Guidance on Infection Control In Schools and other Child Care Settings

[shoshe]

Seems to be a lot of people asking about things like this.

As a CM this is what I give to all new parents.

great stuff well done

great stuff well done

I spoke the the local Health Protectin Unit this afternoon & I have been told to use this

As the national guidance is wrong

I am confused & befuddled

bump

sorry haven't read them both in detail - what is the conflicting advice from the 2 links?
(sorry lazy i know)

1st link D&V 48hrs 2nd link D&V 72hrs
1st Link Conjunctivitis do not exclude 2nd Conjunctivitis exclude

I am confused

Surestart here told me to go by the 1st link, how typical that two different areas get two different bits of info.

conjunctivitits - it says on both no need to exclude (one says after medical advice - far enough in case its something else)

scuse me while i check the d+v one

fair not far

Yep - so we get parents to come & collect - see the GP then they can return the child for the rest of the day/next day

they don't need to be seen the same day!
the only reason to see a doc is exclude something else
but no need to exclude.

@Exclusion not usually necessary AFTER medical advise or treatment

So the parent must get medical advise before we can have the child - ask most childminders & this is what they have been told to use

lovaduck If you read the section about conjunctivitis from Katymacs post, it says in the notes that good personal hygiene will minimise the spread of infectious materials. This is almost impossible to implement in a childcare setting or toddler based group. It would rely on the infected child being policed for eye to other things contact and constant hand washing.

Coincidentally, it has been proven that the spread of hospital aquired infection was mainly due to staff not adequately handwashing and that this was predominantly in medical staff Drs don't implement good infection control on the whole and I would be loathed totake advice from most on this subject.

i don't actually think i'm going to answer that. just trying to explain what the rationale is for the new government guidelines, backing it up with evidence. as i have said i deeply empathise with those who havwe to take days off etc. but i don't go in for personal attacks.

tori - that was so rude!
I have to say that when I go up to the hospital I don't see any patients/visitors using the gel dispensers. Yes things need to be tightened up still and its not good that there are still hospital acquired infections but the reason why medical staff tend to be one of the vectors of spread is because they are the ones handling the patients - its not because they have less understanding of hygiene than the rest of us!

If good personal hygiene is impossible to implement in a childcare setting I wouldn't be sending my dcs to you tori , my old CM had no problem implementing it...........

It's conjunctivitis, not aids FGS!

Wisteria, Aids is actually easier to prevent from spreading in a toddler than conjunctivitis by the nature of the disease and route of spreading.

PS your childminder must have been an octapus if she could catch all children and wash their hands before they swapped toys with each other! Especially toddlers.
Oh and several sets of eyes while she left the room to do said handwashing!

Oh FFS!

I wasn't actually being serious tori.........well apart from trying to refute your statement about finding it hard to ensure attention to personal hygiene in a childcare setting.........I think the uproar about conjunctivitis on here is quite out of proportion.

and I'd only be bothered about them washing their hands after toileting, which is what personal hygiene is!

Apologies if you took my point about Drs spreading infection in hospitals as personal. However, having worked in hospitals on wards and in theatres I witnessed this over and over again. Drs do not wash their hands between patients unless they handle the patient. This is bad practice as it is proven that the transmition routes are on hospital notes, pens, phone recievers, keyboards etc which Drs routinely handle with dirty gloves on. This practice is drummed out of nurses in training.
So this is not a personal attack. I am merely pointing out that Drs do not generally acknowledge the whole picture.

Unlikely Tori - my Mum died in a hospital, riddled with MRSA - I know only too well how lax medical staff can be and the nurses were the only ones who took proper precautions.

I just think this all gets completely out of hand, we are talking about conjunctivitis which is a normal childhood thing, like slapface/ warts/ verrucas etc and none of them are killers and they all disappear after a while so I really don't see the need for all this hysteria.

i disagree tori but am not going to get into a row about it. why has mrsa arisen? because of overuse of antibiotics for unnecessary conditions, so resistance to penicillin flourished creating so called superbug.

I've already posted earlier that antibiotics may not be needed in 90% of cases, but regardless, this does not mean it isn't highly contagious and uncomfortable for the sufferer. Also, treatment in the form of regular eye bathing is necessary to clear the infection.
I have merely pointed out that in a toddler with conjunctivitis this is a part of their personal hygiene if a CM is to prevent all the children from getting it. It is not practical.
BTW wisteria unlikely what? I said exactly the same as you did. Nurses take precautions regarding infection, Drs tend to be lax. That is why I said I would not be guided by a GP on infection control issues. (Unless this was a specialist in infection control obviously.)as I am a qualified nurse as well as a CM.