What to do in kindergarten quarantine due to scarlet fever. How many days does quarantine last?

Quarantine implies a whole system of measures to eliminate the source of the disease and stop the spread of infection.

Scarlet fever throughout the world is considered mainly a childhood disease; children from 3 to 10 years old often suffer from this disease. There is no vaccination.

Main symptoms:

sore throat, which is accompanied by the appearance of sore throat throughout the body,
elevated temperature (up to limiting norms),
constant headache
swelling of the lymph nodes in the neck.

The consequences of scarlet fever are dangerous: purulent inflammation ears, partial deafness, heart and kidney disease, inflammation of the lymph nodes.

Mostly transmitted by airborne droplets and through toys, clothes, through third parties. After a child has been ill, a strong immunity is formed (almost 100% that the child will no longer get scarlet fever).

Incubation period illness - from 1 to 10 days. It is worth understanding that a child is already contagious the day before the first rash appears. That is, neither parents nor a kindergarten nurse will be able to prevent the spread of this contagious disease in advance.

Scarlet fever in kindergarten- This phenomenon is not unique and quite common. All children must be examined by a nurse every morning before admission to the group. Often, scarlet fever (before the rash appears) can be confused with a sore throat. In this regard, often quarantine measures carried out somewhat late.

The main responsibility for eliminating the epidemic lies with the head of the kindergarten, who must accept everything necessary measures, according to current legislation Russian Federation:

Resolution of the Chief State Sanitary Doctor of the Russian Federation dated December 18, 2013 N 66, Moscow “On approval of SP 3.1.2.3149-13”

Registration N 31852

In accordance with Federal law dated March 30, 1999 N 52-FZ “On the sanitary and epidemiological welfare of the population” (Collected Legislation of the Russian Federation, 1999, N 14, Art. 1650; 2002, N 1 (part 1), Art. 2; 2003, N 2, Article 167; No. 27 (Part 1), Article 2700; 2004, No. 35, Article 3607; 2005, No. 19, Article 1752; 2006, No. 1, Article 10; No. 52 (Part 1) , Article 5498; 2007, No. 1 (Part 1), Article 21; No. 1 (Part 1), Article 29; No. 27, Article 3213; No. 46, Article 5554; No. 49, Art. 6070; 2008, N 24, Article 2801; N 29 (Part 1), Article 3418; N 30 (Part 2), Article 3616; N 44, Article 4984; N 52 (Part 1), Article 6223; 2009, N 1, Article 17; 2010, N 40, Article 4969; 2011, N 1, Article 6; N 30 (Part 1), Article 4563; N 30 (Part 1) , art. 4590; N 30 (part 1), art. 4591; N 30 (part 1), art. 4596; N 50, art. 7359; 2012, N 24, art. 3069; N 26, art. 3446; 2013, N 27, Art. 3477; N 30 (part 1), Art. 4079, and the Decree of the Government of the Russian Federation dated July 24, 2000 N 554 “On approval of the Regulations on the State Sanitary and Epidemiological Service of the Russian Federation and the Regulations on the State sanitary and epidemiological regulation" (Collected Legislation of the Russian Federation, 2000, No. 31, Art. 3295; 2004, N 8, art. 663; N 47, art. 4666; 2005, N 39, art. 3953) I decree:

1. Approve the sanitary and epidemiological rules SP 3.1.2.3149-13 “Prevention of streptococcal (group A) infections” (Appendix).

Acting Chief State Sanitary Doctor

Russian Federation

A. Popova

* Registered with the Ministry of Justice of the Russian Federation on April 7, 2003, registration No. 4385.

Prevention of streptococcal (group A) infection Sanitary and epidemiological rules SP 3.1.2. 3149-13

I. Scope of application

1.1. These sanitary and epidemiological rules (hereinafter referred to as sanitary rules) have been developed in accordance with the legislation of the Russian Federation. Sanitary rules establish requirements for a set of organizational, treatment and prophylactic, sanitary and anti-epidemic (preventive) measures, timely and full implementation which provides prevention of primary and secondary (immunopathological and toxic-septic) forms of streptococcal (group A) infection.

