Md. Code Regs. 10.06.01.08-3
Current through Register Vol. 51, No. 21, October 18, 2024
Section 10.06.01.08-3 - Escherichia coli O157:H7 and Other Shiga-Like Toxin Producing Escherichia coli (STEC)A. Control of a Case. (1) A case may not attend a child care facility until:(a) The case's fecal cultures or stool Shiga-like toxin tests are free of E. coli 0157:H7 and other Shiga-Like Toxin Producing Escherichia coli (STEC) on two consecutive specimens collected not less than 24 hours apart and not sooner than 48 hours following discontinuation of antibiotics, if antibiotics have been given; or(b) A health officer approves readmission based on the low likelihood of disease transmission.(2) A case, with or without diarrhea, may not participate in occupations involving food handling, patient care, or care of young children or the elderly until :(a) The case's fecal cultures or stool Shiga-like toxin tests are free of E. coli 0157:H7 and other Shiga-Like Toxin Producing Escherichia coli (STEC) on two consecutive specimens collected not less than 24 hours apart and not sooner than 48 hours following discontinuation of antibiotics, if antibiotics have been given; or(b) A health officer approves resumption of occupational duties based on the low likelihood of disease transmission.B. Control of Contacts. (1) A health officer shall require a culture of feces or stool Shiga-like toxin test only from a household member or other close contact who attends a child care facility or whose occupation involves food handling, patient care, or care of young children or the elderly.(2) A household member or other close contact shall submit for examination two fecal specimens taken at an interval of not less than 24 hours apart.(3) If either of the specimens submitted pursuant to §B(2) of this regulation is positive for E. coli 0157:H7, other Shiga-Like Toxin Producing Escherichia coli (STEC), or Shiga-like toxin, a health officer shall consider the contact to be a case, and the control measures specified in §A of this regulation apply.(4) A household member or other close contact who currently has diarrhea or who has had an onset of diarrhea in the past 3 weeks may not attend a child care facility until: (a) The household member or other close contact is without diarrhea for at least 24 hours and fecal cultures or Shiga-like toxin tests are free of E. coli 0157:H7 and other Shiga-Like Toxin Producing Escherichia coli (STEC) on two consecutive specimens collected not less than 24 hours apart and not sooner than 48 hours following discontinuation of antibiotics, if antibiotics have been given; or(b) A health officer approves readmission based on the low likelihood of disease transmission. (5) A contact who currently has diarrhea or who has had an onset of diarrhea within the past week may not participate in occupations involving food handling, patient care, or care of young children or the elderly until:(a) The contact is without diarrhea for at least 24 hours and fecal cultures or Shiga-like toxin tests are free of E. coli 0157:H7 and other Shiga-Like Toxin Producing Escherichia coli (STEC) on two consecutive specimens collected not less than 24 hours apart and not sooner than 48 hours following discontinuation of antibiotics, if antibiotics have been given; or(b) A health officer approves resumption of occupational duties based on the low likelihood of disease transmission.C. Infection Control. A health care provider shall practice standard precautions.Md. Code Regs. 10.06.01.08-3
Regulation .08-3 amended and recodified from .08-2 effective 47:9 Md. R. 516, eff. 5/18/2020