Table 3.
Unique Aspects of Pediatric Infection Prevention and Management for Children Known or Suspected of Having Coronavirus Disease 2019
| Ambulatory | Inpatient | |
|---|---|---|
| Identify | Prescreen for symptoms prior to visit to assist with triage upon arrival Limit family members present Screen accompanying family members as well as patient Mask symptomatic, if not subject to universal masking Emphasize hand hygiene |
Limit family members to essential caregivers Screen accompanying family members daily for symptoms and fever Universal masking Emphasize hand hygiene |
| Isolate | Isolate family in examination room with patient Limit activities in clinic to essential services Limit aerosol-generating procedures to those that are essential for care Healthcare workers to wear PPE including a fit-tested N95 respirator for aerosol-generating procedures Parents and patients aged >2 years to wear face coverings |
Isolation based on symptom and diagnostic test result (if done) considering patient and essential parent Limit to asymptomatic essential caregiver(s), unless end-of-life care Healthcare workers to wear PPE including a fit-tested N95 respirator for aerosol-generating procedures Parents and patients aged >2 years to wear face coverings Asymptomatic caregiver may remove PPE in child’s room but should replace with entrance of healthcare personnel Cancel congregate events and close or strictly limit access to family lounges |
| Inform | Query diagnostic testing status of patient and accompanying family members to assist with triage Place isolation status indicator on door of examination room Have PPE available exterior to room |
Isolation status should consider both patient and symptoms of essential caregiver(s) Place isolation status indicator on door of patient’s room Have PPE available exterior to room |
| Manage | Label and decorate PPE if decorations do not interfere with function | Utilize remote programing for: - Music and art therapy - Behavioral therapy - Hospital school programming - Child life therapy and instruction - Pet therapy Label and decorate PPE if decorations do not interfere with function |
Abbreviation: PPE, personal protective equipment.