1.2. Compliance with sanitary rules is mandatory for citizens individual entrepreneurs and legal entities1.

1.3. Monitoring the implementation of these sanitary and epidemiological rules is carried out by bodies authorized to carry out federal state sanitary and epidemiological supervision.

It is mandatory to record all elimination and prevention actions and quarantine periods in a special journal.

The manager issues an official order “On urgent measures to prevent the spread of infection." In accordance with this document, all necessary measures are taken to prevent the spread of scarlet fever.

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Example document:

Moscow Department of Education

State budget educational institution Moscow cities

"School No. 109"

GBOU School No. 109

117513, Moscow, st. Academician Bakuleva, 20 tel.: 8-499-737-48-58

Order

___.________.20__

On urgent measures to prevent
spread of infectious
illness (flu) in a preschool institution

In connection with the registration of the disease among pupils of ___________________ group in order to ensure sanitary and epidemiological well-being, prevent the occurrence and spread infectious disease V children's team, I order:

1. For medical workers:

1.1. Prepare and place in parental corners individual reminders for children and parents on flu prevention.

1.2. Do not allow children and employees with signs of acute respiratory infections into preschool educational institutions.

1.3. Immediately isolate children and staff who show signs of influenza-like illness upon arrival at the preschool or who become ill during the day from other children and staff.

1.4. Allow children and staff to the preschool educational institution only after full recovery with a doctor's certificate.

1.5. Provide preschool employees with disinfectants and personal protective equipment.

1.8. When registering 5 or more cases of influenza in a preschool educational institution, ensure medical supervision for contact children for 14 days (measurement of body temperature, examination of the nasopharyngeal mucosa).

2. For educators:

2.1. Conduct active awareness-raising work among children and parents on flu prevention.

2.2. Carry out mandatory daily examination of children with subsequent recording in the observation sheet for contact children and group staff.

2.3. Strengthen hand hygiene ( frequent washing with soap, change of towels 2 times a week and as soiled during the period of rising incidence).

3. For junior teachers:

3.1. Regularly and efficiently carry out wet cleaning using disinfectants with virucidal activity, Special attention on surfaces and objects that have the most frequent contact with hands.

3.2. Ensure quartzing and cross-ventilation of group rooms in the absence of children, in accordance with the requirements of sanitary and epidemiological rules and regulations.

4. To the deputy heads of administrative and chemical engineering departments:

4.1. Hold meetings with the workforce (with the obligatory presence of medical personnel) on urgent measures to prevent the spread of influenza.

4.2. Cancel planned public events until further notice.

4.3. Organize enhanced control over the implementation of anti-epidemic measures in quarantined groups.

4.4. Entrust control over the execution of the order to the manager and the head nurse.

Director of GBOU school No. 109 Yamburg E.Sh.

After the Order is ready and issued, the head of urgently calls an unscheduled staff meeting. At the meeting, the manager conveys information about quarantine and the situation in the kindergarten, and the nurse provides mandatory instructions to the staff.

All those present sign in the briefing log, which is prepared by head nurse.

Monitoring the implementation of quarantine measures is carried out by the head nurse and the deputy for administrative and administrative affairs.

In addition, the pediatric nurse, together with an infectious disease doctor, develops:

Ventilation, cleaning and quartz schedules

Examples:

Wet cleaning schedule

Time	Premises
Time	Group room	Bedroom	Reception	Toilet room

Ventilation schedule

Time	Premises
Time	Group room	Bedroom	Reception	Toilet room

Quartz graph

Time	Premises
Time	Group room	Bedroom	Reception

All documentation must be reviewed and approved by the head of the preschool educational institution.

In addition to the documents presented above, the nurse must maintain and fill in:

Journal of scarlet fever diseases.
Logbook for quartz installation.

A reminder on how to deal with scarlet fever and preventive measures should be posted on a publicly accessible stand in a visible place.

Staff (teachers) must conduct parent meetings, conversations and consultations.

Scarlet fever quarantine in kindergarten is prescribed precisely from the moment when the sick child is isolated.

The question arises: how long does quarantine last in kindergarten? – The quarantine period due to scarlet fever in kindergarten is exactly 7 days. Children who are sick cannot be admitted to preschool educational institutions for 21-22 days until complete recovery.

