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Two ways for doctors: medical certificate to return to class in case coronavirus infection is excluded or certification of negativity to Sars-Cov-2, after swab
by Barbara Gobbi
Two ways for doctors: medical certificate to return to class in case coronavirus infection is excluded or certification of negativity to Sars-Cov-2, after swab
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90-95% of the requests for assistance that usually come to pediatricians in the autumn / winter that are in the school opening period are due to symptoms almost overlapping with those of the coronavirus: that is why with the 14 of September, the official date of the resumption of the lessons in the ‘was Covid, the family pediatricians will be in the front line. Called to follow their young patients from the moment of the health alert until they are readmitted to class. This can happen in two ways: with certification – for Regions that still provide it and for age groups 0-6 years – in all cases, for example trauma, in which the suspicion of Covid has been excluded , or – in the vast majority of cases – certified as Sars-Cov-2 negativity after swabbing.
The gold standard is the buffer
“With the start of schools we expect telephone contacts ten times – warns Paolo Biasci, president of the union of pediatricians of the Fimp family -: only we are aware of how large and numerous the disease is that runs the risk of overlapping with Covid And there will inevitably be a massive demand for tampons. The guidelines of the Higher Institute of Health approved in recent days by the Unified Conference are clear: the gold standard in all suspected cases is the rhino-pharyngeal swab, which corresponds to the pediatrician to request based on a report from the family or the school, if symptoms occur there. Obviously, the watchword is punctuality, as required by the guidelines, but this will only really be possible if the rapid tests are validated ”.
The certificate of negativity
Faced with a request for a pathology similar to Covid, the pediatrician will immediately prescribe the tampon and participate in the next follow-up. In the event of a positive result, the assistance route entrusted to the Asl Prevention Department is activated, while after a negative result verified by the swab, the pediatrician will issue a readmission certificate stating that the child has completed his “route” diagnosis and that you do not have Covid. “We are obliged to certify and not to certify, in this case, because certification is only allowed after a visit – explains Giuseppe Di Mauro, president of Sipps -. And if the child who has already tested negative on the Covid swab comes to my office perhaps due to tonsillitis, I can certify the end of that disease in view of readmission.
70-80% of swabs should be redirected to pediatric age
As for the expected exploitation of cases with the reopening of the school year, pediatricians have only one recipe: test, test, test. “We are lucky that the summer is over and with it the returns of the holidays: it is good – Di Mauro warns again – that of the 100,000 buffers that the Regions have been able to do in recent weeks at least 70-80 % “. it is redirected to pediatric age, to be able to isolate immediately, if possible in 24 hours, cases and avoid blocking entire families. We need a tight mesh system, the one described in the ISS guidelines. Obviously there will be drawbacks, but with always up-to-date scientific rules, associated with common sense, we can do it. Teamwork is needed: doctors, family school ».
