Specific Disease Exclusion Guidelines for Child Care and Preschool

Children with diarrhea or vomiting should not be allowed at child care or preschool until the symptoms have resolved. Additional restrictions may apply for children or staff diagnosed with certain germs:

• Campylobacteriosis (caused by the bacteria Campylobacter)
  Until 24 hours after diarrhea has stopped.

• Cryptosporidiosis (caused by the parasite Cryptosporidium)
  Until 24 hours after diarrhea has stopped. In addition, children with cryptosporidiosis should not use swimming beaches, pools, splash pads, spas, or hot tubs for 2 weeks after diarrhea has stopped.

• Enteroaggregative E. coli (EAEC) infections
  Until 24 hours after diarrhea has stopped.
  
  
• Enteropathogenic E. coli (EPEC) infections
  Until 24 hours after diarrhea has stopped.
  
  
• Enterotoxigenic E. coli (ETEC) infections
  Until 24 hours after diarrhea has stopped.
  
  
• Giardiasis (caused by the parasite Giardia)
  Until 24 hours after diarrhea has stopped.
  
  
• Salmonellosis (caused by the bacteria Salmonella)
  Until 24 hours after diarrhea has stopped.
  
  
• Shiga toxin-producing E. coli Infection (STEC; caused by certain E. coli bacteria)
  • Escherichia coli O157:H7 (E. coli O157) Infection
    Until two consecutive stool specimens collected at least 24 hours apart have tested negative for E. coli O157:H7.
  • Non-O157 Shiga toxin-producing E. coli (STEC) Infection
    • For infections of STEC that produce Shiga toxin 2: Until two consecutive stool specimens collected at least 24 hours apart have tested negative for Shiga toxin 2-producing E. coli.
    • For infections of STEC that produce only Shiga toxin 1: Until 24 hours after diarrhea has stopped.
• Shigellosis (caused by the bacteria Shigella)
  Until 48 hours after diarrhea has stopped.
  OR until 1 stool culture has tested negative for Shigella AND until 24 hours after diarrhea has stopped.
  OR until 24 hours after treatment with antibiotics has been started AND until 24 hours after diarrhea has stopped.
• Viral Gastroenteritis caused by Norovirus (Norwalk-like viruses)
  Until 24 hours after diarrhea has stopped.