Covid School, four scenarios for case management. Indications Ministry of Health [NOTA]



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The Ministry of Health, with note n. 30847 of September 24, 2020, specifies more about the handling of Covid-19 cases.

In case of suspected symptoms in a student, the pediatrician or family doctor should request a “rapid diagnostic test” from the prevention department.

The indications refer to 4 scenarios: the case in which a student has more than 37.5 fever or a compatible symptomatology in class; the case where this occurs at home; the case where a school worker has a fever or other symptoms at school; and finally if the school worker experiences symptoms at home. In all these situations the swab is carried out, so the document highlights that “schoolchildren and students have a priority.”

NOTE MINISTRY OF HEALTH (CLICK HERE)

  1. a) case in which a student has an increase in body temperature above 37.5 ° C or symptoms compatible with COVID-19, in the school environment;
  2. b) if a student has an increase in body temperature above 37.5 ° C or symptoms compatible with COVID-19, at home;
  3. c) the case in which a school worker presents an increase in body temperature above 37.5 ° C or symptoms compatible with COVID-19, in the school environment;
  4. d) case in which a school worker presents an increase in body temperature above 37.5 ° C or symptoms compatible with COVID-19, at home

Student / school worker positive for SARS-CoV-2 diagnostic test

If the test is positive, the case is notified to the prevention department, which begins the search for contacts and indicates the extraordinary actions to clean up the school structure in its interested party, in accordance with the provisions of the previous document that contains’ Indications operations for the management of cases and outbreaks of SARS-CoV-2 in schools and early childhood education services ”.

To return to the community it will be necessary to wait for the cure according to the current criteria. Currently, scientific indications foresee the performance of two swabs (molecular biology tests) at a distance of 24 hours from each other with a simultaneous double negative, which can lead to the conclusion of isolation and insertion into the community.

The student / school worker will return to school with proof of make-up and authorization to enter or return to the community.

Student / School Worker Negative for SARS-CoV-2 Diagnostic Test

If the diagnostic test is negative, in a patient suspected of being infected by SARS-CoV-2, according to their precise medical assessment, the pediatrician or treating physician, evaluates the most appropriate clinical-diagnostic pathway (possible repetition of the test) and in any case the opportunities to enter the school. In the event of a diagnosis of a disease other than COVID-19, the person will remain at home until clinical recovery following the indications of the pediatrician or family doctor.

Student or school worker living in an established case

It is emphasized that if a student or a school worker lives with a case, it will be considered close contact and will be quarantined after evaluation by the Prevention Department. Any close contacts (for example, classmates of the quarantined student) do not require quarantine, unless the Prevention Department conducts further evaluations after positive diagnostic tests on the close contact of a case.

Certificate of authorization to enter or return to the community after an absence due to illness

In the case of a diagnostic test for SARS-CoV-2 with a positive result, the pediatrician or general practitioner, having taken care of the patient and having prepared the correct diagnostic / therapeutic route, prepares, after confirmation of the cure , with the ‘Execution of two swabs at a distance of 24 hours, one from the other with a negative result, “Certificate of authorization to enter or return to the community.”

In case of pathologies other than COVID-19, with a negative swab, the subject will remain at home until clinical recovery following the instructions of the pediatrician who will draw up a certificate that the student / school operator can return to school for having followed the diagnostic route . treatment and prevention of COVID-19, as required by national and regional documents.



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