If a patient has tested POSITIVE for COVID-19:
If they have symptoms and test positive on any test (including an at-home antigen test) then they may reasonably consider themselves positive to COVID and they do NOT need any additional testing. A positive test followed by a negative test (regardless of the type of test) is still a positive test.
ALL who test positive must isolate for 5 days. If a patient is asymptomatic after day 5, they may stop isolation but must continue to wear a mask around others for an additional 5 days. If a patient is unable to wear a mask consistently (too young, developmental delay, eating/sleeping at school), they must isolate for 10 days. If a patient's symptoms are not resolving or they have a fever, they must CONTINUE to isolate until afebrile and symptoms are improving (10 day max).
If a patient has significant symptoms for >4 days, including fever > 100.4, muscle aches, chills, lethargy, chest pain, shortness of breath, palpitations, dizziness, syncope, decrease in exercise tolerance or non-ICU hospitalization, they need an office visit sometime after isolation for cardiac clearance before returning to physical activity
How should patients isolate?
Positive patients should isolate from other household members to the best extent possible based on the patient’s age, and have one family member care for them to limit exposure . They should stay in their own bedroom, not shared spaces. If it is necessary to use common spaces, all parties should wear masks, keep >6 feet away, and limit time in this space. They should use separate bathrooms if possible.
What about other household members?
As long as they remain asymptomatic, they need to follow the guidelines below:
If fully vaccinated (including booster):
- Get tested 5 days after the exposure and wear a mask for 10 days
If unvaccinated or incompletely vaccinated (not boosted after 6 mo since mRNA vaccine/2 mo since J&J):
- Quarantine for 5 days, then get tested 5 days after exposure
- Wear a mask for another 5 days after quarantine
If a patient has ongoing contact with a COVID positive individual (unable for the covid-positive individual to completely isolate), quarantine does not start until after the positive individual's own isolation period ends.
If you have tested NEGATIVE for COVID-19
If a patient was tested due to:
HAS symptoms, but NO exposure:
The patient can return to work/school when he/she has been fever-free for at least 24 hours AND other symptoms have improved.
HAD exposure, but NO symptoms:
If fully vaccinated (must include booster if >6 mo since mRNA vaccine or >2 mo since J&J): Should be tested 5 days after exposure. No quarantine required, but wear mask for 10 days.
If unvaccinated or incompletely vaccinated (includes those who have not received booster 6 mo after mRNA vaccine or 2 mo after J&J): Quarantine for 5 days after exposure, followed by strict mask wearing for 5 days. **If unable to wear mask consistently, should quarantine 10 days.
HAD Exposure AND HAS symptoms:
Considered POSITIVE regardless of vaccination status - Must isolate for 5 days. If asymptomatic after day 5, they may stop isolation but continue to wear a mask around others for an additional 5 days. If unable to wear a mask consistently (too young, eating/sleeping at school, developmental delays), should isolate for 10 days. If symptoms are not resolving or you have a fever, you must CONTINUE to isolate until afebrile and symptoms are improving (10 day max).
How can I help my child to feel better at home?
Have your child rest, eat healthy foods, and drink plenty of water.
Take your child’s temperature twice a day with a digital thermometer.
When do I call the pediatrician?
Call if your child:
- Has a fever >100F for greater than 3 days.
- Refuses to drink fluids or has decreased urine output (no urine for 6-8 hours)
- Has a bad cough or chest pain
- Has any sign of difficulty breathing or respiratory distress
Where can my child get a COVID vaccination?
We do not currently have any additional covid vaccination appointments. However, families have had good success finding vaccination locations here:
For over 40 years, our practice has been serving the medical needs of newborns to college-age children and their families who live in the greater Lexington community.
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I cannot say enough nice things about Lexington Pediatrics. My son has been a patient here since he was just a few days old, and the staff has always been nothing short of amazing. They have weekend sick visits, which is great and has saved us a few trips to urgent care.