Prevent the spread of infections by ensuring: routine immunisation, high standards of personal hygiene and practice, particularly hand-washing, and maintaining a clean environment. However, Public Health England recommend exclusion in some conditions.

Infection	Exclusion/Isolation Guidance	Notifiable*	Additional advice
Athlete’s foot	None needed		Treatment recommended. Avoid being barefoot.
Chickenpox	Until all lesions crusted over		Pregnant contacts should consult GP/midwife
Cold sores	None needed		Avoid direct contact
Conjunctivitis	None needed		Outbreak=Consult local health protection team (HPT)
COVID 19	Exclude in high temperature and unwell
Positive COVID-19 test: exclude for 3 days after the day of test		Can continue to attend with mild symptoms e.g. runny nose and headache
Diarrhoea and vomiting	Until symptoms have settled for 48 hours	If Ecoli 157 STEC/Typhoid/Shigella/ Cryptosporidiosis	If notifiable cause consult HPT for further advice
Diptheria	Must be excluded	Yes	Always consult HPT for advice
EBV	None needed
Fifth disease (Slapped cheek)	None needed		Pregnant contacts should consult GP/midwife
Hand foot and mouth	None needed usually		Contact HPT if a large number of children
affected
Head lice	None needed/Until first treatment given		Treatment indicated only when live lice are seen
Impetigo	Until lesions are crusted and healed/48 hours after starting antibiotics
Infectious Mononucleosis	None needed
Influenza	Until recovered		Report outbreaks to HPT
Hep A	Exclude until 7 days after onset of symptoms/jaundice		HPT will advise protection measures in outbreaks
Hep B/C/HIV	None needed		Not infectious through casual contact
Measles	4 days from onset of rash	Yes	Pregnant contacts must consult GP/midwife immediately
Meningitis	Until recovered/ Viral=none	Viral=No/Other=Yes	Contact HPT for more advice
Molluscum Contagiosum	None needed
Mumps	5 days from onset of swollen glands	Yes
MRSA	None needed		Good hygiene e,g handwashing, environmental cleaning, help minimise spread
Respiratory infections	Exclude in high temperature and unwell		Can continue to attend with mild symptoms e.g. runny nose and headache
Ringworm	Not usually required but must treat
Roseola	None needed
Rubella	4 days from onset of rash	Yes	Pregnant contacts must consult GP/midwife immediately
Scabies	Until first treatment given		Close contacts should be treated at same time
Scarlet fever	24 hours after starting antibiotics	Yes	If no antibiotics, exclude until symptoms recover
Threadworms	None needed		Treat child and close contacts
TB	Until 2 weeks after starting treatment	Yes	Only pulmonary TB is infectious and needs prolonged close contact to spread.
HPT will contact trace
Warts/verrucae	None needed		Cover in swimming pools and gymnasium
Whooping cough	2 days after starting antibiotics/21 days after symptom onset if no antibiotics	Yes	Non-infectious coughing may continue for weeks

*Registered medical practitioners in England and Wales have a statutory duty to notify their local authority or UK Health Security Agency (UKHSA) HPT of suspected cases of certain infectious diseases.

 

Created by Dr Euan Ballantyne