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Lexden Lodge - 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.
  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 sick 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.
  Menungitis - 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.
  Tonsillitis
Incubation period:
Exclusion

  We comply 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.
 

 
 

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