Children's Illness

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Details: Last Updated: 26 July 2022

Illness	Symptoms	Am I well enough to attend nursery?
Chicken pox	Red spots all over body or they can just be in one spot Spots will fill with liquid and blister High temperature Aches and pains Loss of appetite	You will need to stay home until the spots have crusted over. This usually last for five days although it can be longer as each case is individual. Chicken pox needs to be confirmed by a GP or doctor.
Hand, Foot and mouth	Sore throat High temperature Loss of appetite Blisters can appear on hands, feet, inside the mouth, around the mouth, on checks. Ulcers can appear inside the mouth and on tongue.	This needs to be confirmed by a doctor/GP. Once it has been confirmed then they can return to nursery as long as they are well enough to be here. If they have a fever they will need to stay home for 48 hours after the fever has gone.
Diarrhoea and sickness	This is the same if you have them together or separately	Please stay away from nursery 48 hours after your last bout of sickness and/or diarrhoea.
Temperature: Normal temperature in babies and children is about 36.4-36.9, although this is different in each child. A high temperature is considered 38c or above.	Feel hotter than usual when you touch their back or chest Feel sweaty Look hot - rosier cheeks Look or feel unwell A temperature can be caused by many things such as a common cold, chicken pox, vaccinations	Please do not bring your child into nursery if they have a fever. They can return once their temperature has been normal for 48 hours. If your child is at nursery when a temperature arises we will monitor the temperature for an hour. If it remains the same or increases then we will ask you to collect your child.
Glandular fever	High temperature Feel hot or shivery Serve sore throat Swelling either side of the neck –swollen glands Tiredness or exhaustion Tonsillitis that is not improving	The child should start to feel better within 2-3 weeks. They can return to nursery once their temperature is normal and they feel better.
Common cold	Blocked or runny nose Sore throat Headache Muscle aches Cough Sneezing Raised temperature	They can come in to nursery with a common cold, as long as you, the parent, feel that they can cope with day to day nursery life and they are fever free.
Ear infection: symptoms can start quickly	Pain inside the ear High temperature Lack of energy Difficulty hearing Loss of balance Discharge running from the ear Pressure in the ear Itching or irritation around the ear	If antibiotics are prescribed then they must stay away from nursery for 48 hours. If no antibiotics then they can return once you feel they are well enough and can cope at nursery for the day.
Tonsillitis	Sore throat Problems swallowing High temperature above 38c Coughing Headache Earache Bad breath White pus on your tonsils	To remain at home until they feel better and they are able to cope with the day. Their fever needs to be normal for 48 hours and if they received antibiotics then they need to be off for 48 hours after the onset of antibiotics.
Thread worm	Extreme itching around the anus or vagina - particularly at night Irritability and waking up at night White thread in poo	There is no reason to stay off nursery once treated. It is recommended that the whole family is treated.
Impetigo	Red sores or blisters normally starts around the mouth The blisters burst quickly and leave gold, brown patches Can spread to other parts of the body	To refrain from coming into nursery until the sores have stopped weeping. If they are prescribed antibiotics then please keep them at home for 48 hours after antibiotics were administered.
Conjunctivitis - also known as red or pink eye	Red eyes Itchy eyes Watering eyes Eyes will produce pus that will stick to eye lashes	Please seek treatment for eyes, normally eye drops which can be bought at a chemist (if they are over two). They can come back to nursery once the first dose has been administered.
Covid 19 (coronavirus)	High temperature A new continuous cough, this is coughing a lot more for more than an hour, or three more coughing episodes in 24 hours Loss or change to sense of smell or taste. This means that they cannot taste or smell anything or the senses have been reduced.	Nursery will request collection of child.
Slap cheek syndrome	a high temperature a runny nose sore throat Headache Red cheeks ( may appear on one or both) Rash may appear on arms, chest, legs. It can be raised.	They can come to nursery with Slap cheek as long as they are well enough and do not have a fever.
Scarlet Fever	First sign of scarlet fever is flu like symptoms, this can include a fever, sore throat, swollen glands Rash will appear all over body, it looks pink or red White coating appears on tongue, this peels leaving little bumps known as strawberry tongue. Seek GP advice	You will need to stay home for 48 hours after antibiotics have been given They will need to be temperature free for 48 hours before they can come back

This is in accordance with www.nhs.uk

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