Apéndice - Virginia

10-22-2020 16¿CUÁNDO DEBE UN NIÑO QUEDARSE EN CASA Y NO IR A LA ESCUELA Y/O AL CUIDADO INFANTIL? • Una guía del VDH para evaluar a un niño con síntomas o exposición al COVID-19

Algoritmo VDH para evaluar a un niño con síntomas o exposición a COVID-19 (10/22/2020) Mitad superior

VDH Algorithm for Evaluating a Child with COVID-19

Symptoms or Exposure vdh.virginia.gov

FOR PARENTS AND GUARDIANS

Is your child sick with symptom(s) of COVID-19*?

YES

NO Has the child had close contact** in the past 14 days with someone with

COVID-19? Symptoms new or

unusual for the child

*Symptoms of COVID-19 include fever

Symptoms usual for the child (e.g., allergies, migraines,

asthma) or caused by a known diagnosis (e.g., ear infection,

strep throat)

NO YES

(≥100.4°F) or chills, fatigue (more tired than usual), headache, muscle aches,cough, nasal congestion or runny

Keep child home. Call your healthcareprovider (If no clinical

Send to School and/or

nose, new loss of taste or smell, sore throat, shortness of breath or difficulty breathing, abdominal pain, diarrhea, nausea or vomiting, new onset of poor appetite or poor feeding.

evaluation see Return

section below.) Notify the school.

Seek care as per usual practice. If fever present, stay home until at least 24 hours fever-free without

fever-reducing medicines

Child Care

FOR SCHOOLS AND CHILD CARE FACILITIES

Does a child have symptom(s) of COVID-19* at school/child care? NO Has the child had

close contact** in the past 14 days with someone with

Symptoms new or unusual for the child YES

Other explanation for symptoms (e.g., chronic

condition or known diagnosis)

COVID-19?

NO YES

Isolate from others. **Close contact means being within Send home. Fever present 6 feet of a person with COVID-19 for 15 minutes or more or having direct

If no clinical evaluation, see

exposure to respiratory secretions. Return section below YES NO Normal *** ≥50 cases per 100,000 population in the past 14 days. Click here for local information: www.vdh.virginia.gov/ coronavirus/key-measures/ pandemic-metrics/school-metrics/

Send home until at least 24 hours fever-free without fever-reducing medicines

Activities

Apéndice

www.vdh.virginia.gov/content/uploads/sites/182/2020/08/Evaluating-Symptomsin-a-Child.pdf

http://www.vdh.virginia.gov/

http://www.vdh.virginia.gov/content/uploads/sites/182/2020/08/



https://www.vdh.virginia.gov/content/uploads/sites/182/2020/08/Evaluating-Symptoms-in-a-Child.pdf


Algoritmo VDH para evaluar a un niño con síntomas o exposición a COVID-19 (8 de octubre de 2020) Mitad inferior

APÉNDICE

FOR HEALTHCARE Clinical Evaluation for Children with Symptoms of COVID-19* (www.cdc.gov/coronavirus/2019-ncov/hcp/pediatric-hcp.html)

PROVIDERS In past 14 days, no known

close contact** and no exposure to area with ≥50

cases/100,000 population***

In past 14 days, exposure to area with ≥50

cases/100,000 population ***

In past 14 days, close contact** with person

with known or suspected COVID-19

Testing – PCR or antigen (Ag) testing is acceptable. If an Ag test is negative and clinical suspicion for COVID-19 is high, confirm with PCR, ideally within 2 days of the initial Ag test. If PCR testing is not available, clinical discretion can be used in whether to recommend the patient

Consider alternate diagnoses. Testingand exclusion for COVID-19 may be considered based on level of clinical

suspicion and testing availability.

Once symptoms have improved and child has no

Test (and/or evaluate clinically) for COVID-19.

Isolate at home.

Test for COVID-19 right away if symptoms present, or approximately

1 week after likely exposure if no symptoms.

Isolate/quarantine at home.

isolate.

RETURN TO

fever for at least 24 hours without fever-reducing

medicine, allow return to school/child care.

Negative for

COVID-19

Positive test or diagnosis for COVID-19

Negative for COVID-19

or not tested

SCHOOL AND CHILD CARE

If no clinical evaluation performed Home isolate for 10 days after

symptom onset (or date of

Quarantine for 14 days after last

exposure or isolate for

Symptoms and no close contact** and no exposure

in last 14 days to area with ≥50 cases/100,000***

Symptoms and had close contact**

or exposure in last 14 days to area with ≥50

cases/100,000 ***

10-day home

No symptoms but had close

contact**

14-day home quarantine.

positive test). Quarantine close

contacts.

After 10-day isolation, if no

10 days after symptom onset

If symptoms develop, consider retesting.

Home isolate

If no symptoms develop, return to

school

Return when no fever for 24 hours without fever-reducing

medicine.

isolation. Then return when

no fever for 24 hours without fever-reducing

medicine. Quarantine close

contacts.

If no symptoms, return on Day

15. If symptomsdevelop, need10-day isolationand quarantineclose contacts.

fever for at least 24 hours and

symptoms have improved, child may return to school and/or

child care.

for 10 days after symptom

onset. Quarantine

close contacts.

and/or child care on Day 15.

10/08/2020


http://www.cdc.gov/coronavirus/2019-ncov/hcp/pediatric-hcp.html)

http://www.cdc.gov/coronavirus/2019-ncov/hcp/pediatric-hcp.html)




Para padres y tutores

APÉNDICE

¿Cuándo puedo enviar a mi hijo a la escuela y/o al cuidado infantil?

Responda estas dos preguntas todos los días antes de enviar a su hijo a la escuela y/o al cuidado infantil:

1) ¿Ha estado su hijo cercade alguien con COVID-19 enlos últimos 14 días?

2) ¿Está enfermo su hijo?

www.vdh.virginia.gov/contenido/actualizaciones/sitios/24/2020/08/Evaluacion-de-Síntomas-en-un-niño.pdf

¿Respondió "SÍ" a

cualquiera de las

preguntas?

¿Respondió "NO" a AMBAS

preguntas?

Envié a su hijo a la escuela/ cuidado infantil

Mantenga a su hijo en casa. Hable con su proveedor de atención de salud y/o con su escuela sobre cuándo el niño puede regresar a la escuela/ cuidado infantil.

Si respondió "NO" a la Pregunta 1 pero "SÍ" a Pregunta 2, vea el escenario 2.

Si respondió “SÍ” a la pregunta 1, consulte el escenario 1



Escenario 1

Algoritmo VDH para evaluar a un niño con síntomas o exposición a COVID-19: para audiencias separadas

Escenarios para evaluar a un niño según la exposición a COVID-19 APÉNDICE

.

‘ .

If no symptoms

throughout the entire 14-day quarantine:

On Day 15 child may return to school/child

care.

Must have no fever for at least 24 hours without fever-reducing medicine and feel

better before returning to class after 10-


Para proveedores de atención de la salud APÉNDICE

Negative

for

COVID-19

Apéndice - Virginia

Documents

Transcript of Apéndice - Virginia