When to Test and How
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/ Categories: WELLNESS, 2021

When to Test and How

Healthcare systems are attempting to walk a fine line. We want everyone who needs a COVID-19 test to get one. Testing helps people determine whether they need to isolate from others and whether it’s safe to resume our lives after a suspected exposure. At the same time, nervousness and anxiety are inspiring people to get a PCR test when they may not need one. This causes unnecessarily long waits at testing centers. Here’s the latest.

Get a PCR test if:

  • You have symptoms of COVID-19, even after vaccination.
  • You have been informed that you are a close contact (within 6 feet for a total of at least 15 minutes) of someone with a confirmed case of COVID, even after vaccination.

Note that if you have tested positive in the past 90 days, you may test positive again, even after you have recovered without having been reinfected. Because reinfection within 90 days is so rare, getting tested within this timeframe may not be worthwhile.

A new web-based tool available from the Centers for Disease Control and Prevention helps people decide whether or not they need a PCR test for COVID-19. We’ve linked to it at svhealthcare.org/COVID-Resource-Center.

You may also need a negative COVID test if you are returning to college or boarding school or if you are traveling via plane, for instance. Some workplaces or family gatherings also require a negative test.

If you took part in activities that put you at higher risk—like travel or attending a big gathering in a crowded indoor setting—but have not been alerted to any potential exposure or you would like assurance that you’re not infected before attending an event, an at-home antigen test is likely sufficient to provide the reassurance you need.  

Following these recommendations will ensure everyone gets the tests they need while preserving local testing capacity for those who need it most.

Karen Bond is the director of Laboratory Services at Southwestern Vermont Medical Center, part of Southwestern Vermont Health Care, in Bennington.

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Cautious Entertaining

After almost 3 months of staying home and with the weather getting nicer, many of us are itching to invite friends over and catch up. While this is a natural inclination, it should be approached with significant caution. COVID-19 is still circulating. If you are planning to host, follow these helpful tips for a safe gathering at your home.

Keep the numbers small. Invite as few people as possible. One-on-one meetings are safer than group gatherings. The recommendations from Vermont Governor Phil Scott recommend 25 or fewer. I would still aim for fewer than 10, especially depending on the size of your entertaining space.

Choose invitees carefully. You should know almost everything about the socializing habits of the people you are inviting. Your guests should be as careful in their social interactions as you are in yours. You should also trust that your guests would be cancel if they were feeling ill, as should you if you are suddenly symptomatic. Those at high risk, due to age or a medical condition, should be very careful about hosting or accepting invitations.

Stay outside. Outdoor air movement disperses aerosolized particles more readily than indoor environments. And plenty of space outside allows guests to stay distanced. UV light, like the rays found in sunshine, may also provide some small benefit. It has been shown to decrease the viability of the virus on objects, but it is not yet clear how intense the light must be and for how long the object needs to be exposed in order to kill the virus.

Keep it short. Duration of exposure to others has been identified as a key risk factor. The longer you are near someone shedding the virus, even if they don't have symptoms, the greater your likelihood of catching it yourself. While it is awkward to say that you are inviting people over for a 10-minute chat in the driveway, this is certainly among the lowest-risk types of socializing.

Clean beforehand. If you expect guests to touch anything, the arms of patio chairs, for instance, wipe them down in advance. Ask everyone to sanitize or wash their hands as they arrive, if they touch their face, and about every hour or so.

Stay distanced and masked. People standing tend to drift. Place chairs 6 feet apart so that people will be more likely to stay apart. Unless you are eating, keep your masks on. Share this expectation in advance, so your guests bring their masks with them.

Limit contact points. If you are preparing food, be sure to wash well before cooking and ensure everyone has a portion of his or her own. Forget about platters of vegetables or bowls of chips everyone shares and even buffets, where people share spoons and tongs.

Clean after. Wipe down anything your guests may have touched after they leave.

Keep track. Be sure to take note of who was there, the date of the social event, and each guest's contact details. If any one of the attendees becomes ill with COVID-19 or learns that they may have been exposed at the time of the event, they will be able to reach out directly to the others and to share information readily with contact tracers.

With these tips, you can host a relatively safe get-together and relieve some of the social isolation of the past several weeks. Do know, however, that no party—regardless of how careful—is risk free. Weigh the risks, decrease those you can, and then, try to have fun.

Donna Barron, RN, is the infection preventionist at Southwestern Vermont Medical Center.

 

 

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