Managing  Children and Neonates With  COVID-19  In Rwanda  

Key messages from these guidelines

1.      Covid-19 testing of newborns from confirmed Covid-19 mother:

  • Asymptomatic term newborns do not require testing for COVID 19
  • Symptomatic and/or preterm newborns should have testing for COVID-19 at 24 and 48 hours of life.
  • If the test is negative, these newborns should be considered close contact of a confirmed case and must be cared for under droplet/contact precautions for a minimum of 14 days.
  • If the test is positive, these newborns should care for their underlying disease and supportive care for COVID-19

2.      Neonatal admission:

Admission for Symptomatic or preterm neonate born to COVID-19 suspect, probable or confirmed mothers:

  • Negative-pressure room (if possible) under airborne/droplet/contact precautions.
  • Visit restriction for symptomatic mother in the NICU while pending test result.
  • Testing of the baby can depend on mother’s result (see screening chapter). If mother is negative, consider allow visit under IPC measures.

Asymptomatic neonates born to COVID-19 suspect, probable or confirmed mothers and admitted to the NICU for other reasons:

  • A separate space from other babies with mother comply to droplet/contact precautions.
  • Suspect mothers are NOT allowed in the NICU pending test results
  • If mother is negative, testing the baby who remains asymptomatic is not mandatory
  • If mother is a confirmed case of COVID-19, she is not allowed in the NICU

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Managing Children and Newborns with COVID-19 in Rwanda, 1st Ed_ version 6