Nevada Administrative Code
Chapter 441A - INFECTIOUS DISEASES; TOXIC AGENTS
INVESTIGATING, REPORTING, PREVENTING, SUPPRESSING AND CONTROLLING PARTICULAR COMMUNICABLE DISEASES
Miscellaneous Communicable Diseases
Section 441A.550 - Haemophilus influenzae type b

Universal Citation: NV Admin Code 441A.550

Current through September 16, 2024

1. The health authority shall investigate each report of a case having an invasive disease caused by Haemophilus influenzae type b, which includes bacteremia, meningitis, epiglottitis, septic arthritis, cellulitis, pericarditis, endocarditis, osteomyelitis and pneumonia, to:

(a) Confirm the diagnosis;

(b) Determine the extent of any outbreak;

(c) Determine if the case is a child attending a child care facility; and

(d) Identify any contacts and determine the need for antimicrobial prophylaxis of any contacts.

2. The health authority shall recommend to a health care provider providing services to a case having a disease caused by invasive Haemophilus influenzae type b that the following preventive measures be taken:

(a) If the case is in a medical facility and upon discharge will return to a child care facility or a household where there will be a contact who is less than 4 years of age, the case be prescribed a course of prophylactic antimicrobial therapy before being discharged, unless medically contraindicated.

(b) If the case resides in a household where there is a contact who is less than 4 years of age, antimicrobial prophylaxis be prescribed for all contacts in the household, unless medically contraindicated, as soon as possible after diagnosis of the case.

3. A person diagnosed as having a disease caused by invasive Haemophilus influenzae type b shall not attend a child care facility or a private or public school while the disease is in a communicable form, unless the child care facility or school would be prohibited from preventing the person from attending by the Americans with Disabilities Act of 1990, 42 U.S.C. §§ 12101 et seq., or NRS 651.050 to 651.120, inclusive.

4. If a case having a disease caused by invasive Haemophilus influenzae type b is in a medical facility, the medical facility shall provide care to the case in accordance with respiratory isolation or other appropriate disease specific precautions.

5. If a case having a disease caused by invasive Haemophilus influenzae type b is in a child care facility or a medical facility where there is a contact who is less than 2 years of age, the child care facility or medical facility shall provide written notice to the parents or legal guardians of all children in the same classroom or care unit as the case, regardless of whether the children have received an immunization against Haemophilus influenzae type b. The notice must inform the parent:

(a) That the child has been exposed to a disease caused by invasive Haemophilus influenzae type b;

(b) To seek medical advice promptly if the child develops symptoms suggestive of a disease caused by invasive Haemophilus influenzae type b; and

(c) That initiation of antimicrobial prophylaxis is required, unless medically contraindicated, for the child as a condition of readmission to the child care facility or medical facility.

6. If a case having a disease caused by invasive Haemophilus influenzae type b is in a child care facility or a medical facility where there is a contact who is less than 2 years of age, each employee of the child care facility or medical facility shall complete a course of antimicrobial prophylaxis, unless medically contraindicated.

7. If a case having a disease caused by invasive Haemophilus influenzae type b is in a child care facility or a medical facility where there is no contact who is less than 2 years of age, and two persons have been diagnosed as having a disease caused by invasive Haemophilus influenzae type b within 60 days, each child and member of the staff in the child care facility or medical facility shall complete a course of antimicrobial prophylaxis, unless medically contraindicated, regardless of whether the child or member of the staff has received an immunization against Haemophilus influenzae type b.

Added to NAC by Bd. of Health, eff. 1-24-92; A by R148-22A, eff. 7/26/2023

NRS 439.200, 441A.120, 441A.180

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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