Exclusion of students with conjunctivitis from school: policies of state departments of health.

Ohnsman CM

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Exclusion of students with conjunctivitis from school: policies of state departments of health.

机译：将结膜炎学生排除在学校外：国家卫生部门的政策。

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PURPOSE: To use current state department of health regulations regarding exclusion of students with conjunctivitis from school as a starting point in developing uniform recommendations for schools. METHODS: State departments of health were asked to state their policy regarding when a child with conjunctivitis may return to school. This information was collated and examined for trends. The results were compared with current literature on infectious conjunctivitis. RESULTS: Of the 43 states that responded, 7 allow children with conjunctivitis to remain in school, 8 allow their return once antibiotic treatment is initiated, 12 allow their return 24 hours after antibiotics are initiated, 13 exclude them until the disease is noncommunicable, and 16 require the approval of a physician for return to school. Seventeen states gave multiple recommendations, which were often contradictory. CONCLUSIONS: Although no current consensus exists among state health officials regarding students with conjunctivitis, the literature supports excluding children with conjunctivitis from school until they are asymptomatic. When patients are treated with fourth-generation fluoroquinolones, the length of exclusion may be as little as 24 hours in cases of bacterial conjunctivitis, and longer in cases of viral conjunctivitis. Following these guidelines may prevent epidemics of bacterial and viral conjunctivitis.

机译：目的：以当前国家卫生部门关于将结膜炎学生排除在学校之外的法规为基础，为学校制定统一的建议。方法：要求州卫生部门陈述其有关结膜炎儿童何时可以重返学校的政策。整理了此信息并检查了趋势。将结果与有关感染性结膜炎的现有文献进行比较。结果：在做出回应的43个州中，有7个允许结膜炎儿童留在学校，有8个允许在开始抗生素治疗后返回，有12个允许在抗生素开始使用24小时后返回，有13个在疾病无法传播之前将其排除在外，并且16必须获得医师的批准才能返回学校。十七个州提出了多个建议，这些建议通常是矛盾的。结论：尽管州卫生官员目前对结膜炎学生尚无共识，但文献支持将结膜炎儿童从学校中排除直至无症状。当患者接受第四代氟喹诺酮类药物治疗时，细菌性结膜炎的排除时间可能短至24小时，而病毒性结膜炎的排除时间可能更长。遵循这些准则可以预防细菌性和病毒性结膜炎的流行。

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《Journal of pediatric ophthalmology and strabismus》 |2007年第2期|共5页
作者
Ohnsman CM;
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正文语种 eng
中图分类眼科学;儿科学;
关键词
Conjunctivitis; Schools; Health; Child; exclusion; 结膜炎; 院校; 卫生; 儿童;

机译：Conjunctivitis;Schools;Health;Child;exclusion;结膜炎;院校;卫生;儿童;

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机译：将结膜炎学生排除在学校外：国家卫生部门的政策。
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Exclusion of students with conjunctivitis from school: policies of state departments of health.

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