|COVID-19: Information for parents of children with congenital heart disease||3870.00000000000||COVID-19: Information for parents of children with congenital heart disease||COVID-19: Information for parents of children with congenital heart disease||C||English||Cardiology;Infectious Diseases||Child (0-12 years);Teen (13-18 years)||Heart||Immune system;Cardiovascular system||Conditions and diseases||Adult (19+)
Caregivers||Fever;Cough;Runny nose||2020-04-27T04:00:00Z||10.1000000000000||52.9000000000000||1531.00000000000||Flat Content||Health A-Z||<p>Find information and answers to common questions about COVID-19, for parents and caregivers of children with congenital heart disease. </p>||<p>Children with congenital heart disease (CHD) should not be more likely to become infected with COVID-19 and there is no clear evidence indicating that children with CHD who become infected with COVID-19 are at higher risk of complications. The following questions and answers may help you during this outbreak. </p>||<h2>Key points</h2><ul><li>SickKids is safe for you and your child to come to for assessment as directed by your primary care team. </li><li>Having congenital heart disease should not increase your child’s chance of becoming infected with COVID-19. </li><li>Washing your hands frequently using soap and water for 20 seconds or by using an alcohol-based hand sanitizer, will help to prevent your child from getting COVID-19. </li><li>Your child’s upcoming cardiac clinic appointment may be rescheduled or moved to virtual care, if possible. Medically necessary appointments and testing will continue to take place.
<br></li></ul>||<h2>What is novel coronavirus (COVID-19)? </h2><p>A new or novel strain of coronavirus was identified in late 2019 and has now spread across the globe. The World Health Organization has named this novel coronavirus illness COVID-19 and has declared the outbreak a pandemic. </p><h2>Is my child with CHD at higher risk of getting COVID-19? </h2><p>There is still a lot to be learned about COVID-19. Currently, serious illness in children appears to be less common than it is in adults. At this time, there is no clear evidence to suggest that children with congenital heart disease are at greater risk of being infected with COVID-19, or of serious illness if they get the infection. However, as any viral infection may affect children with certain congenital cardiac defects more significantly compared to healthy children, you and your child should strictly follow physical distancing measures as outlined by government guidelines.</p><h2>What are effective measures to prevent COVID-19 spread? </h2><ul><li>Like other respiratory viruses, including influenza, it is recommended that you wash your hands frequently by using alcohol-based hand sanitizer, or by using soap and water for 20 seconds. </li><li>Limit touching your face, nose and eyes. </li><li>Avoid close contact with people who have a fever or cough. </li><li>Practice cough etiquette by keeping a distance from other people, coughing and sneezing into your sleeve, a tissue or a respiratory mask, and practicing frequent hand washing. </li></ul><h2>Are there any extra precautions that my child or I should be taking? </h2><p>Encourage your child to wash or sanitize their hands frequently. For older children, you can provide them with a bottle of alcohol-based hand sanitizer. Hand sanitizer can be dangerous if swallowed. Be careful to keep it away from young children.</p><p>Avoid having your child be in close contact with anyone who has symptoms of COVID-19. Be vigilant for signs of infection in your child. </p><h2>Should my child wear a face mask when in public? </h2><li>There is no current evidence that wearing a mask in public spaces will help your child to avoid infection from COVID-19. Other measures, such as careful hand washing and physical distancing, have been demonstrated to be effective in reducing transmission of the infection. However, you and your child may consider wearing a face covering (sucha as a cloth mask or bandana) in public spaces if physical distancing is not possible.</li><li>If your child has respiratory symptoms (i.e. fever, cough) and they are at the hospital for assessment, it is important that they wear a mask to avoid spreading infection to others. If you do not have a mask for this purpose, you should ask for one when you arrive at the hospital. </li><li>Your primary care team may also advise your child to wear a mask for other reasons and you should follow this advice.
