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Cold or Covid-19? When testing a child

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Guidance on how to distinguish Covid-19 from cold symptoms in children is published by the Royal Collage of Pediatrics and Child Health.

COVID-19-Talk to kids and family about returning to school: Basic PrinciplesFirst published on May 15th, updated on September 9th, Common colds and Covid-19 symptoms..

The document states, “Children with simple cold symptoms such as runny nose (snot) and sore throat, who would normally go to school at other times, should be tested for Covid-19. I don’t believe it.

This is consistent with current PHE guidance for deciding when to test. These symptoms are as follows:

-New continuous cough
Fever / high temperature
Loss or change of smell or taste.

Following this guidance will help identify the child most likely to be infected and help detect new outbreaks.

This advice is based on current evidence of indications for pediatric testing and was created for pediatricians, but is useful for families, schools and nurseries.

When children take a long vacation and return to school, colds and similar viral infections can circulate. As a result, parents want to be able to know which symptoms justify the Covid-19 test and stay away from school while waiting for the results-perhaps not justifying the test and therefore stay in school. You will think. This prevents children from being unnecessarily away from school and exposed to inappropriate tests.

To make the decision, RCPCH used the following information:

    • British and international evidence Covid-19 is generally found to be milder in children than in adults. Most infected children have mild symptoms or are asymptomatic and rarely develop severe or life-threatening illnesses.
    • Similarly, the hospitalization rate for children with evidence of COVID-19 infection is much lower than that for adults, with only 2% for children and adolescents under the age of 18 and 1.1% for children under the age of 5.
    • Fever and cough were the most common symptoms for all children requiring hospitalization. Of the 651 children hospitalized for COVID-19, 70% had a fever and 39% had a cough. Less than 1 in 10 of these children were reported to have caries (snot) or sore throat.
    • Most hospitalizations occurred during the peak pandemic, when there was a Covid-19 epidemic of about 10% in areas such as London. Currently (September 8th), the current prevalence in no part of the UK does not exceed 0.2%, so the risk for children who actually have Covid-19 is much lower.
    • Evidence of a Covid-19 infection at school is also very reassuring. According to excellent UK data, children (especially children in the lower grades of elementary school) are about half as likely to be infected with Covid-19 as adults. Children also appear to be less susceptible to Covid-19 than adults. Covid-19 in nurseries and schools, either in countries like Denmark that reopened schools early in the pandemic (April 15) or in Sweden and Iceland that did not close schools during the pandemic. Few outbreaks have been reported.
    • Teachers are equally encouraging in countries such as Sweden that have opened schools. Teachers do not have a higher rate of Covid-19 than the general population (lower than occupations such as supermarket workers and taxi drivers).

It is important to note that some children with chronic respiratory illnesses such as cystic fibrosis may cough more often. Guidance states, “They also ensure that they can be routinely tested for COVID-19 when they also have a bacterial cough swab and at the same time develop a new persistent cough that meets PHE standards. Local arrangements need to be in place to do this. “

“In addition to testing, it is also important for parents to keep their children at home when they are not feeling well, and children are actively encouraged to follow good hygiene measures,” RCPCH said.

of guidance Produced by the RCPCH Health Policy Team and contains information from their clinical leads.

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