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Infection Exposure Questions
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DISEASE

INCUBATION PERIOD (DAYS)

CONTAGIOUS PERIOD (DAYS)

Skin Infections/Rashes:

Chickenpox

14-16

2 days before rash until all sores have crusts (6-7 days)

Fifth disease (Erythema infectiosum)

10-14

7 days before rash until rash begins

Hand, foot, and mouth disease

3-6

Onset of mouth ulcers until fever gone

Impetigo (strep or staph)

2-5

Onset of sores until 24 hours on antibiotic

Lice

7

Onset of itch until 1 treatment

Measles

10-12

4 days before rash until rash gone (7 days)

Roseola

10-15

Onset of fever until rash gone (2 days)

Rubella (German measles)

14-21

7 days before rash until rash gone (4 days)

Scabies

30

Onset of rash until 1 treatment

Scarlet fever

3-6

Onset of fever or rash until 24 hours on antibiotic

Shingles (contagious for chicken pox)

14-16

Onset of rash until all sores have crusts (7 days) (Note: No need to isolate if sores can be kept covered.)

Warts

30-180

Minimally contagious

Respiratory Infections:

Bronchiolitis

4-6

Onset of cough until 7 days

Colds

2-5

Onset of runny nose until fever gone

Cold sores (herpes)

2-12

Footnote 1

Coughs (viral) or croup (viral)

2-5

Onset of cough until fever gone

Diphtheria

2-5

Onset of sore throat until 4 days on antibiotic

Influenza

1-2

Onset of cough until fever gone

Sore throat, strep

2-5

Onset of sore throat until 24 hours on antibiotic

 

DISEASE

INCUBATION PERIOD (DAYS)

CONTAGIOUS PERIOD (DAYS)

Respiratory Infections: (continued)

Sore throat, viral

2-5

Onset of sore throat until fever gone

Tuberculosis

14-70

Until 2 weeks on drugs (Note: Most childhood TB is not contagious.)

Whooping cough

7-10

Onset of runny nose until 5 days on antibiotic

Intestinal Infections:

Diarrhea, bacterial

1-5

Footnote 2 for Diarrhea Precautions

Diarrhea, giardia

7-21

Footnote 2 for Diarrhea Precautions

Diarrhea, traveler's

1-6

Footnote 2 for Diarrhea Precautions

Diarrhea, viral (Rotavirus)

1-3

Footnote 2 for Diarrhea Precautions

Hepatitis A

14-50

2 weeks before jaundice begins until jaundice resolved (7 days)

Hepatitis B

50-180

2 weeks before jaundice begins until jaundice resolved (7 days)

Pinworms

21-28

Minimally contagious, staying home is unnecessary

Vomiting, viral

2-5

Until vomiting stops

Other Infections:

Infectious mononucleosis

30-50

Onset of fever until fever gone (7 days)

Meningitis, bacterial

2-10

7 days before symptoms until 24 hours on IV antibiotics in hospital

Mumps

16-18

5 days before swelling until swelling gone (7 days)

Pinkeye without pus (viral)

1-5

Mild infection, staying home is unnecessary

Pinkeye with pus (bacterial)

2-7

Onset of pus until 1 day on antibiotic eyedrops

 

Definition

  • This guideline includes information about the transmission of common infections.
  • Incubation Period:  Time interval between exposure to the infection and onset of symptoms.
  • Contagious Period:  Time interval during which a sick child's disease is contagious to others.  With precautions, children sometimes can return to day care and school before this period is over.
  • Infections that are not Contagious:  Many common bacterial infections are not contagious (e.g., otitis media, sinusitis, urinary tract infection, pneumonia, and bacteremia).  Sexually transmitted diseases are not contagious to children unless there is sexual contact or shared bathing.

Footnotes:

  1. Cold sores:  Less than 6 years old, contagious until cold sores are dry, 4-5 days (no isolation if sores are on part of body that can be covered).  More than 6 years old, no isolation necessary if beyond touching, picking stage.

  2. Diarrhea Precautions:  Contagious until stools are formed.  Stay home until fever is gone, diarrhea is mild, blood and mucus are gone, and toilet-trained child has control over loose BMs.  Shigella and E-coli 0157 require extra precautions.

Parent Care for Pediatric Symptoms.  Copyright © 2000. Barton D. Schmitt, MD, FAAP

 


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