<h2>How do I know if my child has COVID-19? </h2><p>Your child may have COVID-19 if they have some or all of the following symptoms: </p><ul><li>
<a href="/article?contentid=30&language=english">fever</a> </li><li>
<a href="/article?contentid=774&language=english">cough</a> or sneezing </li><li>
<a href="/article?contentid=748&language=english">sore throat</a> </li><li>difficulty breathing or fast breathing </li><li>body aches </li><li>
<a href="/article?contentid=29&language=english">headache</a> </li><li>chills </li><li>fatigue </li><li>
<a href="/article?contentid=7&language=english">diarrhea</a> and
<a href="/article?contentid=746&language=english">vomiting</a> </li><li>runny or stuffy nose that progresses to one of the above symptoms </li><li>skin changes on their fingers or toes </li></ul><h2>Should I come to the hospital if I think my child has COVID-19? </h2><p>If your child has symptoms of COVID-19, contact your primary care team at the hospital before coming. They will help you determine if your child needs to be seen and where you should go. </p><p>You should come to the hospital right away if your child has the following symptoms: </p><ul><li>fast breathing or trouble breathing </li><li>bluish skin color </li><li>not drinking enough fluids </li><li>not waking up or not interacting </li><li>being so irritable that the child does not want to be held </li><li>fever with a rash </li></ul><p>In an emergency, please call an ambulance and tell the emergency services team that you are concerned your child may have a COVID-19 infection. </p><h2>Is testing for COVID-19 available at SickKids? </h2><p>Testing for COVID-19 is done at SickKids for all children with heart disease undergoing cardiac surgery, as well as some patients undergoing a cardiac catheterization. They will be tested 24-hours before undergoing the procedure, even if they do not have symptoms. </p><h2>If my child is diagnosed with COVID-19, how long will they be sick? </h2><p>There is still a lot to be learned about COVID-19, especially in children as they generally do not show many symptoms. How long a child is sick will vary from child to child.</p><h2>What should I do if I am unwell myself, or my child’s sibling becomes unwell with symptoms of COVID-19 infection? </h2><p>Contact your family doctor or their paediatrician. It is also advised that you practice physical distancing at home as much as possible. You can also refer to the Ontario general guidelines of who should be tested for COVID-19 and ways of accessing testing at
<a href="https://www.ontario.ca/page/2019-novel-coronavirus">https://www.ontario.ca/page/2019-novel-coronavirus</a>. </p><h2>What should I do if a member of my household has recently returned from travel outside of Canada? </h2><p>People returning from travel outside of Canada must self-isolate for 14 days, in keeping with current Canadian government orders. During that time period your child should avoid close contact with this person. </p><h2>If my child requires assessment for symptoms other than COVID-19 infection what should we do? </h2><p>Continue to follow the recommendations for getting your child assessed according to your primary care team’s instructions, as you would do normally. </p><h2>Should I reschedule my upcoming routine appointment? </h2><p>Cardiac clinic appointments are being reviewed regularly and many upcoming visits may be rescheduled or moved to virtual care by video or telephone, if possible. The cardiac clinic is limiting the number of patients being seen in person. However, medically necessary appointments/testing will continue to take place. </p><p>For some cardiac patients, their appointments and tests have been left unchanged and it is still recommended they come to the clinic to undergo essential testing, including ECG and echocardiogram, and be seen by their nurse and/or cardiologist. </p><p>Some patients have been recommended to come in for testing only and results will be communicated via a virtual visit (phone or video call). The doctor will ask how your child is doing and will talk about the test results. For other patients there will be a virtual visit only without undergoing any tests. </p><p>Some patients may have their visit rescheduled to a later date, after the COVID pandemic settles. Please contact the cardiac clinic for questions regarding your upcoming appointments. </p><h2>What if my child needs a procedure or surgery? </h2><p>The Heart Centre at SickKids remains operational and procedures are planned based on urgency. If your child needs a procedure, our teams will do what is needed to preserve the health of your child with heart disease. Throughout the different areas of the Heart Centre, special protection measures have been put in place to keep your child and the staff as safe as possible. </p><h2>What if the province orders a lockdown and mandates people staying in their homes? Will we be able to get to the hospital? </h2><p>Even in those countries that have ordered lockdowns, people have still been able to travel for medically necessary reasons. </p><h2>Is it safe for my child to come to SickKids during the current outbreak? </h2><p>Yes, the hospital is safe for you and your child to go to for assessment as directed by your cardiologist. At all times SickKids has clear procedures in place for protecting your child from getting an infection when visiting the hospital. During this time additional measures to protect you and your child have been put in place. </p><p>Screening takes place by phone even before cardiac patients come to the hospital. All patients and visitors will undergo a screening process at the entrance of the hospital. They will be asked several questions about symptoms, travel and exposure to COVID-19 positive people. </p><p>During the cardiac clinic visit, patients will be brought directly into a clinic room as waiting rooms have been closed to maintain physical distancing recommendations. For patients undergoing testing, they will go directly to 4B and after registration they will also be put directly into a room to have both the echocardiogram and ECG completed. Your child will remain in the same room to be seen by the nurse and/or cardiologist. This will help to keep the process as efficient as possible and minimize exposure to both patients and staff. </p><p>Please follow SickKids instruction regarding the number of visitors permitted to accompany your child. Please see
<a href="https://www.sickkids.ca/coronavirus">https://www.sickkids.ca/coronavirus</a> for further information. </p></li>||COVID-19: Information for parents of children with congenital heart disease||False|