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 10.06.01.19 - Shigellosis
Universal Citation: MD Code Reg 10.06.01.19
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
are Shigella-free 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 are
Shigella-free 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 only from a household member or close contact who:
(a) Attends a child care facility;
or
(b) Whose occupation involves:
(i) Food handling;
(ii) Patient care; or
(iii) Care of young children or the
elderly.
(2) A
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 collected
under §B(2) of this regulation is positive for Shigella, the health
officer shall consider the contact to be a case, and the control measures
specified in §A of this regulation shall apply.
C. Infection Control. A health care provider shall practice standard precautions.
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