Conjunctivitis – Inflammation of the thin tissue covering ...
Conjunctivitis – Inflammation of the thin tissue covering the white part of the eye and inside of the eyelids
Signs and symptoms –
• Bacterial
o Red or pink, itchy, painful.
o Moderate amount of green/yellow discharge.
o Eyes may be crusted shut in the morning.
o May affect one or both eyes.
• Viral
o Pink, swollen, watering eye(s) sensitive to light.
o May affect only one eye.
• Allergic
o Itching, redness, and excessive tearing, usually of both eyes.
• Chemical
o Red, watery eyes, history of exposure to chemicals
Incubation/Contagious periods –
• Bacterial
o Period unknown because bacteria that cause it are commonly present and do not usually cause infection.
o Contagious period ends when the course of medication is started.
• Viral
o Occurs early in the course of viral respiratory illness that has other signs or symptoms (the common cold).
o Adenovirus conjunctivitis may be contagious up to 14 days after the appearance of signs and symptoms.
o Contagious period continues while the signs and symptoms are present.
• Allergic
o Occurs in response to contact with an agent that causes the allergic reaction. May be immediate or delayed many hours or days after the contact.
o No contagious period.
• Chemical
o Usually appears shortly after contact with the irritating substance.
o No contagious period.
Mode of transmission – Hands become contaminated by direct contact with discharge from the infected eye, or by touching other surfaces that have been contaminated by the secretions of the infected eye.
Control measures –
• Consult health professional for diagnosis and treatment. Antibiotics are needed only for signs of bacterial conjunctivitis (redness and green/yellow discharge).
• Careful hand washing before and after touching eyes, nose or mouth.
• Careful sanitation of objects that are commonly touched by hands such as tables, doorknobs, writing instruments, books, etc.
Responsibilities –
• School
o Report possible infection to school designated inspector (SDI). If SDI concurs with suspicion, notify parent/guardian for immediate pick up. A copy of conjunctivitis letter will be given to the parent/guardian to inform them of the need for medical evaluation and possible treatment.
o Isolate student in classroom until parent/guardian pick up.
o Review hand washing technique and clean affected items.
o SDI rechecks student upon return to school and obtains documentation from the medical provider regarding clearance to return to class.
o Log students dismissed in the Communicable Condition Log.
o In classroom where multiple cases are identified, a letter may be sent to inform parents of the presence of conjunctivitis.
• Parent/Guardian
o Pick up child immediately and seek necessary medical evaluation.
o Secure documentation from the medical provider regarding treatment plan and return to school for clearance.
o Complete course of medication if indicated providing school with medication consent form if treatment required during school hours.
• Nurse
o Education of school personnel, parent/guardian, and student about conjunctivitis, including its mode of transmission and means of prevention.
o Review Communicable Condition Log weekly providing follow up as indicated or requested.
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