What to do with scarlet fever in kindergarten. Legislative base of the Russian Federation

Pathogen this disease is a group A streptococcus. If this microorganism is present in the human body, it is a carrier of infection and can cause infection in 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 through damaged areas on the body is possible.

The duration of the incubation period

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

child health,
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 pathogen, the child's body tries to fight them on its own and produces antibodies. If the child has low immunity, signs of scarlet fever will soon make themselves felt:

sore throat,
small dotted rashes on the body,
temperature rise.

Photo: The main symptoms of scarlet fever

The incubation period of scarlet fever in children

The child who contracted scarlet fever becomes contagious to others 1 day before the rash appears. Note that during incubation period there are no changes in well-being. For this reason, a person often does not even suspect the presence of a 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 appearance of the first symptoms, since during the incubation period it is almost impossible to suspect developing scarlet fever in a child.

If a child is ill with scarlet fever, this indicates that children's body first met with the causative agent of the disease (group A streptococci).
If this microorganism has re-entered the body, the disease will proceed without characteristic rashes (streptococcal tonsillitis).

Is scarlet fever contagious during the incubation period?

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

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

Quarantine for scarlet fever

As soon as the institution was seen infected child, he is isolated for at least 10 days. The institution announces quarantine, the duration of which is 14-20 days.

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

In the event that a child has previously suffered from scarlet fever, he is not suspended from visiting the institution. The child is examined daily by medical workers.

During quarantine in the premises, surfaces, dishes or toys are treated with a special disinfectant solution. Carry out quartzing and airing the premises daily.

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

If there are other children in the house, isolate them from the sick person as much as possible.
How the disease is transmitted by airborne droplets(in some cases contact-household), it is desirable that only one family member looks after the patient. This will help to avoid group infection.
All family members must wear medical masks.
Bed and underwear of the child must be washed at a temperature of 90 degrees.
A patient with scarlet fever should have individual hygiene products.
Airing and quartzing the room is carried out twice a day.

The opinion of Dr. Komarovsky

The well-known pediatrician Komarovsky often encountered such a disease as scarlet fever. In order for the disease to proceed in more mild form without the development of complications, the doctor strongly recommends that you carefully monitor the well-being of the child.

Typically, symptoms begin to bother after the end of the incubation period. The doctor thinks that good forecasts provided if the treatment began in a timely manner (1-2 days after the onset of rashes).

Parents' opinion

Parents note that during the incubation period of scarlet fever, they did not notice changes in the behavior or well-being of the child. The disease began abruptly, at first a high temperature rose, the child began to complain of pain in the throat when swallowing, small plentiful rashes began to appear on his face.

Scarlet fever is caused by hemolytic streptococcus, which is highly contagious. That is why the prevention of scarlet fever in children who have not yet become infected is very important. Since the disease is most often observed in children from 2 to 10 years old and is spread by airborne droplets and by contact, it is important to pay attention to possible signs occurrence of infection.

Symptoms of the disease

Hyperemia of the pharynx and tonsils, also looks like catarrhal tonsillitis;
The tongue is covered with a gray coating, and after a few days becomes crimson;
The child may fall ill suddenly, with a high rise in temperature;
May appear in 2-3 days rash, which passes in a week, leaving behind peeling.

Since the disease occurs upon contact with the patient, and most often in the cold season, it is necessary, if possible, to increase immunity, drink vitamins and attend less crowded events. Also, you should not visit children's institutions if quarantine for scarlet fever has begun there. This will make it possible to avoid possible complications that the disease can lead to.

The doctor usually prescribes a course of antibiotics, which must be drunk completely, which will help to avoid complications, as well as reduce the patient's contagiousness. In addition, it is recommended to take antihistamines for the relief of intoxication. At strong temperature antipyretic drugs are prescribed. You should not try to treat the baby on your own, because there is a risk of getting not only a complication, but also severe swelling of the larynx, which often happens with this disease.

Prevention in the absence of contact with the disease

In addition, doctors offer such preventive measures as:

Rational nutrition with foods that are rich in vitamins;
The need for ventilation and wet cleaning of the premises in which children and adults live;
Maintaining personal hygiene, washing hands;
Hardening and sports;
Healing all chronic diseases: otitis media, sinusitis, tonsillitis.

You can use special tools that help neutralize the infection, such as Imudon.

Pregnant women who did not have scarlet fever in childhood should be especially careful. Scarlet fever is similar to rubella and can be very dangerous to a child's health.

