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Recommended absences from school following infection

Rashes and skin infections Recommended period to be kept away from school, nursery or childminder Comments
Athlete's foot None Athletes foot is not a serious condition.  treatment is recommended
Chickenpox Five days from the onset of rash  
Cold sores ( Herpes simplex) None Avoid kissing and contact with the sores.

Cold sores are generally mild and self limiting
German measles ( Rubella) Six days from onset of rash Preventable by immunisation  ( MMR x 2 doses)
Hand, foot and mouth None  
Impetigo Until lesions are crusted and healed, or 48 hours after commencing antibiotic treatment Antibiotic treatment speeds healing and reduces the infectious period
Measles Four days from onset of rash Preventable  by vaccination (MMR x 2)
Molluscum contagiosum None A self-limiting condition
Ringworm Exclusion not usually required Treatment is required
Roseola (infantum) None None
Scabies Child can return after first treatment Household and close contacts require treatment
Scarlet Fever Child can return 24 hours after commencing appropriate antibiotic treatment  Antibiotic treatment recommended for the affected child
Slapped cheek / fifth disease. Parvovirus B19 None  
Shingles Exclude only if rash is weeping and cannot be covered Can cause chickenpox in those who are not immune i.e. have not had chickenpox.  It is  spread by very close contact and touch.
Warts and Verrucae None Verrucae should be covered in swimming pools, gymnasiums and changing rooms
Diarrhoea and vomiting illness Recommended period to be kept away from school,nursery or childminder Comments
Diarrhoea and / or vomiting 48 hours from last episode of diarrhoea or vomiting  
E coli 0157 VTEC Should be excluded for 48 hours from the last episode of diarrhoea Further exclusion may be required for young children under five and those who have difficulty in adhering to hygiene practices
Typhoid  (and paratyphoid) (enteric fever) Further exclusion may be required for some children until they are no longer excreting This guidance may also apply to some contacts who may require microbiological clearance
Cryptosporidiosis Exclude for 48 hours from the last episode of Diarrhoea Exclusion  from swimming is advisable for two weeks after the diarrhoea has settled
Respiratory infections Recommended period to be kept away from school, nursery or childminder Comments
Flu (influenza) Until recovered  
Tuberculosis Consult local Health Protection Unit Requires prolonged close contact for spread
Whooping cough (pertussis) Five days from commencing antbiotic treatment, or 21 days from onset of illness if no antibiotic treatment Preventable by vaccination.  After treatment, non-infectious coughing may continue for many weeks. Local Health Protection Unit will organise any contact tracing necessary
Other infections Recommended period to be kept away from school, nursery or childminder Comments
Conjunctivitis None  
Diphtheria Exclusion is essential Preventable by vaccination. Family contacts must be excluded until cleared to return by local Health Protection Unit
Glandular fever None  
Head lice None  
Hepatitis A Exclude until seven days after onset of jaundice (or seven days after symptom onset if no jaundice)  
Hepatitis B, C, HIV/AIDS None Hepatitis B and C and HIV are bloodborne viruses that are not infectious through casual contact
Meningococcal Meningitis / septicaemia Until recovered Meningitis C is preventable by vaccination.  There is no reason to exclude siblings or other close contacts of a case
Meningitis due to other bacteria Until recovered Hib and pneumococcal meningitis are preventable by vaccination.  There is no reason to exclude siblings or other close contacts of a case
Meningitis viral None Milder illness.  There is no reason to exclude siblings and other close contacts of a case
MRSA None Good hygiene, in particular handwashing and environmental cleaning, are important to minimise any danger of spread
Mumps Exclude child for 5 days after onset of swelling Preventable by vaccine  (MMR x 2 doses)
Threadworms None Treatment is recommended for the child and household contacts
Tonsilitis None There are many causes, but most cases are due to viruses and do not need an antibiotic
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