Mono

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Specializes in Cardiology, School Nursing, General.

*I been asking too much on protocols and such, sorry!*

Got a phone call from mother at the end of the day, was about to log off my computer. Mother states that she's in the doctor's office and LD is diagnosed with Mononucleosis. Wasn't sure if it's reported or not (in Texas), but I called the person in charge of me, and we are going from there today. I got the paperwork today and it says she's not allowed back until she's 24 hour free of fever, and she still hasn't, the poor thing.

What is your guys protocol for this and what do you do after?

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Specializes in School Nurse. Having conversations with littles..

Mono guidelines are on pages 151 and 152 of this fantastic resource- http://health.mo.gov/living/families/schoolhealth/pdf/EmergencyGuidelinesForSchools.pdf . Good luck and hope it is contained to this student only.

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Specializes in School nursing.

Mono is not reportable in my state.

Our school lets the student return if they are fever free and able to participate in school activities. The fatigue from mono can be long lasting and I've had some kids just wiped after a half day of school from it, so return to school can sometimes include half days at first. Some kids bounce back more quickly.

Likely spread would be through sharing water bottles, utensils, and the like. I preach to kids all year to not share water bottles - be selfish with them or be okay with swapping spit ;).

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Specializes in Cardiology, School Nursing, General.
Mono guidelines are on pages 151 and 152 of this fantastic resource- http://health.mo.gov/living/families/schoolhealth/pdf/EmergencyGuidelinesForSchools.pdf . Good luck and hope it is contained to this student only.

I don't see anything on Mono.

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Specializes in Cardiology, School Nursing, General.
Mono is not reportable in my state.

Our school lets the student return if they are fever free and able to participate in school activities. The fatigue from mono can be long lasting and I've had some kids just wiped after a half day of school from it, so return to school can sometimes include half days at first. Some kids bounce back more quickly.

Likely spread would be through sharing water bottles, utensils, and the like. I preach to kids all year to not share water bottles - be selfish with them or be okay with swapping spit ;).

It's not reportable in Texas either, but since that issue with the MMR, I been extra careful. (See Amethya does learn!)

I'm not sure what else to do afterwards, because all our head nurse told me is to send a letter home to students and that's it.

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Specializes in ICU/community health/school nursing.

We would not be reporting because we did not diagnose (but it's not reportable).

The low grade fever may keep the kid out enough to rest, which is the best thing. Once the fever's gone, return to school is possible. If there is more than one reported case in a particular area (like the band room) you can suggest a deep clean. We had four kids with mono one year; all were athletes. Water bottles? Maybe. Coincidence? Possibly, but I suggested the trainers deep clean everything and they did. If it's one case it's just as likely community acquired and you can't do much.

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Mono is not reportable in Illinois. Our policy is doctor's note to return to school (stating diagnosis), no exclusion, and fact sheet emailed to parents of the kids in that grade level.

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Specializes in School Nurse. Having conversations with littles..

I am so sorry. I sent the wrong link. This- pages 151 and 152. http://health.mo.gov/living/families/schoolhealth/pdf/Communicable_Disease.pdf

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I think your boundaries for the student are on point.

Even though not reportable, be aware that mono is contagious (although not as super contagious as parents think!) and I would look out for more cases.

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Specializes in Cardiology, School Nursing, General.
I think your boundaries for the student are on point.

Even though not reportable, be aware that mono is contagious (although not as super contagious as parents think!) and I would look out for more cases.

Yeah that's what I'm making sure. Symptoms usually don't appear until 4-7 weeks later, so I'll keep an eye out for any suspicious symptoms, especially from Kinder and 1st.

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I had a fever for 2 weeks with Mono, kissing tonsils for a month, and didn't get over the fatigue for two months.... I came back to school after a month when my tonsils cleared up, only to spike another fever and run another fever for another week and have my tonsils swell back up for two more weeks.

I don't know if I just got a extra special experience since I was 14, or if that is typical... but I know for sure you can't rush returning to a regular routine.

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We would not be reporting because we did not diagnose (but it's not reportable).

The low grade fever may keep the kid out enough to rest, which is the best thing. Once the fever's gone, return to school is possible. If there is more than one reported case in a particular area (like the band room) you can suggest a deep clean. We had four kids with mono one year; all were athletes. Water bottles? Maybe. Coincidence? Possibly, but I suggested the trainers deep clean everything and they did. If it's one case it's just as likely community acquired and you can't do much.

My whole soccer team got it except about 3 girls... we threw away our water bottles

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