Ohio Admin. Code 3701-3-13 - Isolation requirement
A person infected with one of the following specified diseases or conditions shall be isolated as set forth in this rule:
(A) Amebiasis: a person with amebiasis who
attends a child care center or works in a sensitive occupation shall be
excluded from the child care center or work in the sensitive occupation and may
return after diarrhea has ceased and three follow-up stool specimens are
negative for Entamoeba histolytica.
(B) Campylobacteriosis: a person with
campylobacteriosis who attends a child care center or works in a sensitive
occupation shall be excluded from the child care center or work in the
sensitive occupation and may return when the following conditions are met:
(1) A child may return to a child care center
after his or her diarrhea has ceased.
(2) A person may return to work in a
sensitive occupation after diarrhea has ceased, provided the person's duties do
not include food handling.
(3) A
food handler may return to work only after diarrhea has ceased and one of the
following conditions are met:
(a) Forty-eight
hours of effective antimicrobial therapy; or
(b) Two consecutive follow-up stool specimens
are negative for Campylobacter.
(C) Chickenpox: a person with chickenpox
shall be isolated, including exclusion from school, child care center, and
public places until the sixth day after onset of rash, or until all lesions are
dry. Contagiousness may be prolonged in patients with altered immunity. Persons
with chickenpox shall avoid contact with susceptible persons.
(D) Cholera: a person with cholera who
attends a child care center or works in a sensitive occupation shall be
excluded from the child care center or work in the sensitive occupation and may
return when the following conditions are met:
(1) A child may return to a child care center
after diarrhea has ceased.
(2) A
person may return to work in a sensitive occupation after diarrhea has ceased,
provided that his or her duties do not include food handling.
(3) A food handler may return to work after
diarrhea has ceased and two consecutive follow-up stool specimens are negative
for Vibrio cholerae.
(E)
Conjunctivitis, purulent: a person with purulent conjunctivitis who attends or
works in a child care center shall be excluded from the child care center and
may return twenty-four hours after the initiation of effective antimicrobial
therapy.
(F) Cryptosporidiosis: a
person with cryptosporidiosis who attends a child care center or works in a
sensitive occupation shall be excluded from the child care center or work in
the sensitive occupation and may return when the following conditions are met:
(1) The child may return to the child care
center after diarrhea has ceased.
(2) A person may return to work in a
sensitive occupation after diarrhea has ceased, provided that his or her duties
do not include food handling.
(3) A
food handler may return to work after diarrhea has ceased and after three
consecutive follow-up stool specimens are negative for
Cryptosporidium.
(G)
Cyclosporiasis: a person with cyclosporiasis who attends a child care center or
works in a sensitive occupation shall be excluded from the child care center or
work in the sensitive occupation and may return after diarrhea has ceased and
effective antimicrobial therapy has begun.
(H) Diarrhea, infectious or of unknown cause:
a person with diarrhea, of infectious or unknown cause, who attends a child
care center or works in a sensitive occupation shall be excluded from the child
care center or work in the sensitive occupation and may return only after
diarrhea has ceased. A person with infectious diarrhea of known cause shall be
isolated in accordance with the provisions of the rule set forth for the
specified disease.
(I) Diphtheria:
a person with diphtheria shall be isolated until two cultures, from both throat
and nose, and additionally, in the case of cutaneous diphtheria, a culture from
skin lesions, are negative for diphtheria bacilli. Cultures shall be taken not
less than twenty-four hours apart, and not less than twenty-four hours after
cessation of antimicrobial therapy. If culturing is unavailable or impractical,
isolation may be ended after fourteen days of effective antimicrobial
therapy.
(J) Escherichia coli (E.
coli) O157:H7, other enterohemorrhagic (Shiga toxin-producing) E. coli or
hemolytic uremic syndrome (HUS): a person with Escherichia coli (E.
coli O157:H7, other enterohemorrhagic (Shiga
toxin-producing) E. coli or hemolytic uremic syndrome (HUS) who attends a child
care center or works in a sensitive occupation shall be excluded from the child
care center or work in the sensitive occupation and may return after his or her
diarrhea has ceased and after two consecutive follow-up stool specimens are
negative for E. coli O157:H7 or other enterohemorrhagic (Shiga toxin-producing)
E. coli.
(K) Giardiasis:
a person with giardiasis who attends a child care center or works in a
sensitive occupation shall be excluded from the child care center or work in
the sensitive occupation and may return after diarrhea has ceased and one of
the following conditions have been met:
(1)
Seventy-two hours of effective antimicrobial therapy; or
(2) Three consecutive follow-up stool
specimens are negative for Giardia.
(L) Hepatitis A: a person with hepatitis A
who attends a child care center or works in a sensitive occupation shall be
excluded from the child care center or work in the sensitive occupation until
ten days after initial onset of symptoms.
(M) Measles: a person with measles shall be
isolated, including exclusion from school or child care center, for four days
following the onset of rash. Contagiousness may be prolonged in patients with
altered immunity.