Preventive actions during quarantine:

Notification of all parents and kindergarten staff.
Disinfection of the premises by special means, which are not prohibited for use in preschool educational institutions.
Disinfection of bed linen, all toys in the group, dishes, furniture
During the quarantine period, new children and children who were temporarily absent are not allowed into kindergarten. Important! If parents have expressed a desire to take their child to kindergarten during the quarantine period, the manager is obliged to accept the child. In this case, all responsibility will be on the parents.
Communication of children between groups is prohibited.
In the outbreak of the disease, children and employees must have their body temperature measured and examined twice a day.
If one or more symptoms are detected, it is necessary to isolate the sick child in a separate room, limit contact with other children and conduct an examination by a pediatrician.
Children with inflammation respiratory tract and nasopharynx, are allowed into the educational institution only after recovery, which is documented by a pediatrician.
Anyone who has been in contact with patients and has confirmatory symptoms is urgently sanitized.
No later than the second day after the first case is identified, all personnel must be examined by an otolaryngologist and undergo mandatory special rapid testing.

Employees who have not had scarlet fever, but were in a hotbed of infection (at work, at home) have the right to work fully, but with prerequisite– daily medical checkup nurse. If a patient with whom an employee has been in contact is hospitalized, examinations continue for 7 days.

If the patient was not isolated, there must be preventive examinations every day for 17 days.

If the person in contact is a child, then you are not allowed to attend kindergarten for 7 days in the first case, and 17 days in the second case.

If a child falls ill at school, no quarantine measures are taken.

Scarlet fever - contagious disease, quickly transmitted through household contact and airborne droplets. Infectious pathology quickly affects a large number of people who show signs of intoxication and other symptoms characteristic of this disease. Previously it was believed that this was a disease of children under 10 years of age, but now even adults suffer from this disease. Poor nutrition and ecology have negatively affected people’s immune systems, so they are increasingly discovering infectious pathologies, including frequent cases of scarlet fever. How does scarlet fever manifest? Is quarantine really necessary? This question interests many parents. It is important to know how to keep your child safe.

How many days does it last

Children of kindergarten age become infected more quickly; parents often bring their children with snot and cough, because there is no one to leave the baby with. Therefore, such guys get infected faster and become spreaders of the infection, without knowing it. Scarlet fever quarantine: how many days does it last in the garden?

Isolation of patients is carried out immediately after detection of the disease. In kindergarten, both children and teachers can be carriers. Parents should be told how long quarantine lasts medical staff establishments. The patient needs to recover and undergo a course of treatment. Healthy patients isolated in order to disinfect the group where the infected baby could be located.

Important! The isolation period for this disease is 22 days. This is necessary because the child can be contagious even after recovery, which usually lasts 10–14 days. The period may vary, depending on how much time in educational institution or kindergarten will have time to disinfect.

Quarantine at school also lasts 22 days. But sometimes the isolation period can be longer. In an educational institution of this type there is large quantity children, so the quarantine may be longer. How many days are there in school? Approximately 22–52 days.

Why is a 21-day quarantine prescribed for scarlet fever? A set of administrative and sanitary and anti-epidemic measures is carried out immediately after the discovery of a sick patient. Some time after complex treatment the patient's patient releases the pathogen, that is, continues to infect surrounding individuals. Therefore, certain measures must be taken to prevent infection of others. Which means quarantine after scarlet fever will last another week and a half.

Important! During this period, the establishment is completely disinfected. It is necessary to carry out the following measures: disinfection of toys, things, bed linen, dishes. In a room where a sick child could be located, ultraviolet radiation is carried out air environment.

The entire group where the infected baby was located is subject to quarantine. The room is ventilated 4–6 times a day. Carpets need to be cleaned, just warn about infection so that workers wear masks and gloves. All surfaces are treated disinfectant.

First signs

The causative agent of scarlet fever is streptococcal infection. The incubation period in children is important. Communication between a child and an infected patient may mean that the baby is already infected. It is important to start treatment during the incubation period, so there is a chance to prevent the bacteria from multiplying and the disease progressing.

