Outpatient Specialty Care and Primary Care Clinical Pathway for Screening Children with Suspected 2019 Novel Coronavirus (COVID-19) Disease
Evaluation and Testing Guidance for Possible COVID-19 Disease
Outpatient Specialty Care and Primary Care Settings
Outpatient Specialty Care and Primary Care Settings
- Outpatient Specialty Care
- Pre-Arrival Screening
- Pre-Arrival Testing
- Tracheostomy/Ventilator Dependent Patients
- Escort Procedure
COVID Symptoms | Concerning Symptoms |
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Symptom Categories non-specific to COVID |
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Utilize LOW Prevalence Guidance per IPC | ||
COVID Suspected |
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Clinical Evaluation
- Ensure family, patient have appropriate masks
- Review visitation job aid and sibling escalation pathway if more than one caregiver is present with patient
- Patients, family members remain masked throughout care except for PE as needed
Asymptomatic, Non-specific Symptoms |
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Routine Care Process |
---|---|---|
Suspected COVID Due to Concerning Symptoms or Exposed |
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Aerosol Generating Procedure (AGP) and Suspected COVID or Exposed |
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Testing Considerations for Patients with Expected Discharge | |
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Assess Symptoms | Type of Test Recommended |
Symptoms Present |
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No Symptoms; Regardless of Exposure status; Able to Mask |
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No Symptoms and Exposed And Unable to Mask |
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Hospital admission, procedure, AGP scheduled within the next 72 hours |
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Guidance for Quarantine and Isolation for Healthy Children Returning to the Community
CDC Guidelines COVID-19 Outlook: A Pandemic in Transition Requires Updated School Guidance, CHOP Policy Lab
- Note:
- Children with severe COVID infection or those with weakened immune systems may require longer periods of isolation of 10-20 days, parents and patients should discuss with their individual provider. Additionally, in CHOP care locations, children require a minimum 10 day period of isolation to guide provider use of PPE.
Exposed And NO Symptoms |
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COVID Positive Test or Clinical diagnosis of COVID |
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Stable for Outpatient Treatment
Transfer for Continued Evaluation
Treatment is Required
Transfer for Continued Evaluation
Treatment is Required
- Review Discharge Instructions
- Return Precautions
- Transfer to appropriate hospital
- Pre-notification if known COVID-19
Posted: January 2020
Revised: May 2022
Authors: K. Cohn, MD; L. Handy, MD; J. Sammons, MD; V. Kampalath MD; J. Lavelle MD
Revised: May 2022
Authors: K. Cohn, MD; L. Handy, MD; J. Sammons, MD; V. Kampalath MD; J. Lavelle MD
Evidence
- Coronavirus Disease Cases
- Clinical and CT features in pediatric patients with COVID‐19 infection: Different points from adults
- CDC: Coronavirus Disease, Information for HCP
- Clinical Features of Patients Infected with 2019 Novel Coronavirus in Wuhan, China.
- A Novel Coronavirus Outbreak of Global Health Concern
- Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (COVID-19)
- World Health Organization: Novel Coronavirus
- Interim Guidance for Implementing Home Care of People Not Requiring Hospitalization for 2019 Novel Coronavirus
- High Temperature and High Humidity Reduce the Transmission of COVID-19
- Temperature, Humidity and Latitude Analysis to Predict Potential Spread and Seasonality for COVID-19
- Detection of SARS-CoV-2 in Different Types of Clinical Specimens
- Potential Anti-Viral Therapies
Educational Media
- Primary Care Perspectives: Podcast for Pediatricians
Episode 84: Coronavirus and Children with Immunodeficiencies - PEM Podcast: COVID in ISRAEL
- PEM Podcast: COVID UPDATE with Dr. Paul Offit