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Scarlet fever is an illness caused by a bug called Group A Streptococcus, which is found on the skin and in the throat. Scarlet fever mostly affects children and can easily spread to other people.
Generally, scarlet fever is much less common than it used to be but in the last few years there have been a number of outbreaks. It is important that children with scarlet fever are assessed by a healthcare professional so that they can be started on antibiotics.
The scarlet fever rash often begins with small spots on the body that then spread to the neck, arms and legs over the next 1 to 2 days. The rash may be harder to see on darker skin tones. It often feels like 'sandpaper' but is not itchy.
Your child may also have a:
Painful, swollen glands in the neck
A red tongue (strawberry tongue)
Go to the nearest Hospital Emergency (A&E) Department or phone 999
Please ring your GP surgery or call NHS 111 - dial 111
If symptoms persist for 4 hours or more and you have not been able to speak to either a member of staff from your GP practice or to NHS 111 staff, recheck that your child has not developed any red features.
Children and young people who are unwell and have a high temperature should stay at home. They can go back to school, college or childcare when they no longer have a high temperature, and they are well enough to attend.
Scarlet fever last for around 1 week. If you do not take antibiotics, you can spread the infection for 2-3 weeks after your symptoms start.
Important
Keep your child away from nursery or school for at least 24 hours after starting antibiotic treatment. Adults with scarlet fever should also stay off work for at least 24 hours after starting treatment.
Self-care
Many of the symptoms of scarlet fever can be relieved using some simple self-care measures, such as:
● drinking plenty of cool fluids
● eating soft foods (if your throat is painful)
● taking paracetamol to bring down a high temperature/distress
● using calamine lotion or antihistamine tablets to relieve itching
Most cases of scarlet fever don't cause problems, particularly if the condition is properly treated.
Rarely, the infection can spread to other parts of the body and cause more serious infections such as chest infections, bone and joint infections and sepsis.
Some of the problems can arise a few weeks after infection including kidney problems and joint issues, Please get in touch with your GP if you are concerned
Scarlet fever is very contagious and can easily spread to other people. To reduce the chance of spreading Scarlet fever:
Do:
● wash your hands often with soap and water
● use tissues to trap germs from coughs or sneezes
● bin used tissues as quickly as possible
Don’t:
● do not share cutlery, cups, towels, clothes, bedding or baths with anyone who has symptoms of scarlet fever
If your child has been in close contact with a case of scarlet fever or strep throat, they do not need to be treated with antibiotics unless they are showing signs of infection (severe tonsillitis with fever in the absence of a runny nose or signs of scarlet fever). Only in exceptional circumstances will the local public health team recommend for an entire school class to be treated with antibiotics.
You can treat your child's very minor illnesses and injuries at home.
Some illnesses can be treated in your own home with support and advice from the services listed when required, using the recommended medicines and getting plenty of rest.
Children can recover from illness quickly but also can become more poorly quickly; it is important to seek further advice if a child's condition gets worse.
For information on common childhood illnesses go to What is wrong with my child?
Pharmacists are experts in many aspects of healthcare and can offer advice on a wide range of long-term conditions and common illnesses such as coughs, colds and stomach upsets. You don’t need an appointment and many have private consultation areas, so they are a good first port of call. Your pharmacist will say if you need further medical attention.
Health visitors are nurses or midwives who are passionate about promoting healthy lifestyles and preventing illness through the delivery of the Healthy Child Programme. They work with you through your pregnancy up until your child is ready to start school.
Health Visitors can also make referrals for you to other health professionals for example hearing or vision concerns or to the Community Paediatricians or to the child and adolescent mental health services.
Contact them by phoning your Health Visitor Team or local Children’s Centre.
Health visitors also provide advice, support and guidance in caring for your child, including:
For more information watch the video: What does a health visitor do?
School nurses care for children and young people, aged 5-19, and their families, to ensure their health needs are supported within their school and community. They work closely with education staff and other agencies to support parents, carers and the children and young people, with physical and/or emotional health needs.
Contacting the School Nurse
Primary and secondary schools have an allocated school nurse – telephone your child’s school to ask for the contact details of your named school nurse.
There is also a specialist nurse who works with families who choose to educate their children at home.
Before your child starts school your health visitor will meet with the school nursing team to transfer their care to the school nursing service. The school nursing team consists of a school nursing lead, specialist public health practitioners and school health staff nurses.
They all have a role in preventing disease and promoting health and wellbeing, by:-
Each member of the team has links with many other professionals who also work with children including community paediatricians, child and adolescent mental health teams, health visitors and speech and language therapists. The school health nursing service also forms part of the multi-agency services for children, young people and families where there are child protection or safeguarding issues.
GPs assess, treat and manage a whole range of health problems. They also provide health education, give vaccinations and carry out simple surgical procedures. Your GP will arrange a referral to a hospital specialist should you need it.
You have a choice of service:
If you’re not sure which NHS service you need, call 111. An adviser will ask you questions to assess your symptoms and then give you the advice you need, or direct you straightaway to the best service for you in your area.
Use NHS 111 if you are unsure what to do next, have any questions about a condition or treatment or require information about local health services.
A&E departments provide vital care for life-threatening emergencies, such as loss of consciousness, suspected heart attacks, breathing difficulties, or severe bleeding that cannot be stopped. If you’re not sure it’s an emergency, call 111 for advice.