It is generally accepted that the incubation period for a child lasts from 24 hours to 12 days. In a child with a weakened immune system, the first signs of scarlet fever may appear much earlier. Symptoms often begin to appear within 2–7 days.

Briefly about the causes and symptoms - photo

Children become infected streptococcal infection very fast. The bacterium produces an erythrogenic toxin. This pathogen is constantly on the skin of people, but when the immune system weakens or a wound appears, it penetrates the skin, multiplies and provokes the development of scarlet fever. The main signs of the disease are:

a sore throat;
red tongue or with a white coating;
soreness;
increased body temperature;
formation of a small cell rash on the tongue, soft palate, back of the pharynx;
then the rash spreads to the face and further down skin child.

In children they increase The lymph nodes, signs of tonsillitis and plaque on the tonsils appear. The baby's face becomes puffy. The course of the disease can be different, the severity of the pathology depends on general condition crumbs.

Preventive measures for child safety

After notifying parents about quarantine in a kindergarten or school due to the discovery of scarlet fever, the child needs prevention. The duration of the incubation period cannot be determined, because it is not known whether it is infected or not. If the child does not have symptoms of scarlet fever, begin immediately preventive measures. The main condition is to increase the immune system to protect itself from the disease.

Truly, effective method prevention is vaccination. Special vaccines were developed in the middle of the 20th century. On this moment they are carried out rarely or at the request of parents whose child has suffered from signs of the disease. This is due to the fact that the vaccines caused strong allergic reactions and led to a lot of complications.

If there is a sick child in the house, it is necessary to ventilate the entire room 4-5 times a day. From birth, a child should be tempered, accustomed to proper nutrition and personal hygiene. Children with weak immunity it is better to live away from polluted and dusty cities, and you should also treat on time respiratory diseases. These measures increase the child’s immunity to the infectious agent. It is also necessary to ask educators or teachers to monitor children, epidemiological surveillance - best prevention many diseases.

Scarlet fever is a contagious disease that is quickly transmitted through household contact and airborne droplets. Infectious pathology quickly affects a large number of people who develop signs of intoxication and other symptoms characteristic of this disease. Previously it was believed that this was a disease of children under 10 years of age, but now even adults suffer from this disease. Poor nutrition and ecology have negatively affected people's immune systems, so infectious pathologies are increasingly being discovered, including frequent cases of scarlet fever. How does scarlet fever manifest? Is quarantine really necessary? This question interests many parents. It is important to know how to keep your child safe.

How many days does it last

Isolation of patients is carried out immediately after detection of the disease. In kindergarten, both children and teachers can be carriers. The medical staff of the institution should tell parents how long the quarantine lasts. The patient needs to recover and undergo a course of treatment. Healthy patients are isolated in order to disinfect the group where the infected baby could be.

Important! The isolation period for this disease is 22 days. This is necessary because the child can be contagious even after recovery, which usually lasts 10–14 days. The period may vary, depending on how long it takes for the educational institution or kindergarten to carry out disinfection.

Quarantine at school also lasts 22 days. But sometimes the isolation period can be longer. There are a larger number of children in this type of educational institution, so the quarantine may be longer. How many days are there in school? Approximately 22–52 days.

Why is a 21-day quarantine prescribed for scarlet fever? A set of administrative and sanitary and anti-epidemic measures is carried out immediately after the discovery of a sick patient. For some time after complex treatment, the patient releases the pathogen, that is, it continues to infect surrounding individuals. Therefore, certain measures must be taken to prevent infection of others. Which means quarantine after scarlet fever will last another week and a half.

Important! During this period, the establishment is completely disinfected. It is necessary to carry out the following measures: disinfection of toys, things, bed linen, dishes. In the room where a sick child could be located, ultraviolet irradiation of the air is carried out.

First signs

Briefly about the causes and symptoms - photo

Children become infected with streptococcal infections very quickly. The bacterium produces an erythrogenic toxin. This pathogen is constantly on the skin of people, but when the immune system weakens or a wound appears, it penetrates the skin, multiplies and provokes the development of scarlet fever. The main signs of the disease are:

a sore throat;
red tongue or with a white coating;
soreness;
increased body temperature;
formation of a small cell rash on the tongue, soft palate, back of the pharynx;
then the rash spreads to the face and further down the child’s skin.

