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Managing Infectious Diseases in Child Care and Schools, 3rd Edition

A Quick Reference Guide

Edited by Susan S. Aronson, MD, FAAP and Timothy R. Shope, MD, MPH, FAAP
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Presented in an easy-to-use format, this ‘must-have’ guide provides:

Content from AAP’s premier source of information on infectious diseases, the Red Book

Quick reference fact sheets on more than 50 common infectious diseases and symptoms that occur in children in group settings

Easy-to-read explanations on how infectious diseases spread

Strategies for limiting the spread of infection

When exclusion is indicated and not indicated

Guidance about which situations require immediate help

Immunization schedules

Ready-to-use sample letters and forms for parents or referrals

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  1. Page IX
    Foreword
  2. Page X
    About This Book
  3. Page XI
    What Is New in This Edition?
  4. Page 1
    1. Introduction: Keeping Healthy
    1. Page 3
      Strengthening Resistance to Infections
    2. Page 3
      Structuring and Managing the Environment
    3. Page 4
      Reducing the Numbers of Harmful Germs
    4. Page 4
      Exclusion When Necessary of Children and Adults Who Are Ill
    5. Page 5
      The Role of the Child Care Health Consultant and School Health Personnel
    6. Page 6
      Planning and Policies
    7. Page 7
      What Families Can Do to Reduce Illness From Infection in Child Care and Schools
    8. Page 11
      What Staff Members Can Do to Reduce Illness From Infection in Child Care and Schools
    9. Page 15
      What Health Professionals Can Do to Reduce Illness From Infection in Child Care and Schools
  5. Page 17
    2. How Infection Spreads
    1. Page 19
      Infection Spread by Contact With People or Objects
    2. Page 19
      Infection Spread by the Fecal-Oral Route
    3. Page 19
      Infection Spread by the Respiratory Route
    4. Page 19
      Infection Spread Through Blood, Urine, and Saliva
  6. Page 21
    3. Infection Control Measures
    1. Page 23
      Administration and Consultation
    2. Page 25
      Sanitation, Disinfection, and Maintenance
    3. Page 31
      Hand Hygiene
    4. Page 35
      Changing Diapers, Soiled Disposable Training Pants, and Soiled Underwear
  7. Page 39
    4. Health of Teachers/Caregivers and Other Staff Members
    1. Page 41
      Introduction
    2. Page 41
      Regular Health Checkups: Health Appraisals
    3. Page 43
      Health Limitations of Staff Members
    4. Page 45
      Learn About and Practice Minimizing Risk of Illness and Injury
    5. Page 47
      Evaluating Performance Using Health Policies and Procedures
  8. Page 49
    5. Recognizing the Ill Child: Inclusion/Exclusion Criteria
    1. Page 51
      Daily Health Check
    2. Page 51
      When to Call Emergency Medical Services (and Also Notify Parents/Legal Guardians)
    3. Page 52
      Situations That Require Urgent Medical Attention
    4. Page 52
      Conditions That Do Not Require Exclusion to Control Spread of Disease to Others
    5. Page 55
      Conditions Requiring Temporary Exclusion
    6. Page 56
      Procedures for a Child Who Requires Exclusion
    7. Page 56
      Reportable/Notifiable Conditions
    8. Page 56
      Preparing for Managing Illness
  9. Page 57
    6. Signs and Symptoms Chart
  10. Page 67
    7. Quick Reference Sheets
    1. Page 69
      Bedbugs
    2. Page 71
      Bites (Human and Animal)
    3. Page 73
      Boil/Abscess/Cellulitis
    4. Page 75
      Campylobacter
    5. Page 77
      Chickenpox (Varicella-Zoster Infections)
    6. Page 79
      Cryptosporidiosis
    7. Page 81
      Cytomegalovirus (CMV) Infection
    8. Page 83
      Dental Caries (Early Childhood Caries or Cavities)
    9. Page 85
      Diarrhea
    10. Page 87
      Diarrhea Caused by Specific Types of E coli (Escherichia coli)
    11. Page 89
      Ear Infection
    12. Page 91
      Fever
    13. Page 93
      Fifth Disease (Human Parvovirus B19)
    14. Page 95
      Giardiasis
    15. Page 97
      Haemophilus influenzae Type b (Hib)
    16. Page 99
