Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 1
Subtitle 06 - DISEASES
Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance
Section 10.06.01.08-3 - Escherichia coli O157:H7 and Other Shiga-Like Toxin Producing Escherichia coli (STEC)
Universal Citation: MD Code Reg 10.06.01.08-3
Current through Register Vol. 51, No. 19, September 20, 2024
A. Control of a Case.
(1) A case may not attend a child care
facility until:
(a) The case's fecal cultures
or stool Shiga-like toxin tests are free of E. coli 0157:H7 and other
Shiga-Like Toxin Producing Escherichia coli (STEC) on two consecutive specimens
collected not less than 24 hours apart and not sooner than 48 hours following
discontinuation of antibiotics, if antibiotics have been given; or
(b) A health officer approves readmission
based on the low likelihood of disease transmission.
(2) A case, with or without diarrhea, may not
participate in occupations involving food handling, patient care, or care of
young children or the elderly until :
(a) The
case's fecal cultures or stool Shiga-like toxin tests are free of E. coli
0157:H7 and other Shiga-Like Toxin Producing Escherichia coli (STEC) on two
consecutive specimens collected not less than 24 hours apart and not sooner
than 48 hours following discontinuation of antibiotics, if antibiotics have
been given; or
(b) A health officer
approves resumption of occupational duties based on the low likelihood of
disease transmission.
B. Control of Contacts.
(1) A health officer shall require a culture
of feces or stool Shiga-like toxin test only from a household member or other
close contact who attends a child care facility or whose occupation involves
food handling, patient care, or care of young children or the
elderly.
(2) A household member or
other close contact shall submit for examination two fecal specimens taken at
an interval of not less than 24 hours apart.
(3) If either of the specimens submitted
pursuant to §B(2) of this regulation is positive for E. coli 0157:H7,
other Shiga-Like Toxin Producing Escherichia coli (STEC), or Shiga-like toxin,
a health officer shall consider the contact to be a case, and the control
measures specified in §A of this regulation apply.
(4) A household member or other close contact
who currently has diarrhea or who has had an onset of diarrhea in the past 3
weeks may not attend a child care facility until:
(a) The household member or other close
contact is without diarrhea for at least 24 hours and fecal cultures or
Shiga-like toxin tests are free of E. coli 0157:H7 and other Shiga-Like Toxin
Producing Escherichia coli (STEC) on two consecutive specimens collected not
less than 24 hours apart and not sooner than 48 hours following discontinuation
of antibiotics, if antibiotics have been given; or
(b) A health officer approves readmission
based on the low likelihood of disease transmission.
(5) A contact who currently has diarrhea or
who has had an onset of diarrhea within the past week may not participate in
occupations involving food handling, patient care, or care of young children or
the elderly until:
(a) The contact is without
diarrhea for at least 24 hours and fecal cultures or Shiga-like toxin tests are
free of E. coli 0157:H7 and other Shiga-Like Toxin Producing Escherichia coli
(STEC) on two consecutive specimens collected not less than 24 hours apart and
not sooner than 48 hours following discontinuation of antibiotics, if
antibiotics have been given; or
(b)
A health officer approves resumption of occupational duties based on the low
likelihood of disease transmission.
C. Infection Control. A health care provider shall practice standard precautions.
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