COVID-19 Recommendations

Based on CDC Recommendations as of 6/27/2020

What do we know about how COVID-19 is spread?
  1. It is spread through respiratory droplets produced when an infected person coughs, sneezes, or talks; the droplets can land in the mouth, nose, or eyes of people nearby infecting them.
  2. It may be possible that one can get COVID-19 by touching a surface or object that has the virus on it and then touching one’s mouth, nose, or eyes. This is not thought to be the main mode of spread.
  3. There is no evidence that food or food packaging plays a significant role in spreading the virus in the US.
What is considered “close contact” to someone when talking about COVID-19?
  1. Close contact means being within 6 feet of another person.
  2. The more closely a person interacts with others and the longer that interaction, the higher the risk of COVID-19 spread.
I live in NE Florida where COVID-19 is spreading. What should I do?
  1. Be alert for symptoms. Watch for fever, cough, shortness of breath, or other symptoms of COVID-19.
    • Other symptoms of COVID-19 are: fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion, runny nose, nausea, vomiting, and diarrhea.
    • Take your temperature if symptoms develop.
    • If symptoms develop, follow CDC guidelines below.
  2. Practice social distancing. Maintain 6 feet of distance from others, and stay out of crowded places.
  3. Wash your hands often with soap and water. Use hand sanitizer that contains at least 60% alcohol
  4. Routinely clean and disinfect surfaces that are frequently touched.
  5. Cover your mouth and nose with a mask.
  6. Practice cough etiquette; cough into the elbow.
My child is healthy but was recently exposed to a person with COVID-19. What should I do?

If your child had close contact with a person with COVID-19, you should:

  1. Keep your child quarantined home until 14 days past the last exposure.
  2. Check your child’s temperature twice daily and watch for COVID-19 symptoms (see above).
  3. Keep your child away from people who are at higher risk (see below) of getting sick from COVID-19.
My child tested positive for COVID-19 and had no symptoms. What should I do?
  1. Your child should stay home isolated in a specific “sick room” (if possible), away from other people or animals, and use a separate bathroom, if available.
  2. If your child continues to have no symptoms, your child can be with others after:
    • 10 days have passed since the test.
    • An exception would be that your child can then be around others after two negative COVID-19 tests at least 24 hours apart. Realize this may be difficult due to limited testing,
My child either has known COVID-19 with symptoms or has COVID-19 symptoms but has not been tested. What should I do?
  1. Your child should stay home isolated in a specific “sick room” (if possible), away from other people or animals, and use a separate bathroom, if available.
  2. Your child can be with others after:
    • 3 days with no fever, and
    • Respiratory symptoms have improved (e.g. cough, shortness of breath), and
    • 10 days since symptoms first appeared
    • An exception would be that your child can be around others if respiratory symptoms and fever are better, and your child has two negative COVID-19 tests at least 24 hours apart. Realize this may be difficult due to limited testing.
When should my child be tested for COVID-19?

Physicians order medical tests when the result of a medical test will be used in the diagnosis and to make changes in treatment or patient behavior. Due to the increase in COVID-19 positive residents in our community, many more people want to be tested and test results are taking up to 10 days to come back. 

Since currently there are no effective treatments for non-hospitalized patients with COVID-19, testing should be performed on children who meet the following criteria:

  1. Any child who has symptoms and COVID-19 exposure that would require hospitalization.
  2. Any child with or without symptoms who is having surgery of any kind.
  3. Any child who has had COVID-19 exposure without symptoms and cannot quarantine for 14 days.
  4. Any child who has had COVID-19 exposure and symptoms for three days and cannot be isolated for 10 days since last exposure.
  5. Any child who has had COVID-19 exposure and symptoms for at least three days and has worsening respiratory symptoms including cough and shortness of breath.

If your child had a COVID-19 exposure and does not have COVID-19 symptoms, and you would like a test, we suggest waiting at least 72 hours following the exposure before getting a test in order to increase the reliability of the test result. Presently, we can swab a limited number of children with symptoms for COVID-19. Unfortunately, we do not have enough swabs to test all children. Additional sites where your child may be tested can be found at: https://res.cloudinary.com/baptisthealth/image/upload/v1592844879/WolfsonChildrens/COVID_Pediatric_Testing_Sites_-_Jacksonville_FL.pdf

When should my child with known or suspected COVID-19 seek emergency medical attention?

Monitor for emergency warning signs for COVID-19. If your child is showing any of these signs, seek emergency medical care immediately:

  1. Trouble breathing
  2. Persistent pain or pressure in the chest
  3. New confusion
  4. Inability to wake or stay awake
  5. Bluish lips or face
  6. This is not a list of all possible symptoms. Please call if there are any other symptoms that are severe or concerning to you.

**If calling 911 or if heading to the emergency department, please notify the operator that you are seeking care for someone with known or suspected COVID-19.

Who is considered high risk for infection from COVID-19?
  1. Older adults are at high risk. The risk for severe illness from COVID-19 increases with age with older adults at the highest risk. Most COVID-19 deaths are in adults 65 years and older.
  2. Certain underlying medical conditions are considered high risk
    • Children who are medically complex, who have neurologic, genetic, or metabolic conditions, or who have congenital heart disease are at higher risk for severe illness from COVID-19 compared with other children
    • Chronic kidney disease
    • COPD
    • Immunocompromised state from organ transplant
    • Obesity
    • Serious heart conditions (heart failure, coronary artery disease, cardiomyopathy)
    • Sickle cell disease
    • Type II diabetes
  3. Conditions which might be a higher risk for severe illness from COVID-19
    • Asthma (moderate-to-severe)
    • Cerebrovascular disease
    • Cystic fibrosis
    • High blood pressure
    • Immunocompromised state
    • Neurologic conditions like dementia
    • Liver disease
    • Pregnancy
    • Pulmonary fibrosis
    • Smoking
    • Thalassemia
    • Type I diabetes

You can also listen to Dr. Sanchez review this information in greater detail by clicking the video below.

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