12/1/2021-We are giving the Covid-19 Pfizer vaccine for children 5 years & up and also have Covid-19 Pfizer booster vaccine available at our office-call to make an appointment.

For symptomatic Return to school/PCR Testing- go to link below-a Doctor script is not necessary for this site
https://www.ksldx.com/


Revised Covid-19 Practice Information (February 2022)

Revised Practice Updates
Genesee-Transit Pediatrics continues its commitment to protecting patients, visitors, and staff by requiring face masking for all persons 2 years of age and older (regardless of vaccine status) in all areas of the office.

The waiting room is open, but please call the office (ext. #4) from your car to let us know when you have arrived. Staff wil let you know when you may enter.

Entry is limited to essential guests.

Sick patients are directed to enter through the side door.

Advance and non-urgent appointments are rescheduled if Covid-19 symptoms are present among the patient or the accompanying adult.

100% of staff are vaccinated against Covid-19.
General Covid-19 Information
Refer to the Erie County DOH website for information about the latest isolation/quarantine recommendations.
https://www2.erie.gov/health/index.php?q=coronavirus

Refer to the Erie County DOH website to report a positive at-home test and to obtain/complete the Affirmation Documents (isolation or quarantine) as needed by your child's school or your employer for justification of absence.

The American Academy of Pediatrics and all our doctors recommend Covid-19 vaccinations for all age eligible children. You may call us to book an appointment for your child's vaccine.

Do not send your child to daycare, camp, team sports nor school when ill.

Proof of a negative test will be required if you need us to write a note for your child to return to activities.

There are no legitimate medical reasons for a mask exemption. Please do not request one.

CARDIAC CLEARANCE after Covid-19 infection
Please read to see if your child needs to schedule a cardiac clearance exam with us after infection with Covid-19.

Any "YES" answers require an in-office cardiac assessment exam:
  • Is your child ≥12 years of age and engaged in varsity sports or high intensity/highly competitive sports?
  • For children ≥5 years of age:
    • Did your child have fever (≥ 100.4) for 4 days (96 hours) or more?
    • Do your child have either chills, severe muscle aches, or severe fatigue for ≥7 days.
    • Since the Covid infection did your child experience chest pain or shortness of breath?
    • Since the Covid infection did your child pass out or feel as if they were going to pass out?
    • Did your child mention anything to you about their heart or heart beats?
    • Was your child hospitalized for Covid-19?
    • Does your child see a cardiologist on a regular basis?

Strep Throat Exposure

Is this your child's symptom?

  • Close contact with someone who has a Strep throat infection.
  • Close contact means living in the same house with the infected person. It also includes close physical contact such as having a kissing relationship.

Strep Exposure (Close Contact)

  • Household Close Contact. Lives with a person whose Strep test was positive. This can be a sibling, parent, or other household member.
  • Kissing relationship with someone (boyfriend, girlfriend) who has a positive Strep test.
  • Close contact should be within 10 days of onset of symptoms in exposed child. Reason: time from contact to Strep symptoms usually is 2 to 5 days.
  • Throat cultures and rapid Strep tests aren't urgent. Most can be done in your doctor's office.

Types of Limited Contact with Strep

  • Contact with someone outside the home with a positive Strep test. This type of contact occurs at school.
  • Sometimes, the contact is with someone who was treated for Strep without testing.
  • If fever is gone, children taking antibiotics for at least 12 hours do not spread Strep to others.

When to Call Us for Strep Throat Exposure

Call 911 Now

  • Severe trouble breathing (struggling for each breath; can barely speak or cry)

Call Doctor or Seek Care Now

  • Stiff neck or can't move neck like normal
  • Great trouble swallowing fluids or spit
  • Trouble breathing, but not severe
  • Fever over 104° F (40° C)
  • Dehydration suspected. No urine in more than 8 hours, dark urine, very dry mouth and no tears.
  • Your child looks or acts very sick
  • You think your child needs to be seen, and the problem is urgent. Note: a Strep test alone is not urgent.

Contact Doctor Within 24 Hours

  • Sore throat pain is severe and not better 2 hours after taking ibuprofen
  • Age less than 1 year old
  • Earache or sinus pain (not just congestion)
  • Mild symptoms that could be from Strep throat. (Some are sore throat, cries during feeds, large lymph nodes in the neck, fever)
  • Sores present on the skin
  • You think your child needs to be seen, but the problem is not urgent (or needs a Strep test)

Contact Doctor During Office Hours

  • You have other questions or concerns

Self Care at Home

  • Strep contact but no symptoms

Care Advice

Treatment for Contacts With Symptoms (Pending a Strep Test)

  1. What You Should Know About Strep Exposure and Sore Throats:
    • A Strep test is not urgent.
    • It could be a Strep throat or just a viral infection of the throat.
    • A sore throat is often part of a cold.
    • Until you get a Strep test, here is some care advice that should help.
  2. Sore Throat Relief:
    • Age over 1 year. Can sip warm fluids such as chicken broth or apple juice. Some children prefer cold foods such as popsicles or ice cream.
    • Age over 6 years. Can also suck on hard candy or lollipops. Butterscotch seems to help.
    • Age over 8 years. Can also gargle. Use warm water with a little table salt added. A liquid antacid can be added instead of salt. Use Mylanta or the store brand. No prescription is needed.
    • Medicated throat sprays or lozenges are generally not helpful.
  3. Pain Medicine:
    • To help with the pain, give an acetaminophen product (such as Tylenol).
    • Another choice is an ibuprofen product (such as Advil).
    • Use as needed.
  4. Fever Medicine:
    • For fevers above 102° F (39° C), give an acetaminophen product (such as Tylenol).
    • Another choice is an ibuprofen product (such as Advil).
    • Note: Fevers less than 102° F (39° C) are important for fighting infections.
    • For all fevers: Keep your child well hydrated. Give lots of cold fluids.
  5. Fluids and Soft Diet:
    • Try to get your child to drink adequate fluids.
    • Goal: keep your child well hydrated.
    • Cold drinks, milk shakes, popsicles, slushes, and sherbet are good choices.
    • Solids. Offer a soft diet. Also avoid foods that need much chewing. Avoid citrus, salty, or spicy foods. Note: Fluid intake is much more important than eating any solids.
    • Swollen tonsils can make some solid foods hard to swallow.
  6. Return to School:
    • Your child may have a Strep throat infection. Wait for the result of the rapid Strep test. If it is negative, your child can go back to school.
  7. Call Your Doctor If:
    • Your child becomes worse

Treatment for Contacts Without Symptoms

  1. What You Should Know About Strep Exposure Without Symptoms:
    • Many children have contact with someone with Strep throat. Most will not come down with an infection. This is especially true if the contact occurs outside the home.
    • Strep tests are not needed for children without any symptoms.
  2. Time It Takes to Get Strep Throat:
    • Time from contact to Strep symptoms usually is 2 to 5 days.
  3. Return to School:
    • If your child has no symptoms, he does not need to miss any school.
  4. Call Your Doctor If:
    • Your child gets any Strep symptoms in the next 7 days

And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.

Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.

Copyright 2000-2022. Schmitt Pediatric Guidelines LLC.

 

Transit Office Hours

4899 Transit Road Depew, NY 14043

Monday – Friday: 8am-4pm
Saturday: 8am-12pm

(716) 558-5437