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
• The daycare fever policy has been followed
• The daycare vomiting policy has been followed
• 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
• The daycare fever policy has been followed
• The daycare vomiting policy has been followed
• A doctors note stating your child is no longer contagious is required

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
• The daycare fever policy has been followed
• The daycare diarrhea policy has been followed
• The daycare vomiting policy has been followed

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.