PIDS continues to work to provide links to COVID-19 resources. Our sources include those provided by the U.S. Centers for Disease Control and Prevention, the American Academy of Pediatrics, the Society for Healthcare Epidemiology of America, the Infectious Diseases Society of America, and other organizations. COVID-19 updates and resources can also be found on the JPIDS website.
If a patient is suspected of having COVID-19, follow the CDC Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 in Healthcare Settings. See additional details on infection prevention and control in the pediatric ambulatory setting by visiting our partner, AAP policy statement.
You can prepare to handle suspected cases in your patient population in the same way you prepare for other respiratory infection outbreaks, such as influenza or RSV. The same principles apply:
Vaccinate Your Family has developed a set of materials to help educate policymakers and the public about the importance of routine vaccinations during the COVID-19 pandemic.
The COVID-19 pandemic has raised additional challenges regarding upcoming school entry for vulnerable children, including solid organ transplantation (SOT) recipients. In response to mounting questions from families and SOT providers, a group of PIDS pediatric transplant ID physicians in collaboration with specialists with expertise in infection prevention, public health, and transplant psychology, convened to construct an expert opinion consensus statement regarding key considerations that providers and families can use as a framework when considering individual risk and shared decision-making about returning to school (K-12) this fall.
The statement summarizes available evidence, best practices, and consensus recommendations around key questions including:
The full document is available online at the website of JPIDS (https://academic.oup.com/jpids/advance-article/doi/10.1093/jpids/piaa095/5880566) and has been supported by the Pediatric Infectious Diseases Society (PIDS), Society of Pediatric Liver Transplantation (SPLIT), the Starzl Network for Excellence in Pediatric Transplantation, the Pediatric Heart Transplant Society (PHTS), the Advanced Cardiac Therapies Improving Outcomes Network (ACTION), Improving Renal Outcomes Collaborative (IROC), American Society of Transplantation (AST), and the organization of Transplant Families. A summary FAQ document has also been made available for patients and families (below).
The COVID-19 pandemic continues to create many questions about returning to school for pediatric solid organ transplant (SOT) recipients and their families. These recommendations from a team of pediatric infectious disease experts are focused on K-12th grade. When reviewing this document, it should be remembered that:
What things should be considered when assessing individual risk/benefit associated with in-person school attendance?
Individual risk depends on numerous patient-, community-, and school-related factors:
What are considered the most important infection prevention measures to be in place in schools for a pediatric SOT recipient to safely attend?
We support universal masking for all staff and children 2 years of age or older in schools this year, as recommended by Centers for Disease Control and Prevention (CDC), American Academy of Pediatrics (AAP), and Pediatric Infectious Diseases Society (PIDS). A higher risk pediatric SOT recipient should wear a medical-grade mask (3-ply disposable mask, also called a “surgical mask”), if possible, at all times when in school, even if other students and staff have masks or cloth face coverings on.Masks are also encouraged for all SOT recipients during outdoor activities (recess, after-school sports) where prolonged close contact with other individuals is expected. In situations where universal masking does not occur, we recommend that all SOT recipients wear a medical-grade mask at all times, regardless of vaccination status.
Additional measures that have been helpful in containing the spread of COVID-19:
We encourage schools to implement policies about who needs to stay home, what happens if a student or staff member gets sick while at school, and in communication with local health authorities, when a person can safely return to school after illness. Click here to read the full document.