickenpoxUntil all vesicles have crusted over
Cold sores, (Herpes simplex)NoneAvoid kissing and contact with the sores. Cold sores are generally mild and self-limiting
ConjunctivitisNone
DiphtheriaEssentialUntil cleared to return by GP
Respiratory infections including Covid-19Individuals should not attend if they have a high temp and are unwell. Individuals who have a positive test for Covid-19 should not attend setting for 3 days after test dateIndividuals with mild symptoms can attend may attend
German measles (rubella)*Five days from onset of rashPreventable by immunisation (MMR x2 doses).
Hand, foot and mouthNoneContact your local HPT if many children are affected. Exclusion may be considered in some circumstances
ImpetigoUntil lesions are crusted and healed, or 48 hours after starting antibiotic treatmentAntibiotic treatment speeds healing and reduces the infectious period
MeaslesFour days from onset of rashPreventable by vaccination (MMR x2). Pregnant staff check
RingwormExclusion not usually requiredTreatment is required
ScabiesChild can return after first treatmentHousehold and close contacts require treatment
Scarlet feverChild can return 24 hours after starting appropriate antibiotic treatmentIf no Antibiotics no return until symptoms have ended
Slapped cheek/fifth disease. Parvovirus B19None (once rash has developed)
Diarrhoea and/or vomiting48 hours from diarrhoea or vomiting stopping
Flu (influenza)Until recovered
Whooping cough (pertussis)Two days from starting antibiotic treatment, or 21 days from onset of illness if no antibiotic treatmentPreventable by vaccination
Head liceNoneTreatment is recommended only in cases where live lice have been seen
MumpsExclude child for five days after onset of swellingPreventable by vaccination (MMR x2 doses)
ThreadwormsNoneTreatment is recommended for the child and household contacts
TonsillitisNoneThere are many causes, but most cases are due to viruses and do not
need an antibiotic
TBTwo weeks after start of effective antibiotic treatmentOnly Pulmonary (lung) TB is infectious

For further information please refer to the Health Protection agency at  https://www.publichealth.hscni.net/sites/default/files/Guidance_on_infection_control_in%20schools_poster.pdf