In children, the lymph nodes become enlarged, signs of sore throat, and plaque on the tonsils appear. The baby's face becomes puffy. The course of the disease can be different, the severity of the pathology depends on the general condition of the baby.

Preventive measures for child safety

After notifying parents about quarantine in a kindergarten or school due to the discovery of scarlet fever, the child needs prevention. The duration of the incubation period cannot be determined, because it is not known whether it is infected or not. If the child does not have symptoms of scarlet fever, immediately begin taking preventive measures. The main condition is to increase the immune system to protect itself from the disease.

Truly, vaccination is an effective method of prevention. Special vaccines were developed in the middle of the 20th century. At the moment, they are carried out rarely or at the request of parents whose child has suffered from signs of the disease. This is due to the fact that vaccines caused severe allergic reactions and led to a lot of complications.

If there is a sick child in the house, it is necessary to ventilate the entire room 4-5 times a day. From birth, a child should be hardened, taught proper nutrition and personal hygiene. It is better for children with weak immunity to live away from polluted and dusty cities, and respiratory diseases should be treated in a timely manner. These measures increase the child’s immunity to the infectious agent. It is also necessary to ask educators or teachers to monitor children; epidemiological surveillance is the best prevention of many diseases.

Pathogen of this disease is group A streptococcus. If this microorganism is present in the human body, it is a carrier of infection and can cause infection in a healthy person.

In the absence of antitoxic immunity, the pathogen enters the mucous membranes of the nasopharynx and provokes infection. It should be noted that in some cases infection is possible through damaged areas on the body.

Length of incubation period

The incubation period of scarlet fever is the period of time from the entry of the infectious agent into the body until the appearance of the first symptoms of the disease. The incubation period for scarlet fever lasts from 12 hours to 12 days. Its duration depends on:

child's health,
the presence of chronic diseases and mandatory vaccinations.

The age of the child does not play a role in the duration of the period.

During breeding pathogenic microorganism, the child’s body tries to fight them on its own and produces antibodies. If a child has low immunity, signs of scarlet fever will soon appear:

sore throat,
small pinpoint rashes on the body,
temperature increase.

Photo: Main symptoms of scarlet fever

Incubation period of scarlet fever in children

A child who contracted scarlet fever becomes infectious to others 1 day before the rash appears. Note that during the incubation period no changes in well-being are observed. For this reason, a person often does not even suspect the presence of the pathogen in the body.

On average, the first symptoms in children appear after 3-5 days from the moment of infection. Treatment of the disease begins after the first symptoms appear, since during the incubation period it is almost impossible to suspect developing scarlet fever in a child.

If a child gets scarlet fever, this indicates that the child’s body first met with the causative agent of the disease (group A streptococci).
If this microorganism re-enters the body, the disease will proceed without characteristic rashes (streptococcal tonsillitis).

Is scarlet fever contagious during the incubation period?

The infection period is 7-10 days, the disease becomes contagious 24 hours before the first symptoms of scarlet fever appear. Usually a child becomes safe for others after a course of antibiotics, but in some cases it is capable of infecting others within 10-12 days.

For these reasons, quarantine in preschool institutions lasts longer than average duration diseases.

Quarantine for scarlet fever

As soon as the establishment was noticed infected child, he will be isolated for at least 10 days. The institution declares quarantine, the duration of which is 14-20 days.

If one of the healthy children (not previously infected) came into contact with sick people, he is also suspended from attending kindergarten or school. The isolation in this case is 17 days from the moment the patient is detected.

If a child has previously suffered from scarlet fever, he is not excluded from visiting the institution. The child is examined daily by medical workers.

During quarantine in premises, surfaces, dishes or toys are treated with a special disinfectant solution. Quartz treatment and ventilation of the premises are carried out daily.

Treatment of scarlet fever is usually carried out at home, only in some severe cases the patient requires hospitalization. As a result Compliance with quarantine measures is necessary not only in kindergarten or other institutions, but also at home:

If there are other children in the house, isolate them from the sick person as much as possible.
Since the disease is transmitted by airborne droplets (in some cases through household contact), it is advisable that only one family member look after the patient. This will help avoid group infection.
All family members must wear medical masks.
The child's bedding and underwear must be washed at 90 degrees.
A patient with scarlet fever should have individual means hygiene.
Ventilation and quartz treatment of the room are carried out twice a day.

