Covid-19 Pandemic

Changes to our policies and procedures:

  • Masks are required for ALL patients and caregivers older than 2 years old regardless of vaccination status – definitely for all sick visits
  • If you or your child are Covid-19 positive or suspected Covid-19 positive, please let us know and we will provide you with instructions on our safety procedures before your appointment and schedule your child appropriately
  • Patients and caregivers must maintain physical distance from each other in the waiting room and public spaces of the office
  • If you feel more comfortable waiting in your car before your appointment instead of in our waiting room, please let our front desk staff know and we will gladly accommodate your request
  • If you or your child are on quarantine and have a scheduled well child check appointment, please call us to reschedule to an appropriate time
  • Screening temperatures of the patient and their caregiver may be taken before the visit – if elevated, you may be asked to return at a later time

CDC ISOLATION GUIDELINES (as of 12/28/21):

FOR A POSITIVE TEST:

  • Stay home for 5 days
  • If you have no symptoms or your symptoms are resolving after 5 days, you can leave your house, but…
  • Continue to wear a mask around others for 5 additional days
  • If you have a fever, continue to stay home until your fever resolves.

*If your child cannot mask completely out of the house, they MUST stay home for 10 days total. This includes children < 2 years old or any school/daycare setting where they may be around others unmasked (including indoor lunch)

FOR EXPOSURE OUTSIDE THE HOME:

If you have been boosted OR completed the primary series of Pfizer or Moderna vaccine within the last 6 months:

  • Wear a mask around others for 10 days
  • Test on day 5 if possible, sooner if you have symptoms
  • If you develop symptoms, get tested and stay home

*If your child cannot mask complete out of the house, they MUST stay home for 10 days total.

IF YOU ARE NOT VACCINATED OR BOOSTED WITHIN THE PAST 6 MONTHS:

  • Stay home for 10 days from last exposure
  • Test on day 5 if possible, sooner if any symptoms develop

FOR EXPOSURE INSIDE THE HOME:

  • If the positive individual is NOT masked inside the house (i.e. too young or too difficult to mask) for the full 10 days, then the exposure guidelines apply starting on the contact’s 10th day of quarantine.
  • If the positive individual can isolate completely OR be masked inside the house, but is not isolated, then the exposure guidelines apply starting on the contact’s 6th day of quarantine.
  • A fully vaccinated parent or sibling who can mask outside the home may continue going to school/work as long as fully masked for 20 days total.
  • A non-vaccinated (or not boosted) parent or sibling must stay home for 10 days from LAST exposure, which is the positive individual’s 10th day.


What to do if exposed, symptomatic or infected :



Oral Covid treatment (paxlovid):

o   ages 12 and over that weigh 40 kg or more

o   test positive for COVID-19

o   are within 5 days of the onset of symptoms

o   have mild to moderate symptoms

AND

o   do not require hospitalization

o   are at risk for progression to severe disease based on underlying conditions.

  • It is taken as 3 pills twice a day for five days

* The full course is required to achieve the benefit of the medication


Indications for monoclonal antibody infusion as an outpatient (sotrovimab):

  • Weight > 88lbs
  • Age 65+
  • Sickle Cell Disease
  • Congenital or acquired heart disease
  • Neurodevelopmental Disorder (e.g. cerebral palsy, muscular dystrophy)
  • Medical-related technological dependence (e.g. trach, g-tube dependence, shunt dependence, chronic infusion dependence)
  • Asthma/Reactive Airway Disease/Chronic Respiratory Disease Requiring daily medication for control

Timeline of viral particles, testing positivity, antibody formation:


Schools & Daycares:


At risk populations & Activity Risk Calculator:

  • Age > 65
  • Immunocompromised (on chemotherapy, history of organ transplant, HIV, etc.)
  • Severe asthma
  • COPD
  • Uncontrolled hypertension
  • Diabetes
  • Liver or kidney disease
  • Pregnant women and newborns

Local Health Department Links:


Covid-19 Resources & Links:

https://www.cdc.gov/coronavirus/2019-ncov/index.html

https://coronavirus.maryland.gov/

https://www.peninsula.org/covid-19-coronavirus-19

https://www.aappublications.org/cc/covid-19


Covid-19 Vaccinations:


COVID-19: An Illustrated Scientific Summary: