TDH Guidelines for specific symptoms and communicable diseases
Children should remain home and be evaluated by a healthcare professional if pain lasts more than two (2) hours or
occurs with fever or other symptoms.
Children should remain home until all blisters have dry, complete scabs, and the student has no new lesions for 24
hours. This is usually seven (7) days from the beginning of the breakout with the pox.
Conjunctivitis/ Pink eye
(Red/pink eye, crusty/sticky drainage)
Conjunctivitis/Pink Eye can result from many causes, including viruses, bacteria, allergens, contact lens use,
chemicals, fungi, and certain diseases. Students requiring treatment for infection may return twenty-four (24) hours
after treatment is started by their healthcare provider. To return, symptoms of the eye drainage should be reduced. If
no treatment is required, the student may return to school.
Diarrhea may be tough on children to deal with at school and can be a sign that your child has a contagious
infection. Children should be kept home if they are having frequent diarrhea, or stools with blood or mucus.
Students with bloody diarrhea require a note from their healthcare professional to return to school.
Student should remain home for one (1) week after symptoms started, or as directed by their healthcare professional.
Children may return to school the day after treatment begins. Sores should be covered when the child returns to
Children may attend school iflice has been treated. Please also refer to Pediculosis Policy 6.4021.
Mouth Sores with Drooling
Children should remain home until cleared to return to school by their healthcare professional.
Student should be kept home for four (4) days after the rash appears.
Student does not need to be kept home.
Student should be kept home for five (5) days after parotid gland begins swelling.
Rash with Fever or Behavior Changes
Student should remain home until cleared to return to school by their healthcare professional.
Student may return to school the day after treatment begins. Areas should be covered when the child returns to
Student should be kept home for seven (7) days after the rash appears.
Skin Sores with Weeping Fluid that Cannot be Covered
Students should remain home until symptoms resolve and/or sores can be covered.
Student may return to school once treatment begins.
Students with symptoms should be kept home from school until seen by provider and advised regarding appropriate
Student should remain home until they have taken antibiotics for twenty-four (24) hours. Student may return if they
received one (1) dose of antibiotics on the day of diagnosis, and one ( 1) dose the following day before school.
Student should remain home if vomited twice in the past twenty-four (24) hours, unless cleared to return by their
Whooping Cough (Pertussis)
Student should remain home until treated by their healthcare provider with antibiotics for at least five (5) days.
Please note, we are aware that each child is different and unique, and illnesses may present differently for
different children. The nurse will use professional judgment when caring for and making recommendations
for the child.