(N) Meningitis,
aseptic, and viral meningoencephalitis, but not including arthropod-borne
disease: a person with aseptic meningitis or viral meningoencephalitis shall be
excluded from school or child care center until he or she is
afebrile.
(O) Meningococcal
disease: a person with meningococcal disease shall be isolated until
twenty-four hours after the initiation of effective antimicrobial
therapy.
(P) Mumps: a person with
mumps shall be isolated, including exclusion from school or child care center,
for five days after the onset of parotid swelling.
(Q) Pediculosis: a person with body lice
shall be excluded from school or child care center until twenty-four hours
after application of an effective pediculicide. A person with head lice shall
be excluded from school or child care center until after the first treatment
with an effective pediculicide.
(R)
Pertussis (whooping cough): a person with pertussis, who is not treated with
effective antimicrobial therapy, shall be isolated, including exclusion from
school or child care center, until three weeks after the onset of paroxysms. If
effective antimicrobial therapy is given, the person shall be isolated for five
days after initiation of antimicrobial therapy.
(S) Plague: a person with plague shall be
placed in droplet isolation until completion of forty-eight hours of effective
antimicrobial therapy.
(T) Rubella:
a person with rubella shall be isolated, including exclusion from school or
child care center, for seven days after the onset of the rash. Persons with
congenital rubella shall be isolated until they are one year old unless
nasopharyngeal and urine cultures after three months of age are repeatedly
negative for rubella.
(U)
Salmonellosis: a person with salmonellosis who attends a child care center or
works in a sensitive occupation shall be excluded from the child care center or
work in the sensitive occupation and may return when the following conditions
are met:
(1) The child may return to the
child care center after diarrhea has ceased.
(2) A person may return to work in a
sensitive occupation after diarrhea has ceased, provided that his or her duties
do not include food handling.
(3) A
person who is a food handler may return to work after diarrhea has ceased and
after two consecutive follow-up stool specimens are negative for
Salmonella.
(V) SARS
(severe acute respiratory distress syndrome): a person with confirmed or
suspected SARS shall be placed in airborne isolation until no longer considered
infectious.
(W) Scabies: a person
with scabies shall be isolated for twenty-four hours following initial
treatment with an effective scabicide. A person with the manifestation of
scabies known as "crusted scabies" shall be isolated until the mite can no
longer be demonstrated on a scabies preparation.
(X) Shigellosis: a person with shigellosis
who attends a child care center or works in a sensitive occupation shall be
excluded from the child care center or work in the sensitive occupation and may
return if diarrhea has ceased and after two consecutive follow-up stool
specimens are negative for Shigella.
(Y) Smallpox: a person with confirmed or
suspected smallpox shall be placed in airborne isolation in a facility
designated by the director. The patient's release from the facility can occur
when all scabs have fallen off.
(Z)
Streptococcal infection: a person with a streptococcal infection shall be
excluded from school or child care center for twenty-four hours after the
initiation of effective antimicrobial therapy.
(AA) Tuberculosis (TB): a person with
infectious tuberculosis shall be isolated according to Chapter 3701-15 of the
Administrative Code until the person has three negative AFB sputum smear
results, collected eight to twenty-four hours apart (with at least one being an
early morning specimen) and the person has responded clinically to an
antituberculosis treatment regimen consistent with the results of any
susceptibility testing performed and until the local authorized TB authority,
as set out in section
339.72 of the Revised Code, or
his or her designee approves that person's removal from isolation.
(BB) Typhoid fever person works in a
sensitive occupation shall be excluded from work and may return after the
person is asymptomatic and after three consecutive follow-up stool specimens
are negative for Salmonella Typhi.
(CC) Typhus: a louse infested person with
typhus shall be isolated until twenty-four hours after application of an
effective pediculicide for body lice and clothing and environment are free of
body lice.
(DD) Viral hemorrhagic
fever (VHF): a person with confirmed or suspected viral hemorrhagic fever shall
be placed in airborne isolation until no longer considered
infectious.
(EE) Yellow fever: a
person with confirmed or suspected yellow fever shall be isolated to prevent
access of mosquitoes to the patient for at least five days after onset of
disease.
(FF) Yersiniosis: a person
with yersiniosis who attends a child care center or works in a sensitive
occupation shall be excluded from the child care center or work in the
sensitive occupation and may return when the following conditions are met:
(1) A child may return to the child care
center after diarrhea has ceased.
(2) A person may return to work in a
sensitive occupation after diarrhea has ceased, provided that his or her duties
do not include food handling.
(3) A
food handler may return to work after diarrhea has ceased and two consecutive
follow-up stool specimens are negative for Yersinia.
Notes
Promulgated Under: 119.03
Statutory Authority: 3701.13
Rule Amplifies: 3701.13, 3701.24, 3701.241, 3701.242, 3701.243, 3701.244, 3701.245, 3701.246, 3701.247, 3701.248, 3701.249, 3707.04, 3707.05, 3707.06, 3707.07, 3707.08
Prior Effective Dates: 11/15/1976, 7/23/98, 10/17/02, 1/1/09
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