Figure 8.

Work-up algorithm for the study of suspected cases of acute SC2 infection in Primary Pediatric Care.

^aDone in the previous 3 months, except in special cases; ^bOr not done; ^cWith positive antigenic test no PCR confirmation is required. The presence of fever, cough, odynophagia, respiratory distress, ageusia, anosmia, gastrointestinal symptoms are considered suggestive symptoms of COVID-19. Isolated rhinorrhea would not be considered clinically suggestive (also take into account the family epidemic environment and context); ^dIf the patient already had an infection confirmed by PCR or presents positive SC2-IgG in the previous 3 months, it is not recommended to perform the antigenic test or PCR, except in special cases (immunosuppressed or at-risk cohabitants or need for admission); ^eConsider PCR if there is no improvement, persisting clinical or epidemiological suspicion.