In kindergarten, children are not accepted into the group until quarantine is lifted, and kids who have been in contact with the source of infection are under observation for a week. Children from neighboring groups are prohibited from contact. In the group, the premises are treated with special solutions, toys and dishes are washed. Be sure to treat the room with a special quartz lamp, which helps to destroy microbes.

Children who remain in the kindergarten are examined by the pharynx, temperature measurement, as well as sanitation of the oral cavity if they have been in contact with the sick person.

It lasts from 1 to 10 days, sometimes it can be longer. Often the infection is hidden, without fever, rash, therefore, in this case, an indicator of the presence, as well as peeling of the skin, which often occurs on the feet and palms. In the diagnosis, blood tests and a throat swab are used, in which streptococci and, accordingly, the presence of infection are visible.

Usually preschool age the child is constantly associated with quarantines, so you should not take the child to the group too early, such a strategy will help strengthen his immunity and protect him from unnecessary infections. When one of the children is ill with friends or at work, an adult can become the source of the spread of the disease. That is why it is better to take preventive measures and take the child out of the city or stay at home without visiting the office, for example, take a sick leave. Not all parents are ready for this approach, so during epidemics, you can temporarily limit contacts and wear a mask in places where there is a possibility of catching an infection.

If a sick child is at home, then it takes 10 days to treat the disease, and then quarantine continues for another 12 days until the status of a spreader of infection is removed from him.

In an apartment with a sick child, the same preventive measures are carried out as in a kindergarten. If possible, the child is isolated in another room. Wet cleaning of the premises and airing is done every day. Only toys that are easy to clean or treat should be left, the rest should be washed or discarded. He is given a separate dish. The linen and clothes of the child and the person who cares for him should be washed separately from the clothes of family members, and the baby should be cared for in a mask.

Usually scarlet fever bypasses others if prevention is followed correctly. The virus is active even if the child has been hospitalized, therefore, in order to avoid infection of the remaining family members, it is necessary to process and remove carpets, treat all surfaces with bleach solution, and ventilate the room.

The following activities will also help:

Hand washing;
Taking multivitamin preparations;
Treatment of the throat with antiseptic solutions;
Wearing a bandage;
Careful surface treatment in all rooms with special solutions.

Since it does not exist, the disease may recur again, but it will look like a sore throat, without a rash. If the child did not comply with the prescribed bed rest, went out early for a walk or violated quarantine, then weakened immunity can play bad joke. The disease comes back again or brings with it a lot of complications.

Complications of scarlet fever

Sinusitis, otitis, lymphadenitis, pneumonia - these diseases can occur simultaneously with scarlet fever or immediately after;
Arthritis, myocarditis, rheumatism - late complications, which can subsequently lead even to disability.

Hospitalization

Other diseases are especially difficult, so most often the child is hospitalized.

Situations in which hospitalization occurs:

At severe forms ah the scarlet fever that flows from high temperature, 40 degrees and above;
If there is another child in the family of preschool age;
When there is no one to take care of the baby;
Children from boarding schools.

Adults can also be hospitalized if they have a septic or toxic form illness.

Since the disease mainly affects in the autumn-winter period, it is very important to drink vitamins, increase immunity and try not to catch a cold. Walking outdoors will also help.

Teach your child to eat from his dishes, observe the rules of personal hygiene, sanitize his foci of existing infections (treat teeth, sinusitis, otitis media).

There are a lot of ways to get infected, it can be someone else's towel, a dirty toy taken in your mouth, hand-wiped railings in the entrance.

It is not necessary to isolate the child completely from games with peers, but it is worth explaining that the less he puts his hands and toys in his mouth, the less often he will have to give nasty pills or give injections. Perhaps this method of suggestion will work.

Scarlet fever is contagious bacterial infections and requires mandatory compliance with measures to prevent its spread.

The disease belongs to the group of infectious diseases. It occurs among adults and children. Scarlet fever is most common in children under the age of twelve.

The peak incidence occurs in the cold seasons, the disease is common in areas with a cold climate.

In closed communities, it can lead to outbreaks of infection, especially among children attending kindergarten.

The susceptibility to the pathogen is very high. Only children under two years of age do not get sick, since they have passive immunity transmitted by the mother during breastfeeding.

The reason for the development of scarlet fever is the penetration of a bacterium into the body of a healthy person - hemolytic group A streptococcus.

This pathogen is the cause of not only scarlet fever, but also erysipelas skin, tonsillitis, otitis.

The pathogenic effect of hemolytic streptococcus is due to the fact that it produces a special toxin - hematoxin.

It spreads in the human body through the blood and causes general intoxication and damage to some systems.

