conjuctivitis-when mom can go to work - meshi

[ArchivalUser]

A 7-year-old African-American male is brought to your office with a 1-day history of purulent, crusted eyelashes in the morning, and red eye. There is no history of visual change, foreign body, or injury. The child is otherwise in good health and has normal developmental milestones. No fever or respiratory distress is noted. A clinical diagnosis of bacterial conjunctivitis is made. The mother is anxious to keep the child in school. Which one of the following would be the most appropriate time for the child to return to school?

A. Once treatment is started
B. When there is no crusting or drainage in the morning
C. After 1 week of treatment
D. When the absence of fever for 24 hours is documented
E. When there is resolution of conjunctival erythema

[ArchivalUser]

C/

[ArchivalUser]

B>>>

[ArchivalUser]

A- I missed this too.

Explanation: Once therapy is initiated, children with bacterial conjunctivitis should be allowed to remain in school. Careful hand hygiene is important, however, and behavior must be appropriate to maintain adequate hygiene. No specific length of treatment or evidence of clinical response is required before returning to school. Reference: Pickering LK (ed): Red Book: 2006 Report of the Committee on Infectious Diseases, ed 27. American Academy of Pediatrics, 2006, p 149.

[ArchivalUser]

there is a similar Qs in Jackson wilbur. will check tomorrow

[ArchivalUser]

thanks. good one, very practical.