Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 690 - CONTROL OF NOTIFIABLE DISEASES AND CONDITIONS CODE › Subpart D - DETAILED PROCEDURES FOR THE CONTROL OF NOTIFIABLE DISEASES AND CONDITIONS › Section 690.400 - Escherichia coli Infections (E. coli O157 and Other Shiga Toxin-Producing E. coli) (Reportable by telephone, facsimile, or electronically as soon as possible, within 24 hours)

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Control of Case
1) Food Handlers or Persons
				in Sensitive Occupations, Not Including Health Care Workers
Cases with E. coli infections caused by E. coli O157 or other
				  Shiga toxin-producing E. coli shall not work as food handlers or in sensitive
				  occupations until diarrhea has ceased for at least 48 hours and two consecutive
				  negative stool specimens are obtained. Specimens shall be obtained following
				  clinical recovery of the patient, at least 24 hours apart, and not sooner than
				  48 hours after the last dose of antimicrobials, if administered. Specimens
				  shall be submitted beginning within one week after notification.
2) Health Care Workers
Local health authorities may require specimens from health
				  care workers or those who work in occupations requiring standard precautions if
				  there is reason to believe that specimen testing is necessary (e.g., the nature
				  of the work, including feeding patients, assisting patients with eating,
				  providing or preparing meals for patients, denture or oral care, hygienic
				  practices of the worker, dispensing or administering oral medications, or as
				  part of an investigation of a cluster). Specimens shall be obtained following
				  clinical recovery, at least 24 hours apart and not sooner than 48 hours after
				  the last dose of antimicrobials, if administered. Specimens shall begin to be
				  submitted within one week after notification, or the individual shall be
				  restricted from patient care. When specimen submission is required, health care
				  workers who feed patients or assist patients with eating, provide or prepare
				  meals for patients, provide denture or oral care or dispense or administer
				  medications, shall be restricted from these duties until two negative stool
				  specimens are obtained or the public health authority determines based on the
				  number of cases, risk of further infections, or other factors that monitoring
				  is no longer warranted.
3)
				Day Care Attendees
Cases of E. coli O157 or other Shiga toxin-producing E. coli
				  shall be excluded from attending a child care facility, an adult day care
				  facility or a facility for the developmentally disabled if below the age of
				  five years or incontinent of stool until two consecutive negative stool
				  specimens are obtained. Specimens shall be obtained following clinical recovery
				  of the patient, at least 24 hours apart, and not sooner than 48 hours after the
				  last dose of antimicrobials, if administered.
4) Cases shall avoid swimming in public
				recreational water venues (e.g., swimming pools, whirlpool spas, wading pools,
				water parks, interactive fountains, lakes) while symptomatic and for two weeks
				after the date diarrhea has ceased.