<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12-2" citation="COMAR 10.06.01.12-2" title_num="10" subtitle_num="06" chapter_num="01" heading="Pertussis.">
  <paragraph num="A.">
    <text>Control of a Case.</text>
    <paragraph num="(1)">
      <text>A health officer or health care provider shall recommend that a case may not attend school, a workplace, or a child care facility until the patient has received at least 5 days of appropriate antibiotics.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If a case does not receive antibiotics, a health officer shall restrict or exclude the case from attending a school, health care facility, child care facility, or workplace for 3 weeks after onset of cough.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Control of Contacts. A health officer may:</text>
    <paragraph num="(1)">
      <text>Require all inadequately immunized household contacts younger than 7 years old to be excluded from schools, child care facilities, and public gatherings:</text>
      <paragraph num="(a)">
        <text>For 21 days after last exposure; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Until the case patients and contacts have received 5 days of appropriate antibiotics;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Require all contacts to verify immunization status and be brought up to date if not adequately immunized to protect against subsequent exposure; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Require antibiotic prophylaxis for contacts of cases.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Infection Control. A health care provider shall practice droplet precautions for the shorter of:</text>
    <paragraph num="(1)">
      <text>21 days after onset of cough; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>When a case has been on appropriate antibiotics for 5 days.</text>
    </paragraph>
  </paragraph>
</regulation>