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Shigella Infection (cont.)

What can be done if an outbreak of Shigella occurs in the childcare setting?

  • Exclude any child with diarrhea from the childcare setting until the diarrhea has stopped.
  • Children who have recently recovered from shigellosis can be grouped together in one classroom (cohorted) to minimize exposing uninfected children and staff to Shigella.
  • Assign separate staff to change diapers and prepare or serve food.
  • Reassign adults with diarrhea to jobs that minimize opportunities for spreading infection (for example, administrative work instead of food preparation).
  • Establish, implement, and enforce policies on water-play and swimming that:
    • Exclude children ill with diarrhea from water-play and swimming activities.
    • Exclude children diagnosed with Shigella from water-play and swimming activities for an additional week after their diarrhea has resolved.
    • Have children and staff wash their hands before using water tables.
    • Have children and staff shower with soap before swimming in the water.
      • If a child is too young to shower independently, have staff wash the child, particularly the rear end, with soap and water.
    • Take frequent bathroom breaks or check their diapers often.
      • Change children's diapers in a diaper-changing area or bathroom and not by the water.
    • Discourage children from getting the water in their mouths and swallowing it.
    • Prohibit the use of temporary inflatable or rigid fill-and-drain swimming pools and slides because they can spread germs in childcare facilities.
Medically Reviewed by a Doctor on 10/19/2016


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