CHILD CARE CENTER

Shigellosis--All children or workers in a childcare facility must be excluded from the center until 2 consecutively negative stools (taken not less than 24 hours apart and at least 48 hours after being off antibiotics, if treated) are obtained.  The Communicable Disease Control nurse from the Health Department must release the child or worker to return to the childcare center.  A release from the physician is not sufficient.

Salmonellosis--All symptomatic and asymptomatic children who are in diapers and not fully toilet trained** must be excluded from the center until 2 consecutively negative stools (taken not less than 24 hours apart and at least 48 hours after being off antibiotics, if treated) are obtained.  The Communicable Disease nurse from the Health Department must release the child or worker to return to the childcare center.  A release from the physician is not sufficient.

Adult workers and toilet-trained children who are symptomatic must remain out of the center and may return when they are asymptomatic.  They will be monitored until 2 consecutively negative stools (taken not less than 24 hours apart and at least 48 hours after being off antibiotics, if treated) are obtained.

**The definition of "fully toilet trained" is no more than 2 incontinent stools per week.

Campylobacter enteritis--All children who are having symptoms must remain out of daycare until they are no longer having symptoms.  Generally a follow-up stool culture test is not necessary to return to the daycare.  A release from the Communicable Disease Control nurse is not necessary.

Adult workers should remain out of work while they are having symptoms and may return to work when they are asymptomatic without a follow-up stool test or release from the Communicable Disease Control nurse.

E. coli (shiga toxin producing)--All children or workers in a childcare facility must be excluded from the center until 2 consecutively negative stools (taken not less than 24 hours apart and at least 48 hours after being off antibiotics, if treated) are obtained.  The Communicable Disease Control nurse from the Health Department must release the child or worker to return to the child care center.  A release from the physician is not sufficient.

FOOD HANDLER

Shigellosis--All workers must be excluded from food handling until 2 consecutively negative stools (taken not less than 24 hours apart and at least 48 hours after being off antibiotics, if treated) are obtained.  The Communicable Disease Control nurse from the Health Department must release the food handler to return to work.  A release from the physician is not sufficient.

Salmonellosis--All symptomatic individuals are excluded from food handling and may return when they are asymptomatic.  They will be monitored until 2 consecutively negative stools (taken not less than 24 hours apart and at least 48 hours after being off antibiotics, if treated) are obtained.

Campylobacter enteritis--All symptomatic individuals are excluded from food handling and may return to work when they are asymptomatic.  Generally no follow-up stool culture is required and a release to return to work  from the Communicable Disease Control nurse is not necessary. 

E. coli (shiga toxin producing)--All workers must be excluded from food handling until 2 consecutively negative stools (taken not less than 24 hours apart and at least 48 hours after being off antibiotics, if treated) are obtained.  The Communicable Disease Control nurse from the Health Department must release the food handler to return to work.  A release from the physician is not sufficient.