Caring for Our Childen (CFOC)

Chapter 3: Health Promotion and Protection

3.2 Hygiene

3.2.3 Exposure to Body Fluids

3.2.3.3: Cuts and Scrapes


Cuts or sores that are actively dripping, oozing, or draining body fluids should be covered with a dressing to avoid contamination of surfaces in child care. The caregiver/teacher should wear gloves if there is contact with any wound (cut or scrape) that has material that could be transmitted to another surface.

A child or caregiver/teacher with a cut or sore that is leaking a body fluid that cannot be contained or cannot be covered with a dressing, should be excluded from the facility until the cut or sore is scabbed over or healed.

RATIONALE
Touching a contaminated object or surface may spread infectious organisms (1,2). Body fluids may contain infectious organisms (1,2).

Gloves can provide a protective barrier against infectious organisms that may be present in body fluids (1,2).

COMMENTS
Covering sores on lips and on eyes is difficult. Children or caregivers/teachers who are unable to prevent contact with these exposed lesions should be excluded until lesions do not present a risk of transmission of a pathogen.
TYPE OF FACILITY
Center, Large Family Child Care Home, Small Family Child Care Home
RELATED STANDARDS
1.4.2.3 Orientation Topics
3.2.3.4 Prevention of Exposure to Blood and Body Fluids
3.6.1.1 Inclusion/Exclusion/Dismissal of Children
5.6.0.1 First Aid and Emergency Supplies
Appendix D: Gloving
REFERENCES
  1. Aronson, S. S., T. R. Shope, eds. 2017. Managing infectious diseases in child care and schools: A quick reference guide, pp. 43-48. 4th Edition. Elk Grove Village, IL: American Academy of Pediatrics.
  2. American Academy of Pediatrics. Out-of-home child care, infection control and prevention In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Red Book: 2018 Report of the Committee on Infectious Diseases. 31st Edition. Itasca, IL:  American Academy of Pediatrics; 2018: 125-136, 122-125, 124t