Coronavirus — Guidance for Quarantine and Isolation for Healthy Children — Clinical Pathway

Guidance for Quarantine and Isolation for Healthy Children

Note

Children with severe COVID infection or those with weakened immune systems may require longer periods of isolation of 10-20 days, parents and patients should discuss with their individual provider.

Exposed and No Symptoms	No quarantine if: Age ≥ 18 yrs, received all recommended vaccines or Age 5-17 yrs, completed primary vaccine series or Any age, Confirmed COVID within the last 90 days Wear a mask for 10 days from the date of last contact with + person and monitor symptoms Consider test 5 days after last contact, pending test availability If develop symptoms or have a positive test, follow isolation guidance Quarantine is needed for the following people: Age ≥ 18 yrs, who have not received all recommended vaccines Received single dose Johnson & Johnson over 2 months ago, and no booster Anyone not vaccinated or not completed primary series Wear a mask and stay home for 5 days after last contact with COVID + person and monitor symptoms If symptoms develop, get tested and isolate pending test results If no symptoms develop, can leave the house and return to school / daycare and continue to wear a mask for 5 days Consider test 5 days after last contact, pending test availability If develop symptoms or have a positive test, follow isolation guidance Unable to wear mask Assess ability for all children under 5 to wear a mask; if able follow above guidance If unable, child must stay home 10 days after exposure, or 7 days with a negative test at day 5 or later  If develops symptoms, follow isolation guidance
COVID Positive Test or Clinical diagnosis of COVID	Isolate Regardless of vaccination, stay home for 5 days Day 0 is 1^st day of symptoms, if no symptoms day of + test If symptoms are significantly improved after 5 days of isolation, with no fever for 24 hours, child can leave the house and return to school / daycare and continue to wear a mask for 5 days No additional testing is required for return to school / daycare Unable to wear mask Assess ability for all children under 5 to wear a mask; if able follow above guidance If unable child must stay home 10 days for positive test result
Clearance of Transmission-Based Precautions for Patients and Caregivers with Confirmed SARS-CoV-2

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.