Fort Wayne Community Schools - Care of Illness

Care

Learning and health go hand in hand. In order for children to learn, they need to be in school. Ill children have difficulty staying focused and on task in the classroom. Notify your school when your child is ill or has a contagious disease.

Please contact your family health care provider or school nurse with questions about the information given here. This information is designed as a guideline and explains the Fort Wayne Community Schools Health Services illness protocols. This is not a substitute for advice from your family health care provider.

Keeping Your Child Home

Children should be kept at home if they have the following:

  • Fevers above 100 and have other symptoms of illness
    • Note: It is recommended that children be fever free for 24 hours without the use of anti-fever medications (Tylenol®, ibuprofen, etc.) before returning to school.
  • Vomiting and/or diarrhea
  • Undiagnosed rash with fever
  • Eye infections with eye discharge
  • Communicable diseases (scabies, impetigo, ringworm, head lice ~ until treated appropriately)
  • Any illness that prevents the child from participating comfortably in program activities or disrupts the other student’s participation
  • Illness that results in a need for care that is greater than the staff can provide without compromising the health and safety of other children

Common Communicable Disease in Children

Conjunctivitis (eye infections)

There are many causes for this inflammation of the mucous membrane lining the inner surface of the eyelids and the whites of the eyes.

  • Symptoms may include: tearing, irritation/itching, redness, burning, increased sensitivity to light and discharge (green or white) from the eye
  • Causes may include: virus, allergies, fungus, irritating substances, bacteria or foreign body
  • Transmission: contact with discharge from eye or upper respiratory tract of infected person. Indirect contact with contaminated fingers, clothing, eye makeup, towels or washcloth.
  • Control the spread:
    • Good hand washing
    • Avoidance of touching or rubbing infected eyes
    • Avoid wearing eye makeup and dispose of old eye makeup
    • Use own towels and washcloth
    • Change pillowcase daily until discharge from the eye is gone
    • Never wear another person’s contact lens.

If there is a history of pus from the eyes or the red eye does not clear in 2-3 days, contact your health care provider for treatment. You may return to school when the redness is gone, your physician states you can return or after you have been treated with the medication for 24 hours. Please return the diagnosis and name of any medication prescribed to the school.

Impetigo

Impetigo is an infection of the skin’s surface, usually caused by group A streptococcus or staphylococcus aureus. It is highly contagious.

  • What to Look For
    • Discolored spots or circles that may have small blisters, bacteria-containing fluids spreads to surrounding areas as blisters break, and honey-colored loosely adherent crusts form
    • Most frequently found on face (around the nose and mouth) and fingers
    • Itching occurs
    • Skin around the impetigo lesions may be red
  • How to Treat
    • Infection can be treated by application of over-the-counter antibiotic creams
    • Caution, do not use these medications if there is a known allergy, contact your physician
    • Gently wash area with antibacterial soap and water
    • Apply ointment as directed
  • Other Recommendations
    • Good hand washing
    • Keep fingernails short
    • Do not share personal care items (towels, wash cloths)
    • If around the mouth, get a new toothbrush

Continue treatment for 3 days after the area appears healed. Return to school 24 hours after treatment has begun, or with a physician’s release. Inform the school nurse of the medication being applied at home.

Ringworm

  • What to Look For
    • Ring-shaped pink patch, scaly, raised border, clear center, usually 1/2 to 1 inch in size, mildly itchy
  • How to Treat
    • Over-the-counter antifungal creams
    • Apply as per package directions (this can be done at home)
    • Apply medication one inch beyond its borders
    • Continue medication for one week after the area appears healed
  • Contact Physician
    • The infection does not clear in 4 weeks
    • The ringworm continues to spread after 1 week of treatment
    • The scalp is involved (Oral medicine will be needed)
  • Other Recommendations
    • Good hygiene and good hand washing
    • Don’t share personal items (hairbrushes, clothing, towels)
    • Call veterinarian for pet treatment advice
    • Avoid close contact with pets

Ringworm of the skin has a low rate of contagion. After 48 hours of treatment, it is not considered contagious. If untreated the area should be covered until treatment is started. You may be in school if under treatment.

Common Communicable Disease in Children (Continued)

Infectious Disease Prevention in Wrestling and Other Contact Sports

This Wrestling and Health brochure is provided to the parents and athletes involved with wrestling and other contact sports. The information is designed to promote the health and well-being of all involved. Pat Christie, RN/BS Editor (Revised April 2003)

MRSA (Methicillin-resistant Staphylococcus aureus) in Athletics

Transmission of MRSA among sports participants is a concern. Possible risk factors for infection include close physical contact, skin damage, and sharing of equipment or clothing. The risk for transmission of MRSA is much greater among sports participants than among students in a classroom. The U.S. Centers for Disease Control and Prevention (CDC) has published the following guidance for preventing staphylococcal skin infections in the sports setting:

  • Cover all wounds. If a wound cannot be covered adequately, consider excluding players with potentially infectious skin lesions from practice or competitions until the lesions are healed or can be covered adequately.
  • Encourage good hygiene, including showering and washing with soap after all practices and competitions.
  • Ensure availability of adequate soap and hot water.
  • Discourage sharing of towels and personal items, such as clothing or equipment.
  • Encourage athletes to report skin lesions to coaches and encourage coaches to assess athletes regularly for skin infections.

