Lexden Lodge Kindergarten

Sickness policy exclusions and information.

Chicken pox

White spots on torso. Highly infectious. Exclusion 5 days from onset of rash or when all spots have crusted over.

Hand / Foot /mouth

White ulcer/spots inside of mouth or between fingers and toes. No specific exclusion, but could be the case after consultation with Health Protection Unit.

Head Lice

Like dandruff but stuck to scalp hair. Highly infectious. Treatment is recommended as soon as possible.

Sickness

If sick at home a period of 48 hours must elapse before returning to nursery.

Impetigo

Spots grouped in a particular area. Infectious until lesions are crusted or healed.   Exclusion is for 24 hrs after start of treatment.

Diarrhea

If happens at home a period of 48 hours must elapse before returning to nursery.

ConJunctivitus

Green discharge from eye. Highly infectious. Can return 24 hours after the first treatment has been applied.

Slap cheek

Bright red cheeks. High fever. Highly infectious. Can return after symptoms have passed.

MEASLES

Incubation period:

10-14 days. Child infectious – 4 days before—14 days after rash appears.

Exclude: for 5 days from onset of swollen glands, or other symptoms.

Specific signs and symptoms:

Rash – starting behind the ears.

Kaplick spots (white spots inside the cheek).

Eyes running.

Face puffy.

Complications:

Encephalitis

Convulsions

Otitis Mrdia (middle ear infection)

Conjunctivitis

MUMPS

Incubation period:

17-21 days. Child infectious from 1 day before—7 days after all swelling has disappeared.

Exclude: for 5 days from onset of swollen glands, or other symptoms.

Specific signs and symptoms:   Swollen glands

Complications:

Danger of sterility in males.

RUBELLA

Incubation period:

17-18 days.   Child infectious from 4-7 days before rash.

Exclude: for 5 days from onset of swollen glands, or other symptoms.

Complications:

Pregnant woman in first 3 months-Foetus could suffer damage.

VARICELLA - CHICKEN POX

Incubation period:

17-21 days.

Child infectious from 2 days before vesicles appears—5 days afterwards.

All vesicles should dry before contact with other children.

Complications:

Shingles.

Scarring from scratching especially on the face.

MENINGITIS

Infectious of the lining of the brain.

Viral: No treatment.    Exclude until recovered.

Bacterial: Antibiotics.

Haemophilus influenza ‘B’: Immunisation.

Meningococcal in sever cases and septicemia.

Specific signs and symptoms:

Headache, Irritability.

Photophobia.

Neck stiffness.

Vomiting- Projectile.

High pitched cry.

Red rash, purple spots.

Drowsy, confused, unconscious and convulsion.

DIPTHERIA

Incubation period:

2 - 5 days.

Specific signs and symptoms:

Grey membrane covering affected part of throat, can cause airway obstruction.

TETANUS

Incubation period:

1 - 15 days.

Specific signs and symptoms:

Muscle spasm.

PERTUSSIS ~WHOOPING COUGH

Incubation period:

6 - 18 days. Exclude 5 days from commencement of antibiotic treatment.

3 stages lasting approximately 2 weeks.

THE CATARRAL PHASE

Runny nose, sneezing.

Hacking cough, (becoming worse especially at night).

Puffy face.

THE PAROXYEMAL PHASE

Child starts to whoop and vomit spasm of short expiratory.

Coughs with long inspiratory whoop.

Mucus and saliva stream from the nose and mouth.

THE RECOVERY PHASE

Woops become less frequent at night, less vomiting during the day, child starts to gain weight.

Complications:

Convulsions. Epistaxis (nose bleeding) after severe bouts of coughing.

Tonsillitis

Exclusion : 24 hrs from the start of the treatment.

* The Nursery complies with the Fast Track Infectious Diseases Notification for the North Essex Health Authority.

* Staff will work with parents/carers to identify diseases and will research any information that will be helpful.

* The nursery is unable to administer any medicine without prior consent.