Streptococcal Infections
(Strep Throat, Scarlet Fever)
(Invasive Group A Strep)

Your child is required to remain home.

Strep Throat, Scarlet Fever

Cause/Symptoms:

• Bacteria.
• Strep Throat: Very sore and red throat, fever.
  
• Scarlet Fever: High fever, vomiting, "sandpaper" skin rash, "strawberry tongue", red cheeks and whiteness around mouth.
  
• During convalescence, skin on hands and feet may peel.

Transmission:

• Direct or indirect contact with respiratory secretions.

Incubation:

• Usually 1 to 3 days.

Period of Communicability:

• From onset of symptoms until 24 hours after antibiotic treatment initiated.
• 10 to 21 days if untreated.

Your child can return to daycare once all the following criteria has been meet:

With Treatment

• 48 hrs after the start of treatment
• Your child is breathing fine
• Your child is eating and drinking normally
• Your child can participate in all daycare activities
• Fever is gone as per the daycare fever policy
• Vomiting has stopped as per the daycare vomiting policy
• At least 72 hours have passed since the onset of symptoms/diagnosis

Without Treatment

• At least 10 have passed since the onset of symptoms/diagnosis
  
• Your child is breathing breathing fine
• Your child is eating and drinking normally
• Your child can participate in all daycare activities
• Fever is gone as per the daycare fever policy
• Vomiting has stopped as per the daycare vomiting policy
  
• A doctors note stating your child is no longer contagious is required.
  

Fever

• 24 hours from the time the fever reducing medication are out of your child system (8 to 10 hours after taking last dose) and fever has not returned
• 24 hours free of any fever reducing medication or any other medication that can mask symptoms of illness.
• If no medication is given: 24 hours starting one (1) hour after you discover your child’s fever has broken 

Vomiting

• 48 hours from the time the vomit reducing medication (such as, Gravel) are out of your child system (8 to 10 hours after taking last dose) and vomiting has not restarted
• 48 hours free of any vomit reducing medication or any other medication that can mask symptoms of illness.
• If no medication is given: 48 hours starting one (1) hour after the last time your child vomited.

Streptococcal Infection (Invasive Group A Strep)

Cause/Symptoms:

• Necrotizing fasciitis: Fever, localised redness, swelling, blister formation, and intense pain.

                                                Redness spreads very quickly.

• Toxic Shock Syndrome: Sudden onset of high fever, vomiting, diarrhea, rash, muscle pains, and shock.

                                                    Can be fatal.

Transmission:

• Direct or indirect contact with respiratory secretions or with discharge from wounds.

Incubation:

• Usually 1 to 3 days.

Period of Communicability:

• From onset of symptoms until 24 hours after antibiotic treatment initiated.

Your child can return to daycare once all the following criteria has been meet:

• 48 hrs after the start of treatment
• Your child is breathing fine
• Your child is eating and drinking normally
• Your child can participate in all daycare activities
• All blisters most have cleared up
• Rash most be gone
  
• At least 72 hours have passed since the onset of symptoms/diagnosis
  

Diarrhea

• 24 hours from the time the diarrhea reducing medication are out of your child system (8 to 10 hours after taking last dose) and diarrhea has not returned
• 24 hours free of any diarrhea reducing medication or any other medication that can mask symptoms of illness.
• If no medication is given: 24 hours starting one (1) hour after your child's last diarrhea bowel movement

Fever

• 48 hours from the time the fever reducing medication are out of your child system (8 to 10 hours after taking last dose) and fever has not returned
• 48 hours free of any fever reducing medication or any other medication that can mask symptoms of illness.
• If no medication is given: 48 hours starting one (1) hour after you discover your child’s fever has broken

Vomiting

• 48 hours from the time the vomit reducing medication (such as, Gravel) are out of your child system (8 to 10 hours after taking last dose) and vomiting has not restarted
• 48 hours free of any vomit reducing medication or any other medication that can mask symptoms of illness.
• If no medication is given: 48 hours starting one (1) hour after the last time your child vomited.

Strep Throat, Scarlet Fever -
With Treatment - Your child is required to remain home for at least seventy-two (72) hours, if not longer.
Without Treatment - Your child is required to remain home for at least ten (10) days, if not longer.

Invasive Group A Strep -
Your child is required to remain home for at least seventy-two (72) hours, if not longer.