Doctor Komarovsky's opinion

The well-known pediatrician Komarovsky often encountered a disease such as scarlet fever. For the disease to progress over mild form without the development of complications, the doctor strongly recommends closely monitoring the child’s well-being.

As a rule, symptoms begin to worry after the end of the incubation period. The doctor thinks that good forecasts are provided if treatment began in a timely manner (In 1-2 days after the onset of the rash).

Parents' opinion

Parents note that during the incubation period of scarlet fever they did not notice any changes in the child’s behavior or well-being. The disease began abruptly, first rose heat, the child began to complain of a sore throat when swallowing, and small, profuse rashes began to appear on his face.

Scarlet fever is enough frequent illness which occurs among children.

The main symptom of scarlet fever is a rash over most of the body, as well as damage to the upper respiratory tract, leading to a sore throat. Since a vaccine has not yet been invented for scarlet fever and there are no vaccinations against it, most often this disease manifests itself in childhood.

With scarlet fever, prevention is mandatory. Children are very susceptible to this disease; scarlet fever usually “attacks” in children’s groups. The disease is often confused with ordinary sore throat, while the child is already a source of infection.

After the illness, the child develops immunity to scarlet fever, that is, they only get scarlet fever once in their life. The number of diseases increases sharply during the cold season - autumn and winter.

Attention

The infection is transmitted by airborne droplets or through household items that children constantly put in their mouths.

Because children get scarlet fever more often, adults are also at risk of getting sick. The presence of a scarlet fever patient in the family threatens the health of other family members. The symptoms and treatment methods for adults are not fundamentally different. Sometimes this disease manifests itself in adults as only a small amount of skin rash without any other signs.

Prevention of scarlet fever in children at home and in kindergarten

There are not many ways to protect against scarlet fever. Among the main methods of preventing scarlet fever in children are quarantine measures in relation to a sick child and increasing immune defense body.

In kindergartens, from the moment a sick child is isolated, a quarantine lasting seven days is established.

If possible, a child who is sick with scarlet fever should be accommodated in a separate room; personal tableware and a towel should be provided for him.

To strengthen immune system child, you must adhere to the following rules for preventing scarlet fever:

The body must be hardened.
Balanced and rational nutrition.
Compliance with all hygiene rules.
The air in the room should have sufficient humidity and no dust.
All problems and diseases with teeth and gums must be eliminated in a timely manner.

Quarantine for scarlet fever in kindergarten

Due to impossibility child's body resisting various infections most often, this fact leads to an increase in the level of infectious diseases.

Quarantine is a series of measures aimed at preventing the spread of infection and completely eliminating the epidemic focus.

If the infection occurs in kindergarten, then the entire group where the child was located is quarantined for scarlet fever. For scarlet fever, the quarantine period is seven days. All responsibility for compliance with the rules and actions according to quarantine in the kindergarten falls directly on the manager.

Basic infection prevention measures should be taken in the garden:

If a child is sick, quarantine is required for seven days;
All employees who are directly involved with children are sent for examination to an ENT doctor;
Disinfection of premises, toys, dishes, as well as ultraviolet radiation of the air must be carried out;
During the quarantine period, all carpets and Stuffed Toys must be cleaned (before cleaning, the entire surface must be brushed with a disinfectant);
Ventilation is required 4 times a day, according to schedule.

How to avoid getting scarlet fever

Alas, since there is no vaccine for scarlet fever, the only effective means is maximum caution. Since scarlet fever can be transmitted through the air, it is necessary to refrain from communicating with people who show signs of scarlet fever too clearly.

Avoid any contact with the patient and things he touched, but if this has already happened, wash your hands with soap and water repeatedly. Remember that you should not share a towel, clothing or other household items with a sick person.

To make sure you don’t get sick, take vitamin C and gargle with an antiseptic, wet cleaning is necessary in your home and don’t forget to ventilate the room four times a day.

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