      Hand-Foot-and-Mouth Disease
    17. Page 101
      Hepatitis A Infection
    18. Page 103
      Hepatitis B Infection
    19. Page 105
      Herpes Simplex Virus
    20. Page 107
      HIV/AIDS
    21. Page 109
      Impetigo
    22. Page 111
      Influenza
    23. Page 113
      Lice (Pediculosis Capitis)
    24. Page 115
      Lyme Disease (and Other Tick-borne Diseases)
    25. Page 117
      Measles
    26. Page 119
      Meningitis
    27. Page 121
      Molluscum Contagiosum
    28. Page 123
      Mononucleosis
    29. Page 125
      Mosquito-borne Diseases
    30. Page 127
      Mouth Sores
    31. Page 129
      MRSA (Methicillin-resistant Staphylococcus aureus)
    32. Page 131
      Mumps
    33. Page 133
      Pinkeye (Conjunctivitis)
    34. Page 135
      Pinworms
    35. Page 137
      Pneumonia
    36. Page 139
      Respiratory Syncytial Virus (RSV)
    37. Page 141
      Ringworm
    38. Page 143
      Roseola (Human Herpesvirus 6)
    39. Page 145
      Rotavirus
    40. Page 147
      Rubella (German Measles)
    41. Page 149
      Salmonella
    42. Page 151
      Scabies
    43. Page 153
      Shigella
    44. Page 155
      Shingles (Herpes Zoster)
    45. Page 157
      Strep Throat (Streptococcal Pharyngitis) and Scarlet Fever
    46. Page 159
      Sty
    47. Page 161
      Thrush (Candidiasis)
    48. Page 163
      Tuberculosis (TB)
    49. Page 165
      Upper Respiratory Infection (Common Cold)
    50. Page 167
      Urinary Tract Infection
    51. Page 169
      Vomiting
    52. Page 171
      Warts (Human Papillomavirus)
    53. Page 173
      Whooping Cough (Pertussis)
    54. Page 175
      Yeast Diaper Rash (Candidiasis)
  11. Page 177
    8. Role of the Health Consultant in Child Care and Schools
    1. Page 179
      Why Does an Early Care and Education Program, a Before- and After-School Child Care Program, or a School Need a Health Consultant?
    2. Page 179
      What Are the Qualifications of a Health Consultant?
    3. Page 180
      What Does a Health Consultant Do?
    4. Page 181
      Where Can a Child Care Program or School Find a Health Consultant?
  12. Page 183
    9. Immunization Schedule and Information
    1. Page 185
      Preventing Diseases With Routine Childhood Immunizations
    2. Page 185
      Unimmunized/Under-immunized Children
    3. Page 185
      Teacher/Caregiver Immunizations
  13. Page 187
    10. Infectious Disease Outbreaks, Epidemics, and Bioterrorism/Environmental Health Emergencies
    1. Page 189
      Why Children Are Especially Vulnerable
    2. Page 189
      Planning
    3. Page 189
      Types of Infectious Disease Emergencies
    4. Page 190
      Symptom Records
    5. Page 190
      Parent Notification
    6. Page 191
      Tracking Procedure
    7. Page 191
      Corrective Action
  14. Page 193
    11. Sample Letters, Forms, and Relevant Resources
    1. Page 197
      Routine Schedule for Cleaning, Sanitizing, and Disinfecting
    2. Page 199
      Selecting an Appropriate Sanitizer or Disinfectant
    3. Page 206
      Recommended Immunization Schedule for Persons Aged 0 Through 18 Years–2013
    4. Page 210
      Catch-up Immunization Schedule for Persons Aged 4 mo Through 18 Years Who Start Late or Who Are More Than 1 Month Behind–United States, 2013
    5. Page 213
      Recommended Adult Immunization Schedule–United States, 2013
    6. Page 215
      Sample Health Information Consent Form
    7. Page 216
      Cleaning Up Body Fluids
    8. Page 217
      Diapering
    9. Page 220
      Situations that Require Medical Attention Right Away
    10. Page 221
      Enrollment/Attendance/Symptom Record
    11. Page 222
      Parent/Legal Guardian Alert Letter
    12. Page 223
      Symptoms or Suspected Illness–Sample A
    13. Page 224
      Symptoms or Suspected Illness–Sample B
    14. Page 225
      Medication Administration Packet
    15. Page 230
      Return to Group Care Form
    16. Page 231
      Gloving
    17. Page 232
      Child Care Staff Health Assessment
    18. Page 233
      Sample Food Service Cleaning Schedule
  15. Page 235
    Glossary
  16. Page 243
    Index

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