All people who are nonimmune to parvovirus, are immunosuppressed, have chronic haemolytic disorders or are pregnant are at increased risk of complications. Fifth disease. Slapped cheek disease is usually diagnosed by the appearance of the classical rash on your cheeks. You do not usually need any treatment. Is ampicillin good for respiratory infection? This. This is . A doctor can often diagnose fifth disease by looking at the rash. With respect to tinea capitis (fungal scalp infection): Conditions where there is no recommended period to be kept away from school The rash is painless. Fifth disease (erythema infectiosum, "slapped cheek"syndrome) Not required. Note that this may not provide an exact translation in all languages, Home After inhaling the virus, a child usually takes around a week or two to manifest symptoms. Adults may have cold-like symptoms; sometimes, painful or swollen joints (arthralgias) lasting days to months or even years may occur, resembling rheumatoid arthritis. The virus spreads to other people, surfaces or objects by coughing or sneezing near them. Children with erythema infectiosum are most infectious before the onset of the rash and are probably not infectious after the rash appears. Specialist advice should be sought if a patient with immunodeficiency or a blood disorder contracts parvovirus infection. Up to 50 per cent of susceptible household contacts and 1060 per cent of childcare or school contacts may be infected during outbreaks. 2023 Oxbridge Solutions Ltd. Any distribution or duplication of the information A child may have a low grade fever before the rash appears. If this is the case then you can be reassured and will not usually need other tests or treatment. Intrauterine infection may rarely result in fetal anaemia with hydrops fetalis or death if infection occurs within the first 20 weeks of pregnancy. Infectious period. Next review due: 11 November 2024, Monday to Friday: 8am to 8pmSaturday and Sunday: 9am to 5pm, a high temperature of 38 degrees Celsius or more, drink plenty of fluids to avoid dehydration babies should continue their normal feeds, take paracetamol or ibuprofen for a high temperature, headaches or joint pain, talk to a pharmacist about itchy skin they can recommend an antihistamine, you have a weakened immune system and have been near someone with slapped cheek syndrome, you're pregnant there's a very small risk of miscarriage or other complications, have a blood disorder such as sickle cell anaemia or thalassaemia - there's a risk of severe anaemia, you have a weakened immune system for example, because of chemotherapy or diabetes. Often parents wont know their child has slapped cheek. Infection Exclusion period Comments Athlete's foot None Athlete's foot is not a serious condition. This is because you make antibodies during the infection which protect you from future infections with this same virus. Adults may not get this. A child is infectious up to five or six days before the first symptoms appear. Exclusion Periods for Common Infectious Illnesses professional clinical judgement when diagnosing or treating any medical condition. upgrade your browser. Slapped cheek disease is normally a mild, short illness. Slapped cheek is passed on in droplets from the respiratory tract of an infected person, mainly by close contact, coughing and sneezing. By clicking Accept All, you consent to the use of ALL the cookies. This parvovirus only infects humans. However, the rash may appear to be quite dramatic. Once a child is infected with the virus, the time until the symptoms appear is usually between 4 20 days. The incubation period varies from 4 to 20 days for development of rash or symptoms of aplastic crisis. HPS Website - Parvovirus B19 SMO or PEHO may advise a longer period of exclusion Parvovirus B19 infection | Health topics A to Z | CKS | NICE None (as no longer infectious once it is diagnosed), Once the lesions have crusted or healed or 48 hours after starting antibiotic treatment, Unexplained diarrhoea and/or vomiting (e.g. The first stage, occurring after an incubation period of four to 14 days, consists of a mild prodromal illness characterized by low-grade fever, headache and gastrointestinal symptoms. It's rarer in adults, but can be more serious. in schools and other childcare settings. The Victorian Government acknowledges Aboriginal and Torres Strait Islander people as the Traditional Custodians of the land and acknowledges and pays respect to their Elders, past and present. The first sign of slapped cheek syndrome is usually feeling unwell for a few days. You should keep your child away from nursery or school until theyre feeling better. Infection in the first half of pregnancy can cause fetal anaemia with hydrops fetalis (abnormal fluid accumulation in the fetus). The cookie is used to store the user consent for the cookies in the category "Analytics". Slapped cheek disease most commonly occurs in children aged 3-15 years but anyone can be affected. PDF Guidance on Infection Control in Schools - HSCNI They might do a blood test to check for antibodies to the virus that causes the disease. Display information about slapped check on your notice board. This can happen in children too, but its rare. Page last reviewed: 18 February 2021 The incubation period for slapped cheek disease is usually between four and 14 days after contact (in rare cases, up to 21 days). Slapped cheek syndrome is caused by a virus (parvovirus B19). This lasts 2 to 4 days, and is followed by a pink rash on the limbs and sometimes the trunk. Slapped cheek syndrome is infectious for about 7 to 10 days before the rash sets init's during this period that your child might experience the cold-like symptoms as well. of Health (2005). Once the rash appears the child is no longer infectious. This website uses cookies to improve your experience while you navigate through the website. Scenario: Children and adults (not pregnant) - CKS | NICE Barah F, Whiteside S, Batista S, Morris J. You can only spread it to other people before the rash appears. 1 What is the exclusion period for slapped cheek? It can also affect adults that have not been previously exposed to the virus.