Impetigo (School Sores)

Impetigo remains active at the school. Please see the below information about exclusion periods and attendance at school requirements.

Impetigo is a rapidly spreading, highly contagious skin infection that frequently occurs in children’s settings.
Primary school and children’s services centre exclusions do apply.
Cases are treated with an appropriate antibiotic.
Impetigo may be caused by methicillin-resistant Staphylococcus aureus, in which case vancomycin, bactrim or clindamycin may be used to treat cases.

Primary school and children’s services centres exclusion for impetigo (school sores)

Exclude until appropriate treatment has commenced. Sores on exposed surfaces must be covered with a watertight dressing.

Infectious agent of impetigo (school sores)

Various strains of Streptococcus pyogenes, group A streptococci (GAS) and Staphylococcus aureus cause impetigo.

Identification of impetigo (school sores)

Clinical features

Impetigo is a contagious, superficial skin infection seen mainly in children, but it may occur at any age. The infection may present with mildly irritating blisters that become pustular and erode rapidly, leaving a honey-coloured crust. It often appears around the nose and mouth.

Incubation period of impetigo organisms

The incubation period is 1–3 days for S. pyogenes and 4–10 days for S. aureus.

https://www.health.vic.gov.au/infectious-diseases/impetigo-school-sores

Gastro

We have had several cases of gastro in our school recently. Please read the following information and understand that return to school only after 48 since last movement.

Gastroenteritis (gastro) is a bowel infection that causes diarrhoea (runny, watery poo) and sometimes vomiting. The vomiting may settle quickly, but the diarrhoea can last up to 10 days.

Gastro can be caused by many different germs, although the most common cause of gastro is a viral infection. Most children do not need to take any medicine for gastro; however, it is important that they drink plenty of water to avoid becoming dehydrated.

Gastro is spread easily, and is more common and severe in babies and young children. Babies under six months old can become dehydrated very easily and need to be checked by a GP if they have gastro.

Signs and symptoms of gastro

If your child has gastro, they may:

feel unwell, and not want to eat or drink
vomit in the first 24 to 48 hours (usually before diarrhoea begins)
have diarrhoea, which can last up to 10 days
have some stomach pain
have a fever.

Care at home

The main treatment is to keep your child drinking fluids often such as water, oral rehydration solution, breastmilk or formula. It is very important to replace the fluids lost due to the vomiting and diarrhoea.

Gastrolyte, HYDRAlyte, Pedialyte and Repalyte are different types of oral rehydration fluid that can be used to replace fluids and body salts. These are the best option if your child is dehydrated. They are also available as icy poles, which children are often happy to have.

If your child refuses water or oral rehydration fluids, try diluted apple juice. Do not give drinks that are high in sugar (e.g. flat lemonade or sports drinks), because they can make dehydration worse. You can give your child their usual milk; however, some children may not feel like drinking milk if they have gastro.

Do not give your child over-the-counter medicines that reduce vomiting and diarrhoea, as the medicines may be harmful for children.

Children with gastro are infectious, so wash your hands thoroughly after contact with your child, particularly before feeding and after nappy changes. Keep your child away from other children as much as possible until the diarrhoea has stopped.

When to see a doctor

Babies under six months old should always be checked by a GP if they have gastro, because they are at higher risk of dehydration.

Any child with gastro should see a GP if they:

are vomiting and have diarrhoea, and are not drinking
have a lot of diarrhoea (eight to 10 watery poos, or two or three large poos per day) or if the diarrhoea is not improving after 10 days
vomit frequently and seem unable to keep any fluids down
show signs of dehydration e.g. fewer wet nappies or not going to the toilet much, dark yellow or brown wee, feel lightheaded or dizzy, have dry lips and mouth
have a bad stomach pain
have any blood in their poo
have green vomit
are making you worried for any other reason.

If your child is very dehydrated and cannot keep any fluids down, they may need to be admitted to hospital to have fluids by a tube through the nose into the stomach (a nasogastric tube) or directly into a vein through a drip (intravenous or IV therapy).

Key points to remember

Babies under six months old with gastro can become dehydrated very easily and need to be checked by a GP.
Offer babies a drink every time they vomit. Keep breastfeeding. If bottle feeding, give oral rehydration solution for the first 12 hours.
Give children small amounts of fluid often.
Your baby or child is infectious, so regularly wash your hands thoroughly, particularly before feeding and after nappy changes.
Take your child to the doctor if they are becoming dehydrated, have bad stomach pain or you are worried.

For more information

Better Health Channel: Gastroenteritis
Raising Children Network: Gastroenteritis
Kids Health Info fact sheet: Dehydration
Kids Health Info fact sheet: Stopping the spread of germs

Common questions our doctors are asked

I’m concerned the fluids I am giving my child is making the diarrhoea worse. Should I give her less to drink?

It is very important for fluids to be given, even if the diarrhoea seems to get worse. It is important to replace the fluids that are lost due to diarrhoea or vomiting to prevent dehydration.

Should I be worried that my child doesn’t want to eat when he has gastro?

When your child first gets gasto they may refuse food to start with. This is not a problem as long as they are drinking fluids. When your child becomes hungry again, give them the food they feel like eating.

Can my child have dairy after a bout of gastro?

Many children become sensitive to dairy following a bout of gastro. You can usually manage this by reducing their dairy intake for a period of three weeks following gastro. If the symptoms persist beyond this, take your child back to your GP.

https://www.rch.org.au/kidsinfo/fact_sheets/gastroenteritis_gastro/

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