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Impetigo

Posted

Has 4 years experience.

What are your protocols for impetigo? We have a student who was diagnosed yesterday but apparently mom wants to keep it hush-hush from us for some reason. Student was the one who informed us what the doctor says it is. Mom has apparently been treating it with essential oils and it has now spread from the arms to the legs. Just curious to know how your schools handle these situations considering how easily impetigo spreads....

WineRN

Specializes in NCSN. Has 4 years experience.

Our state protocol is:

"Exclusion from school?

Yes, if impetigo is confirmed by your healthcare provider, child should remain home until 24 hours of treatmenthas been completed. Lesions on exposed skin

should be covered with watertight dressing. and sores are drying. "

MHDNURSE, BSN, MSN, RN, NP

Specializes in Pediatrics, Community, and School Health. Has 21 years experience.

What are your protocols for impetigo? We have a student who was diagnosed yesterday but apparently mom wants to keep it hush-hush from us for some reason. Student was the one who informed us what the doctor says it is. Mom has apparently been treating it with essential oils and it has now spread from the arms to the legs. Just curious to know how your schools handle these situations considering how easily impetigo spreads....

Essential oils...:speechless:

We use the 24 hours after treatment they can return and sores cannot be weeping

KKEGS, MSN, RN

Specializes in School Nursing. Has 8 years experience.

Our policy is:

Exclude from school until child has

been treated with antibiotics for at

least a full 24 hours.

KeeperOfTheIceRN, ADN

Has 4 years experience.

Essential oils...:speechless:

We use the 24 hours after treatment they can return and sores cannot be weeping

Yuuuuuup....and then informed us that "It's not contagious. I know how to treat it because a friend's daughter had the same thing." :banghead:

Yuuuuuup....and then informed us that "It's not contagious. I know how to treat it because a friend's daughter had the same thing." :banghead:

Oh my! one of those parents...

GetBackToClassRN

Specializes in Pediatrics, Hematology Oncology, School Nurse. Has 15 years experience.

Our county school board/DOH policy states a "Physician's note is required to return to school 24 hours after treatment is started. Sores must be covered. Should not participate in contact sports; wrestling particularly."

We're about the same as everyone else. Abx for 24 hours, lesions must be covered when they return.

My sympathies on the essential oils parent.

24 hours after first treatment with antibiotics they can return WITH A DOCTOR'S NOTE. I'm a stickler on the doctor's note.

Flare, ASN, BSN

Specializes in school nursing, ortho, trauma.

oh for heaven's sake! I'm sorry to hear about the crunchy parent. I'll bet they would get along well with the parent from the other thread that only wants their child to be a vegan unless it's inconvenient for THEM or cupcakes are involved.

Same for us - exclude until dr's note necessary, as is 24 hours worth of treatment.

JenTheSchoolRN, BSN, RN

Specializes in School nursing.

We don't exclude if it can be fully covered, but dealing with the older ones I don't see it that often and when I do it was passed from a younger sibling at home. But if it is spreading...sigh and ugh. It is only time before it ends up in place that can't be covered.