Nev. Admin. Code § 441A.687

Current through November 25, 2024

Section 441A.687 - Shiga toxin-producing Escherichia coli

1. The health authority shall investigate each report of:

(a) A case having Shiga toxin-producing Escherichia coli, as identified by clinical specimens that demonstrate the presence of Shiga toxin-producing Escherichia coli or specific toxins upon testing by a medical laboratory; and

(b) A suspected case considered to have Shiga toxin-producing Escherichia coli, as identified by the presence of hemorrhagic diarrhea or hemolytic-uremic syndrome, and from whom clinical specimens have not been tested.

2. The investigation required pursuant to subsection 1 must be conducted to:

(a) Confirm the diagnosis;

(b) Identify the source of infection; and

(c) Determine if the case is employed in a sensitive occupation or is a child attending a child care facility.

3. A person excreting Shiga toxin-producing Escherichia coli shall not work in a sensitive occupation, unless authorized to do so by a health authority or unless the employer of the person would be prohibited from preventing the person from engaging in that occupation by the Americans with Disabilities Act of 1990, 42 U.S.C. §§ 12101 et seq., or NRS 613.330. The health authority may authorize the case to work in a sensitive occupation if:

(a) Two fecal specimens, collected from the case at least 24 hours apart and at least 48 hours after cessation of antimicrobial therapy, fail to show the presence of Shiga toxin-producing Escherichia coli organisms or specific toxins upon testing by a medical laboratory; or

(b) The case is asymptomatic and there is no indication of poor personal hygiene.

4. A contact residing in the same household as a case having Shiga toxin-producing Escherichia coli shall not work in a sensitive occupation unless authorized to do so by the health authority.

5. The health authority shall instruct a person excreting Shiga toxin-producing Escherichia coli of the need for and proper method of hand washing after defecation.

6. An infant or child excreting Shiga toxinproducing Escherichia coli shall not attend a child care facility until he or she has been asymptomatic for at least 24 hours, unless authorized by the health authority or unless the child care facility would be prohibited from preventing the infant or child from attending by the Americans with Disabilities Act of 1990, 42 U.S.C. §§ 12101 et seq., or NRS 651.050 to 651.120, inclusive. The health authority:

(a) May order any additional exclusion, testing or treatment of any person that the health authority determines is necessary to prevent further transmission of Shiga toxin-producing Escherichia coli; and

(b) Shall instruct a child care facility where an infant or child who is attending the facility is excreting Shiga toxin-producing Escherichia coli of the need for and proper method of hand washing and other practices for the control of infection which prevent the transmission of Shiga toxin-producing Escherichia coli.

7. If a case having Shiga toxin-producing Escherichia coli is in a medical facility, the medical facility shall provide care to the case in accordance with enteric precautions or other appropriate disease specific precautions.

Nev. Admin. Code § 441A.687

(Added to NAC by Bd. of Health, eff. 1/24/1992; A 3/28/1996; R087-08, 1/13/2011; R187-18, 6/26/2019) - (Substituted in revision for NAC 441A.515); A by R148-22A, eff. 7/26/2023

NRS 439.200, 441A.120, 441A.180