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Please find below info from eczema society. Would seem to be sensible to remove him from food handling Infection and Eczema Bacterial infections can be treated with antibiotics. Your doctor may prescribe a cream combining a topical corticosteroid (to damp down inflammation) with an antibiotic, or an antibiotic to be taken by mouth. Eczema Herpeticum If someone with atopic eczema is infected with the cold sore virus herpes simplex, it can rapidly develop into a more serious condition called eczema herpeticum. Many healthy people catch herpes simplex in childhood. It is usually very mild, causing a few mouth or gum ulcers which may not even be noticed. A few children develop a lot of ulcers, which can be very painful and may make eating or drinking difficult. Facts * Emollients play a key role in preventing infection, as they reduce dryness and cracking * Avoid using strong antiseptics, as they can irritate the skin * Seek medical advice if infection is suspected Our bodies become immune after a first infection by herpes simplex; you tend not to catch it from anyone a second time. However, your own initial virus can become active again; causing small itchy blisters that quickly form a cold sore. This is how herpes simplex usually affects people who do not have eczema. Eczema herpeticum may develop from a herpes simplex infection if you have eczema. Groups of small blisters, containing clear fluid or yellow pus, appear, break open and ulcerate the skin. Mild attacks are fairly common; the blisters may appear on a small area of skin and usually clear up within ten days. Further outbreaks may recur, usually in the same area. As with cold sores, although you will not catch eczema herpeticum from anyone after you have had it once, you will be liable to flare-ups of your own virus. In more serious cases, the virus spreads quickly on first infection and affects large areas of the body. A high temperature and a general feeling of being unwell usually accompany it. It can affect anyone with eczema, no matter what their age. This form of eczema herpeticum is very dangerous, but not widely known. It is essential to contact a doctor immediately, and to ask him or her if the symptoms could be eczema herpeticum. ________________________________ From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Ball-kasanis, Anton Sent: 08 March 2012 11:13 To: [log in to unmask] Subject: [OCC-HEALTH] eczema herpeticum Hi One of my colleagues has a chap that works in our Bakery that has been diagnosed with eczema herpeticum - he has it on his feet and under his finger nails and on his neck - his children have been in hospital with it. Should he be in work, he has not been signed off with it by his GP? Is it very contagious? If he is in work do we need to take precautions, e.g. remove from Bakery temporally ? How long after treatment has commenced is it no longer contagious? How long before he can work as an open food handler? Do we need formal evidence that the condition has resolved? Thanks Anton BK Occupational Health Advisor ________________________________ This is a confidential email. Tesco may monitor and record all emails. The views expressed in this email are those of the sender and not Tesco. Tesco Stores Limited Company Number: 519500 Registered in England Registered Office: Tesco House, Delamare Road, Cheshunt, Hertfordshire EN8 9SL VAT Registration Number: GB 220 4302 31 This email was received from the INTERNET and scanned by the Government Secure Intranet anti-virus service supplied by Cable&Wireless Worldwide in partnership with MessageLabs. (CCTM Certificate Number 2009/09/0052.) In case of problems, please call your organisation's IT Helpdesk. Communications via the GSi may be automatically logged, monitored and/or recorded for legal purposes. ******************************** Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html <http://www.jiscmail.ac.uk/lists/occ-health.html> CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH <http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH> The original of this email was scanned for viruses by the Government Secure Intranet virus scanning service supplied by Cable&Wireless Worldwide in partnership with MessageLabs. (CCTM Certificate Number 2009/09/0052.) On leaving the GSi this email was certified virus free. Communications via the GSi may be automatically logged, monitored and/or recorded for legal purposes. ******************************** Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH