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.