Nevada Administrative Code
Chapter 441A - INFECTIOUS DISEASES; TOXIC AGENTS
INVESTIGATING, REPORTING, PREVENTING, SUPPRESSING AND CONTROLLING PARTICULAR COMMUNICABLE DISEASES
Miscellaneous Communicable Diseases
Section 441A.515 - Enterohemorrhagic E. coli

Universal Citation: NV Admin Code 441A.515

Current through September 16, 2024

1. The health authority shall investigate each report of:

(a) A case having Shiga toxin-producing Escherichia coli , as identified by clinical specimens that demonstrate the presence of Shiga toxin-producing Escherichia coli or specific toxins upon testing by a medical laboratory; and

(b) A suspected case considered to have Shiga toxin-producing Escherichia coli , as identified by the presence of hemorrhagic diarrhea or hemolytic-uremic syndrome, and from whom clinical specimens have not been tested.

2. The investigation required pursuant to subsection 1 must be conducted to:

(a) Confirm the diagnosis;

(b) Identify the source of infection; and

(c) Determine if the case is employed in a sensitive occupation or is a child attending a child care facility.

3. A person excreting Shiga toxin-producing Escherichia coli shall not work in a sensitive occupation unless authorized to do so by a health authority. The health authority may authorize the case to work in a sensitive occupation if:

(a) Two fecal specimens, collected from the case at least 24 hours apart and at least 48 hours after cessation of antimicrobial therapy, fail to show the presence of Shiga toxin-producing Escherichia coli organisms or specific toxins upon testing by a medical laboratory; or

(b) The case is asymptomatic and there is no indication of poor personal hygiene.

4. A contact residing in the same household as a case having Shiga toxin-producing Escherichia coli shall not work in a sensitive occupation unless authorized to do so by the health authority.

5. The health authority shall instruct a person excreting Shiga toxin-producing Escherichia coli of the need for and proper method of hand washing after defecation.

6. Unless authorized by the health authority, an infant or child excreting Shiga toxin-producing Escherichia coli shall not attend a child care facility until he or she has been asymptomatic for at least 24 hours. The health authority :

(a) May order any additional exclusion, testing or treatment of any person that the health authority determines is necessary to prevent further transmission of Shiga toxin-producing Escherichia coli; and

(b) Shall instruct a child care facility where an infant or child who is attending the facility is excreting Shiga toxin-producing Escherichia coli of the need for and proper method of hand washing and other practices for the control of infection which prevent the transmission of Shiga toxin-producing Escherichia coli .

7. If a case having Shiga toxin-producing Escherichia coli is in a medical facility, the medical facility shall provide care to the case in accordance with enteric precautions or other appropriate disease specific precautions.

Added to NAC by Bd. of Health, eff. 1-24-92; A 3-28-96; R087-08, 1-13-2011; A by R187-18A, eff. 6/12/2019

NRS 439.200 and 441A.120

Disclaimer: These regulations may not be the most recent version. Nevada may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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