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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 GMS+Hyg+Infect+Control
2020 ; 15
(ä): Doc11
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Children and adolescents in the CoVid-19 pandemic: Schools and daycare centers
are to be opened again without restrictions The protection of teachers,
educators, carers and parents and the general hygiene rules do not conflict with
this
#MMPMID32547911
Walger P
; Heininger U
; Knuf M
; Exner M
; Popp W
; Fischbach T
; Trapp S
; Hübner J
; Herr C
; Simon A
GMS Hyg Infect Control
2020[]; 15
(ä): Doc11
PMID32547911
show ga
In the opinion of the medical societies of hygiene and pediatrics undersigning
the present statement, the analyses published to date regarding transmission of
SARS-CoV-2 and the course of CoVid-19 show that children play a much less
significant role in the spread of the virus than do adults. According to the
findings available to date, not only do children and adolescents less frequently
fall ill with CoVid-19, they also generally become less severely ill than do
adults. The vast majority of infections in children and adolescents are
asymptomatic or oligosymptomatic. Even the first analyses from China demonstrated
that children and adolescents play a subordinate role in the transmission of the
virus - not only to other children and adolescents, but also to adults. Taking
into account regional infection rates and available resources, daycare centers,
kindergartens and elementary schools promptly should be reopened. For children,
this should be possible without excessive restrictions, such as clustering into
very small groups, implementation of barrier precautions, maintaining appropriate
distance from others or wearing masks. A factor more decisive than individual
group size is the issue of sustaining the constancy of respective group members
and the avoidance of intermixing. Children can be taught basic rules of hygiene
such as handwashing and careful hygiene behavior when coming into contact with
others during mealtimes and/or when using sanitary facilities. Independent of the
prevention measures implemented for children and adolescents, the protection of
teachers, educators and caregivers is crucial, (e.g., the maintenance of
appropriate distance from others, use of medical masks, situation-dependent hand
disinfection, when necessary, supported by regular pool testing). Children over
the age of 10 and adolescents up to school graduation age are more capable of
actively understanding and conforming to specific hygiene rules. For this group,
maintaining appropriate distance from others (1.5 meters), wearing a
mouth-and-nose protection (whenever they are not sitting in their assigned
classroom seats) and consistent education regarding the basic rules of infection
prevention may provide increased options for normalizing teaching activities.
Children and adolescents suspected of infection with SARS-CoV-2 should be tested
immediately in order to either confirm or rule out such an infection. Evidence of
individual infections in children or students must not automatically lead to the
closure of the entire daycare center or school. A detailed analysis of the chain
of infection is a prerequisite for a balanced approach to infection control. The
opening of schools and children's facilities should be accompanied by
specifically structured, model surveillance studies that further clarify
outstanding questions about infectious disease events and hygiene control. These
prospective, concomitant examinations will be essential for the purpose of
evaluating and verifying the effectiveness of the required hygiene measures.