Head Lice

    • Prevention
      • The parent/guardian has the ultimate responsibility to ensure their child is free of live lice and (live) viable nits. The parent is responsible for the care of their child’s scalp and hair.
      • The parent should carefully check their child’s scalp and hair once each week. Many people think that itching is a good indicator of evidence of lice. However, the first infection may produce NO signs or symptoms for 4 to 6 weeks.
      • Head lice can be found on any person of any age (primarily ages of 3-11 years), race, gender, or socioeconomic class. Infection is not a sign of poor hygiene or living conditions.
      • Avoid head-to-head contact. Although not a common source of transmission, avoid sharing articles such as hats, combs, brushes and hair implements (head bands, barrettes etc.)
      • Prevention is a lot less costly, in time and money, than treatment.
    • Education
      • Lice are human parasitic insects, about the size of a sesame seed, that live on the scalp and lays eggs in the hair.
      • Lice are fast crawling and range in color, from translucent and/or nearly colorless- with small brownish patches along the sides of the body-to almost totally black.
      • Eggs (nits) attach to the hair with strong quick-setting glue. Eggs within ¼ inch of the scalp are considered viable (live). Nits should be removed.
      • A louse can hold its breath and hang on for some days when immersed in water. Just washing the hair does not get rid of lice.
      • The leading cause of treatment failures is IMPROPER USE OF PRODUCTS. Read instructions carefully.
    • Management
      • Consult with a nurse, pharmacist, or physician and purchase treatment. READ INSTRUCTIONS CAREFULLY BEFORE STARTING TREATMENT.
      • Check the scalp and hair of all members (including adults) of the immediate and extended households. Pay special attention to the crown of the head, behind the ears and at the nape of the neck. Treat only those with active infections. Notify other homes where your child spends extended periods of time (day care, babysitters etc.)
      • Consult your health care provider before treating young children and infants, if one is pregnant or nursing, if one has special health conditions such as seizures, neurological problems, asthma, and/or allergies.
      • At the same time, treatment and nit removal are performed:
        • Wash on the HOT cycle all clothing, towels, bed linens, soft toys, used in the last 3 days, by all persons infected. Dry on HOT cycle FOR AT LEAST 20 minutes.
        • Dry clean or store in tightly sealed plastic bags (14 days) items not machine washable.
        • Vacuum all carpets, upholstery, mattresses, and cloth car seats. (Discard bag)
        • Soak all combs, brushes, and hair implements for 20 minutes in hot water, at least 130 F. Items may be soaked for one hour in rubbing alcohol or Lysol.
        • Do NOT use lice sprays. This can be harmful.
        • Do NOT use lice removal products to prevent lice.
    • NIT REMOVAL~KEY TO SUCCESS!
      • Nits may be removed using a "nit comb" or a cat flea comb. Taking ½ inch sections of hair, comb from the scalp out to the end of the hair. Wipe the comb on a wet paper towel. Pin up the completed section and continue with the next section. Nits may be removed by using the fingernails or clipping the individual hairs. Discard paper towel and disinfect comb when finished. Continue to comb for live lice and nits and check hair daily. Lice hatch EVERY 7-10 days. Change and launder pillowcases, pajamas, and towels during this time.

Repeated lice infections usually mean: improper use of products, treatment failure/resistance to product, live lice and/or live nits have not been removed properly or failure to regularly inspect the scalp and hair.

Fifth’s Disease

Erythema infectiosum (Fifth’s Disease) is a mild childhood illness characterized by a facial rash (slapped-cheek appearance) and a lace like rash on the trunk and extremities, which may come and go for several days. There may be mild systemic symptoms 1 to 4 days before the rash onset. Infection, in pregnant women, with the virus, which causes Fifth disease, may be related to early fetal death (miscarriage). The estimated risk in an epidemic situation is less than 1%. There is no known relationship to congenital anomalies in live birth infants.

Children with signs of Fifth’s Disease are past the infectious stage and do not present a risk for further transmission. Therefore, exclusion from school is not recommended by the Center for Disease Control.

Any pregnant female who is in prolonged close contact during an epidemic is advised to contact their health care provider. It is emphasized that with our present available knowledge, the risks of miscarriage in pregnant women so infected are small.