Streptococcus can enter the human body by directly hitting the mucous membranes of the oropharynx. In this case, the initial changes occur precisely at the place of its penetration.

But another penetration of hemolytic group A streptococcus into the body is rarely possible, it penetrates through wound surfaces skin (with burns, wounds of the skin).

With this method of penetration of the causative agent of scarlet fever, atypical form diseases - extrabuccal.

The causative agent of scarlet fever enters external environment and spread by airborne droplets. But there is a spread and when in contact with the patient, using common subjects household items, toys.

Infection is possible from a patient with scarlet fever or other diseases caused by streptococcus hemolytic group BUT.

A person becomes contagious from the very beginning of the disease, while the contagiousness persists throughout the entire period of the disease. There is also a long bacterial excretion after recovery, about a month.

Clinical picture of the disease

From the moment the pathogen enters the body until the symptoms appear, time passes - the incubation period.

With this pathology, it ranges from two to twelve days, in most cases it is about four days. Among sick children, some during this period may have some symptoms:

slight fatigue;
minor headaches;
tearfulness.

Then the infected person develops sharp severe symptoms intoxication due to the action of streptococcus toxin:

a sharp rise in temperature up to 40 degrees;
lethargy;
increased drowsiness;
severe general weakness;
soreness all over the body;
chills.

When the causative agent of scarlet fever penetrates through the mucous membranes of the nasopharynx, following the symptoms of intoxication, symptoms of inflammation of the mucous membranes of the pharynx occur.

These include symptoms of developed angina:

swelling, enlarged palatine tonsils;
their redness;
follicles are purulent, or accumulations of pus in the lacunae of the tonsils.

Inflammatory symptoms may include back wall pharynx, it turns red and granular appears on it.

A plaque forms on the mucous membrane of the tongue, which disappears after three days. After that, swelling of the papillae of the tongue occurs, and they acquire a crimson hue.

When the pathogen spreads lymphatic vessels, it falls into the regional The lymph nodes.

In this case, there are signs of lymphadenitis - inflammation of the lymph nodes:

their increase;
pain on palpation;
pain when opening the mouth.

Approximately 24 hours later, characteristic skin symptoms:

arise skin rashes small-dotted;
the first rashes appear on the skin of the face;
later they spread downstream throughout the body;
in the inguinal, elbow, popliteal folds, skin rashes merge;
can form continuous areas of hyperemia on the body;
rashes are absent on the skin of the nasolabial triangle.

Rashes on the skin persist with scarlet fever for about five days, then they gradually turn pale and disappear.

After the disappearance of rashes with scarlet fever, the skin remains unchanged.

But after a week the patient has characteristic symptoms- peeling of the skin begins. In the area of the feet and hands, it is lamellar in nature.

In the extrabuccal form of scarlet fever, skin symptoms first appear near entrance gate and then spread throughout the body.

Also, with this form of scarlet fever, there is no damage to the oropharynx, since the pathogen penetrates through other entrance gates.

What is the therapy

Treatment of scarlet fever consists in strict adherence to regimen measures and competent therapy.

Treatment is carried out only after consultation and examination of the patient by an infectious disease doctor, or a local therapist or pediatrician.

Self-treatment can lead to the formation of severe forms of scarlet fever, the development of complications, the spread of infection. Regulatory measures include:

appointment bed rest for about a week;
strict isolation of the patient;
with the development of angina - the food is wiped and not irritating;
you need to drink plenty of fluids;
allocation of a separate set of dishes;
disinfectant cleaning.

Treatment of scarlet fever is carried out in the vast majority of cases at home. Treatment in infectious department shown under the following conditions:

severe degree of scarlet fever;
development of complications in scarlet fever;
the impossibility of implementing strict isolation of the patient at home;
the presence in the family of other family members up to the age of seven;
patients from children's social institutions.

Treatment of scarlet fever should include mandatory etiotropic treatment.

Etiotropic treatment is carried out antibacterial agents, during its implementation, funds are assigned in courses lasting about ten days.

Used in the treatment of scarlet fever such drugs with antimicrobial action:

Amoxicillin;
Ampicillin;
Ampiox;
Augmentin;
Hemomycin;
Ceftriaxone;
Ceforal;
Klacid.

The group of the drug, dosage and frequency of administration for scarlet fever is determined only by a specialist.

To prevent the risk of complications, it is urgent to contact a specialist if signs of scarlet fever are detected and receive the necessary treatment.

Prevention of scarlet fever

Scarlet fever is classified as a disease infectious etiology who need to comply with quarantine measures.

