Scarlet fever precautions for home and close contacts

Scarlet fever is associated with bacteria that can spread through saliva and respiratory droplets, often alongside a sore throat. It may affect several people in a household or classroom, especially when cups, utensils, or close face-to-face contact are shared. Symptoms can include [Fever](/symptoms/fever/) and a rough rash; swollen neck glands and [Sore Throat](/symptoms/sore-throat/) can also occur. The rash may later leave dry or peeling skin, which still needs gentle care.

Stay home while feverish or feeling significantly unwell, and follow local clinical advice about returning to school or work. Wash hands with soap and water, cover coughs and sneezes, ventilate shared rooms, and clean frequently touched surfaces. Do not share drinks, food, towels, bedding, toothbrushes, or cutlery. Wash used linens and clothing regularly, and avoid picking at the rash. Arrange assessment for a close contact who develops a sore throat, fever, or a new rough rash. If diagnosed, take prescribed [Antibiotic Treatment](/treatments/medical-management/antibiotic-treatment/) as directed.

Get urgent help for breathing problems, severe trouble swallowing, dehydration, confusion, fainting, or swelling of the face or mouth. Contact a clinician promptly if symptoms worsen, fever returns, the person cannot take prescribed medicine, or the skin becomes increasingly painful, warm, swollen, or wet. Mention pregnancy, immune problems, or a very young child when requesting advice.

Ask when it is safe to return to shared settings, whether household contacts need review, how to clean shared items, and what to do if a dose of medicine is missed.