3701-3-13 ISOLATION REQUIREMENT
A person infected with one of the following specified diseases or
conditions shall be isolated as set forth below:
(A) Amebiasis, where the person works in a sensitive occupation or
attends a child care center. Such a person shall be excluded from work
or the child care center and may return only after the diarrhea has
ceased and he or she has had three follow-up stool specimens with
results negative for E. histolytica.
(B) Anthrax: A person with anthrax shall be isolated until the acute
lesions have healed, or he or she is found to be bacteriologically-free
of anthrax organisms by appropriate testing.
(C) Campylobacteriosis, where the person works in a sensitive
occupation or is a child in a child care center. Such a person shall be
excluded from work or the child care center and may return only when the
following conditions are met:
(1) The child may return to a child care center and the person may
return to work in the sensitive occupation if his or her diarrhea has
ceased, providing that his or her duties do not include food handling.
(2) A food handler may only return to work after his or her diarrhea
has ceased and one of the following:
(a) The food handler has had at least forty-eight hours of effective
antimicrobial therapy; or
(b) The food handler has had two consecutive follow-up stool
specimens that are negative for campylobacter.
(D) Chickenpox: A person with chickenpox shall be isolated, including
exclusion from school or child care center, until the sixth day after
onset of rash, or until all lesions are dry, whichever comes first.
(E) Cholera, where the person works in a sensitive occupation or is a
child in a child care center. Such a person shall be excluded from work
or the child care center and may return only when the following
conditions are met:
(1) The child may return to a child care center and the person may
return to work in the sensitive occupation if his or her diarrhea has
ceased, provided that his or her duties do not include food handling.
(2) A food handler may only return to work after his or her diarrhea
has ceased and the food handler has had two consecutive follow-up stool
specimens that are negative for V. cholerae.
(F) Conjunctivitis purulent, where the person works in a child care
center or is a child in a child care center. Such a person shall be
excluded from the child care center and may return to the child care
center twenty-four hours after the initiation of antimicrobial therapy.
(G) Cryptosporidiosis, where the person works in a sensitive
occupation or is a child in a child care center. Such a person shall be
excluded from work or the child care center and may return only when the
following conditions are met:
(1) The child may return to a child care center and the person may
return to work in the sensitive occupation if his or her diarrhea has
ceased, provided that his or her duties do not include food handling.
(2) A food handler may only return to work after his or her diarrhea
has ceased and after three consecutive follow-up stool specimens are
negative for cryptosporidium.
(H) Cyclosporiasis, where the person works in a sensitive occupation
or is a child in a child care center. Such a person shall be excluded
from work or the child care center, and only may return when his or her
diarrhea has ceased and appropriate antimicrobial treatment has begun.
(I) Diarrhea, infectious or of unknown cause, where the person works
in a sensitive occupation or attends a child care center. Such a person
shall be excluded from work or the child care center and only may return
after his or her diarrhea has ceased. A person with infectious diarrhea
of known cause shall be isolated in accordance with the provisions of
the rule set forth for the specified disease.
(J) Diphtheria: A person with diphtheria shall be isolated until two
cultures, from both throat and nose, and additionally, in the case of
cutaneous diptheria, a culture from skin lesions, are negative for
diphtheria bacilli. Cultures shall be taken not less than twenty-four
hours apart, and not less than twenty-four hours after cessation of
antimicrobial therapy. If culturing is unavailable or impractical,
isolation may be ended after fourteen days of appropriate antimicrobial
therapy.
(K) E. coli O157:H7 or hemolytic uremic syndrome (HUS), where the
person works in a sensitive occupation or is a child in a child care
center. Such a person shall be excluded from work or the child care
center, and may only return if his or her diarrhea has ceased and after
two consecutive follow-up stool specimens are negative for E. coli
O157:H7.
(L) Giardiasis, where the person works in a sensitive occupation or
is a child in a child care center. Such a person shall be excluded from
work or the child care center, and may only return if his or her
diarrhea has ceased and he or she has had one of the following:
(1) Seventy-two hours of effective antimicrobial therapy; or
(2) Three consecutive follow-up stool specimens which are negative
for giardia.