Since the infection is contagious, mandatory isolation of the patient from healthy people is necessary.

After recovery from scarlet fever, children are admitted to nurseries. preschool institutions only twelve days later. Prevention of scarlet fever in children includes the imposition of quarantine in children's groups.

In a kindergarten, a group in which a child has contracted scarlet fever is quarantined for seven days. During this period, new children are not allowed to visit.

If the child communicated with the patient during the entire period of the disease, then he is removed from the children's team for seventeen days from the moment of the first contact.

Specific prophylaxis for scarlet fever has not been developed, there are no vaccines.

When in contact with a sick child with scarlet fever, children with poor health, small ones, it is possible to administer human gamma globulin.

Human gammaglobulin contains antibodies against hemolytic streptococcus and helps in the formation of passive immunity. This measure helps to significantly reduce the risk of infection.

Quarantine implies a whole system of measures to eliminate the source of the disease and in order to 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. Vaccination is not carried out.

Main symptoms:

angina, which is accompanied by the appearance of vultures throughout the body,
elevated temperature (up to boundary norms),
constant headache,
swollen 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.

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

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

Scarlet fever in kindergarten is not a unique phenomenon and is quite common. All children should 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, quarantine measures are often carried out somewhat late.

For the elimination of the epidemic, the main responsibility lies with the head of the kindergarten, who must accept all necessary measures, according to the current legislation Russian Federation:

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

Registration N 31852

In accordance with federal law dated 30.03.1999 N 52-FZ "On the sanitary and epidemiological well-being of the population" (Collected Legislation of the Russian Federation, 1999, N 14, article 1650; 2002, N 1 (part 1), article 2; 2003, N 2, 167; No. 27 (part 1), art. 2700; 2004, No. 35, art. 3607; 2005, No. 19, art. 1752; 2006, No. 1, art. 10; No. 52 (part 1) , item 5498; 2007, N 1 (part 1), item 21; N 1 (part 1), item 29; N 27, item 3213; N 46, item 5554; N 49, item 6070; 2008, N 24, item 2801; N 29 (part 1), item 3418; N 30 (part 2), item 3616; N 44, item 4984; N 52 (part 1), 6223; 2009, N 1, item 17; 2010, N 40, item 4969; 2011, N 1, item 6; N 30 (part 1), item 4563; N 30 (part 1) , article 4590; N 30 (part 1), article 4591; N 30 (part 1), article 4596; N 50, article 7359; 2012, N 24, article 3069; N 26, article 3446; 2013, N 27, art. 3477; N 30 (part 1), art. 4079, and Decree of the Government of the Russian Federation of 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" (Meeting of legislators Laws of the Russian Federation, 2000, N 31, Art. 3295; 2004, N 8, art. 663; No. 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) infection" (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 N 4385.

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

I. Scope

1.1. These sanitary and epidemiological rules (hereinafter - sanitary rules) are developed in accordance with the legislation of the Russian Federation. Sanitary rules establish requirements for a set of organizational, treatment and preventive, sanitary and anti-epidemic (preventive) measures, timely and full implementation which ensures the 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. Control over the implementation of these sanitary and epidemiological rules is carried out by bodies authorized to exercise federal state sanitary and epidemiological supervision.

It is obligatory to record all actions for elimination and prevention, quarantine terms 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 being taken to prevent the spread of scarlet fever.

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Document example:

Department of Education of the City of Moscow

State budgetary educational institution Moscow city

"School No. 109"

GBOU School No. 109

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

Order

___.________.20__

About urgent measures to prevent
spread of infectious
diseases (influenza) in a preschool institution

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

1. For medical workers:

1.1. Prepare and place in parental corners individual memos for children and parents on influenza prevention.

1.2. Do not allow children and employees with signs of acute respiratory infections to enter the preschool educational institution.

1.3. Immediately isolate children and staff with signs of influenza-like illness at the time of arrival at the preschool or sick during the day from other children and staff.

1.4. Allow children and staff to preschool only after full recovery with a doctor's note.

1.5. Provide employees of preschool educational institutions with disinfectants and by individual means protection.

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

2. To educators:

2.1. Conduct active explanatory work among children and parents on the prevention of influenza.

2.2. Carry out a mandatory daily examination of children with subsequent fixation 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 for the period of rising incidence).

3. Junior caregivers:

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

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

4. Deputy Head of AChE:

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 groups where quarantine has been established.

4.4. The control of the execution of the order is assigned to the head and the head nurse.

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

After the Order is ready and issued, the head of urgently convenes an unscheduled staff meeting. At the meeting, the head conveys information about the quarantine and the situation in the kindergarten, and the nurse conducts a mandatory briefing of the staff.

