Exclusion Periods for Common Infectious Illnesses

IllnessIncubation periodInfectious periodExclusion period
Chicken pox13 to 17 days1 to 2 days before rash appears until all spots scabbed over (usually 5 to 7 days)When all spots are scabbed over (minimum of 5 days from rash).
Conjunctivitis12 hours to 3 daysAs long as symptoms are presentNone.
Gastroenteritis / diarrhoea and vomitingA few hours to a few daysNot always infectiousUntil free of symptoms for 48 hours.
Hand, foot and mouth disease3 to 5 days4 to 6 daysNone.
Slapped cheek4 to 14 days7 to 10 days before rash appears then no longer infectiousNone (as no longer infectious once it is diagnosed).
Impetigo4 to 10 daysWhile the spots are discharging pusOnce the lesions have crusted or healed or 48 hours after starting antibiotic treatment.
Respiratory infections including COVID-19Most commonly 2 to 5 daysChildren are unlikely to be highly infectious after 3 days from onset of symptomsExclusion required for the duration of a high temperature and/or whilst the child feels unwell. Children with mild symptoms such as runny nose and headache but who are otherwise well can continue to attend. Children who have had a positive COVID-19 test result should not attend the setting for 3 days after the day of the test.
Cold sores2 to 12 daysWhile ‘active’ cold sore is presentNot needed. Avoid kissing and contact with the sores.
Unexplained diarrhoea and/or vomiting (e.g. car sickness, teething, coughing etc.)N/AN/AAt manager’s discretion: (if there are other cases of diarrhoea and/or vomiting, the child may be excluded as a precaution).

Please note that the nursery reserve the right to refuse entry to a child whom they believe is unwell enough to attend or who may be infectious to the other children.

This policy was reviewed and amended in March 2024.