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-19 in Pets

News of COVID-19 spreading to animals is causing understandable concern for pet owners, especially those who love their pets like family. While the virus is thought to have originated in animals, there is currently no evidence that pets can spread COVID-19 to humans. There is some evidence that people can spread it to their pets and pets can spread it to each other.

The good news is that the risk of spreading COVID-19 to pets still seems relatively low. Only a handful of confirmed cases of COVID-19 have been identified in animals worldwide. Nonetheless, the Centers for Disease Control and Prevention (CDC) is working with their veterinary colleagues to learn more. In the meantime, it makes sense to adapt the people-centered recommendations for our furry friends.

Here's a pet-specific refresher to help further decrease the already low odds that your pet will become infected.

  • Just like people, cats and dogs should decrease their movement outside the home. So if you usually let your dog or cat roam in ways that could bring them into contact with other people or animals, it would be best to discontinue that practice for as long as human restrictions are in place.
  • When you take your dog for a walk, keep him or her leashed and keep at least 6 feet from others whenever possible. (Dogs cannot wear masks comfortably as humans can, so remaining distant is even more important for them.)
  • If someone in the house is ill, they should be isolated from both other people and animals in a "sick room," if possible. The ill person should wear a mask when near the pet and others and avoid direct contact, including petting, snuggling, being kissed or licked, sleeping in the same location, and sharing food or bedding.
  • To keep pets and themselves safe, people should wash their hands before and after handling or caring for their pets, just as they would after having come in contact with another person or a surface that a person could have touched.
  • If your pet becomes ill with COVID-19 symptoms—including coughing, difficulty breathing or shortness of breath, lethargy, sneezing, nasal discharge, vomiting, diarrhea, or fever—call your veterinarian, who will advise regarding testing and care and determine whether your state's public health veterinarian should be notified.

More information about protecting your pets from COVID-19, visit https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/animals.html.

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

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