All those present sign in the briefing log, which draws up head nurse.

Execution control quarantine measures carried out by the head nurse and deputy for AHR.

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

Airing, cleaning and quartzing schedules

Examples:

Wet cleaning schedule

Time	Premises
Time	group room	Bedroom	Reception	dressing room

Ventilation schedule

Time	Premises
Time	group room	Bedroom	Reception	dressing room

Quartz chart

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 above documents, the nurse must keep and remember:

Journal of registration of diseases of scarlet fever.
Journal of registration of the quartz installation.

A notice on how to deal with scarlet fever and preventive measures should be placed on a public stand, in a conspicuous place.

The staff (educators) must conduct parent meetings, conversations and consultations.

Scarlet fever quarantine in kindergarten it is appointed 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 fall ill cannot be admitted to preschool for 21-22 days until they fully recover.

Preventive actions during quarantine:

Notification to all parents and kindergarten staff.
Room disinfection 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 to enter the kindergarten. Important! If the parents have expressed a desire to take the child to the kindergarten during the quarantine period, the head is obliged to accept the child. In this case, all responsibility will be on the parents.
Children are not allowed to communicate between groups.
In the focus of the disease, twice a day, children and employees should measure body temperature and conduct an examination.
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 to enter the educational institution only after recovery, which is documented by the pediatrician.
Everyone who has been in contact with patients and has confirming symptoms is urgently sanitized.
Not later than the second day after the discovery of the first case, all personnel must be examined by an otolaryngologist and undergo mandatory special express testing.

Employees who did not suffer from scarlet fever, but were in the focus of infection (at work, at home) have the right to work fully, but with prerequisite– daily medical checkup nurse. If the patient contacted by the employee was hospitalized, examinations continue for 7 days.

If the patient was not isolated - 17 days every day there should be preventive examinations.

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

If a child falls ill at school, quarantine measures are not taken.

scarlet fever - contagious disease, rapidly transmitted by household contact and airborne droplets. Infectious pathology quickly strikes a large number of people who show signs of intoxication, and other symptoms characteristic of this disease. Previously, it was thought that this is a disease of children under 10 years old, now even adults suffer from this ailment. Poor nutrition and ecology have had a negative impact on the immune system of people, therefore, more and more often they are discovering infectious pathologies, including cases of scarlet fever are not uncommon. How does scarlet fever manifest itself, 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 take

Children of kindergarten age become infected faster, often parents bring babies with snot and cough, because there is no one to leave the baby with. Therefore, these guys become infected faster and become spreaders of the infection without knowing it. Scarlet fever quarantine: how many days does it take in the garden?

Isolation of patients is carried out immediately after the discovery of the disease. In kindergarten, both children and educators can be carriers. How long does the quarantine last parents should tell medical staff institutions. The patient needs to recover, undergo a course of treatment. healthy patients isolated to carry out disinfection in 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 takes 10-14 days. Timeframe may vary depending on how long educational institution or kindergarten will have time to disinfect.

School quarantine also lasts 22 days. But sometimes the period of isolation can be longer. This type of school has large quantity children, so the quarantine may be longer. How many days at school? Approximately 22–52 days.

Why is quarantine for 21 days prescribed for scarlet fever? A complex of administrative and sanitary and anti-epidemic measures is carried out immediately after the discovery of a sick patient. Some time after the complex treatment a sick patient releases a pathogen, that is, continues to infect surrounding individuals. Therefore, it is necessary to observe certain measures to prevent infection of strangers. Which means quarantine after scarlet fever lasts another week and a half.

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

The entire group where the infected baby was located is subject to quarantine. The room is ventilated 4-6 times a day. Carpets must be given for cleaning, only warned about the infection, so that workers put on masks and gloves. All surfaces are treated with a disinfectant.

First signs

The causative agent of scarlet fever is a streptococcal infection. The incubation period in children is importance. Communication of a child with 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 bacterial growth and disease progression.

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

Briefly about the causes and symptoms - photo

Children get 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:

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

In babies, the lymph nodes increase, there are signs of a sore throat, plaque on the tonsils. 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 the safety of the child

After notifying parents about quarantine in the kindergarten or school in connection with the detection of scarlet fever, the child needs prevention. The duration of the incubation period cannot be determined, because it is not known whether he is infected or not. If the child does not have symptoms of scarlet fever, start immediately preventive measures. The main condition is the increase immune system for self-defense against disease.

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

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