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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COVID and Kids

When I first heard the news about COVID-19, I was relieved as both a parent and pediatrician that it seemed unlikely to seriously affect children. However, more recently in both the literature and amongst colleagues, I began hearing about an uncommon but serious inflammatory disorder affecting some children with COVID-19. The American Academy of Pediatrics and the Centers for Disease Control are calling this “Multi-System Inflammatory Syndrome in Children” or MIS-C.

My goal in writing today is to dispel myths about this new manifestation of the illness, provide helpful steps families can take to protect their kids from COVID-19, and assure that medical providers are aware of this new subset of COVID-19 and taking appropriate steps to keep your children safe.

Symptoms of MIS-C include inflammation in the skin and eyes, irritability and sluggishness, along with fever, rash, swollen lymph nodes, and abdominal pain. The symptoms are similar to a rare childhood illness called Kawasaki disease, which causes inflammation of the blood vessels and primarily affects children under 5 years of age.

There is very little known about MIS-C due to the small number of cases around the country. However, the medical community is monitoring this new syndrome very closely to learn all they can about it. I would like to emphasize that this condition is very rare and occurs a few weeks after a child has already recovered from COVID-19 infection.

As we have throughout the pandemic, pediatricians are urging families to take precautions to prevent their exposure to COVID-19. This includes reducing close contact with others by staying home as much as possible and avoiding congregating in groups. Anyone over the age of two should wear a mask when outside of the home.

Wash your hands and your child’s with soap and water for at least 20 seconds and sanitize frequently touched surfaces at least twice per day. Avoid touching your face and teach children to cough and sneeze into a tissue or their elbow. Aim to wash and dry plush toys about once a week.

There are special precautions to take if someone in your household is ill. See https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/care-for-someone.html for details.

The American Academy of Pediatrics recommends creating a healthy routine for your children that includes balanced meals, learning at home, exercise, social connection (Facetime, videochat, and in person with household), and adequate rest. This will help your children remain both physically and mentally healthy during this stressful time. Continue to reassure your children that the medical community is working hard to keep them safe during this time. Be sure to monitor their media consumption, watch for signs of anxiety, and be a good role model in regards to COVID-19 safety measures.

Call your pediatrician if you have any concerns about your children’s health, including symptoms of COVID-19 or MIS-C listed above. There are still important reasons to bring your child physically into the office such as immunizations, developmental checks, and growth monitoring. We would like to reassure you that we are taking proper steps to allow your children to safely receive care at our offices.

More detailed information about keeping your child healthy is available at https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/children.html. For information about obtaining healthy food or other basic needs for your family, dial 2-1-1.

Dr. Meghan Gunn is the medical director of SVMC Pediatrics.

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