(M) Hepatitis A: A person symptomatic with hepatitis A who works in a
sensitive occupation shall be excluded from work and a child attending a
child care center shall be excluded from a child care center until ten
days after initial onset of symptoms.
(N) Measles: A person with measles shall be isolated, including
exclusion from school or child care center, for four days following the
onset of rash.
(O) Meningitis, aseptic, and viral meningoencephalitis, but not
including arthropod-borne disease: Persons with aseptic meningitis or
viral meningoencephalitis shall be excluded from school or child care
center until he or she is afebrile.
(P) Meningococcal disease: A person with meningococcal disease shall
be isolated until twenty-four hours after the initiation of effective
therapy.
(Q) Mumps: A person with mumps shall be isolated, including exclusion
from school or child care center, for nine days after the onset of
parotid swelling.
(R) Pediculosis: A person with body lice shall be excluded from
school or child care center until twenty-four hours after application of
an effective pediculicide. A person with head lice shall be excluded
from school or child care center until after the first treatment with an
appropriate pediculicide.
(S) Pertussis (whooping cough): A person with pertussis who is not
treated with appropriate antimicrobial therapy shall be isolated,
including exclusion from school or child care center, until three weeks
after the onset of paroxysms. If appropriate antimicrobial therapy is
given, the person shall be isolated for five days after initiation of
antimicrobial therapy.
(T) Plague: A person with plague shall be isolated until completion
of forty- eight hours of effective antimicrobial therapy.
(U) Rubella: A person with rubella shall be isolated, including
exclusion from school or child care center, for seven days after the
onset of the rash. Persons with congenital rubella shall be isolated
until they are one year old unless nasopharyngeal and urine cultures
after three months of age are repeatedly negative for rubella.
(V) Salmonellosis, where the person works in a sensitive occupation
or is a child in a child care center. Such a person shall be excluded
from work or the child care center and may return only when the
following conditions are met:
(1) The child may return to a child care center and the person may
return to work in the sensitive occupation if his or her diarrhea has
ceased, provided that his or her duties do not include food handling.
(2) A person who is a food handler may only return to work after his
or her diarrhea has ceased and after two consecutive follow-up stool
specimens are negative for salmonella.
(W) Scabies: A person with scabies shall be isolated for twenty-four
hours following an initial treatment of an appropriate scabicide. A
person with the manifestation of scabies known as "crusted
scabies" shall be isolated until the mite can no longer be
demonstrated on the scabies preparation.
(X) Shigellosis, where the person works in a sensitive occupation or
is a child in a child care center. Such a person shall be excluded from
work or the child care center and may only return if his or her diarrhea
has ceased and after two consecutive follow-up stool specimens are
negative for shigella.
(Y) Streptococcal infection: A person with a streptococcal infection
shall be excluded from school or child care center for twenty-four hours
after the initiation of antimicrobial therapy.
(Z) Tuberculosis (TB): A person with infectious tuberculosis shall be
isolated until three consecutive sputums, collected on three different
days, are negative for acid fast bacilli on direct smear, or in
accordance with section 339.42 of the Revised Code, until the local
authorized TB authority or his or her designee approves that person's
removal from isolation.
(AA) Typhoid fever, where the person works in a sensitive occupation
or is a child in a child care center. Such a person shall be excluded
from work or the child care center and may only return after he or she
is asymptomatic and after three consecutive follow-up stool specimens
are negative for salmonella typhi.
(BB) Typhus: A louse infested person with typhus shall be isolated
until twenty-four hours after application of an effective pediculicide
for body lice and clothing and environment are free of body lice.
(CC) Yersiniosis, where the person works in a sensitive occupation or
is a child in a child care center. Such a person shall be excluded from
work or the child care center, and may return only when the following
conditions are met:
(1) The child may return to a child care center and the person may
return to work in the sensitive occupation if his or her diarrhea has
ceased, provided that his or her duties do not include food handling.
(2) A food handler may return to work after diarrhea has ceased and
after two consecutive follow-up stool specimens are negative for
yersinia.
