Anonymous
Post 11/14/2023 14:48     Subject: Mild RSV daycare question
I’m a child care teacher and I just want to add that dealing with a very small child with a very bad cough is hard and scary for the teachers. Coughs can suddenly seem much worse when a child lays down for a nap and a lot of wheezing is undetectable without a stethoscope.

Just adding the teacher perspective.
Anonymous
Post 11/14/2023 14:16     Subject: Mild RSV daycare question
Just took a kid to urgent care last week where they tested for RSV/Flu/Covid - doctor said to go back to school 2 days later irrespective of results. Kid tested positive for RSV but we got that result a few days after the return to school and when all symptoms but a bif of cough were gone.
Anonymous
Post 11/14/2023 14:13     Subject: Mild RSV daycare question
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Personally I would be ok with it given that it’s been 6 days and because every kid gets RSV at some point and it is inevitable. Most kids in a toddler room have had it. I understand how scary RSV is but I also know it is in the center constantly whether my kid specifically has it or not. A mask is a great idea.


+1 half the kids at the center probably have it too and haven't been tested

To the PP that says "it can't be mild" that's just not true. Why would you say that?


PP here. Because it's RSV. Some viruses we know can be very dangerous to others and RSV is one of them. What is mild in one child could kill another. I cannot fathom sending my child to school who was positive for something like RSV.


But when would you send them back? (Assuming no fever, acting like themselves, mild runny nose, etc as is the case with OP?)


When they no longer tested positive or all symptoms are gone (except a lingering cough). It sucks. We did this all the time for any illness during the pandemic and it sucked. But for something I knew was RSV or strep or COVID or the flu, I couldn't do it any other way. (and we didn't have backup childcare during the pandemic, so I know it really does suck)


You sound like you have more leave / a much more flexible work situation than the average parents using daycare.


I do, don't I? Except I absolutely did not.


You do. Or an extremely healthy only child, given that you’re suggesting blowing an entire annual PTO budget the first time one kid catches RSV for the first time in a given winter.
Anonymous
Post 11/14/2023 14:07     Subject: Mild RSV daycare question
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Personally I would be ok with it given that it’s been 6 days and because every kid gets RSV at some point and it is inevitable. Most kids in a toddler room have had it. I understand how scary RSV is but I also know it is in the center constantly whether my kid specifically has it or not. A mask is a great idea.


+1 half the kids at the center probably have it too and haven't been tested

To the PP that says "it can't be mild" that's just not true. Why would you say that?


PP here. Because it's RSV. Some viruses we know can be very dangerous to others and RSV is one of them. What is mild in one child could kill another. I cannot fathom sending my child to school who was positive for something like RSV.


But when would you send them back? (Assuming no fever, acting like themselves, mild runny nose, etc as is the case with OP?)


When they no longer tested positive or all symptoms are gone (except a lingering cough). It sucks. We did this all the time for any illness during the pandemic and it sucked. But for something I knew was RSV or strep or COVID or the flu, I couldn't do it any other way. (and we didn't have backup childcare during the pandemic, so I know it really does suck)


You sound like you have more leave / a much more flexible work situation than the average parents using daycare.


I do, don't I? Except I absolutely did not.
Anonymous
Post 11/14/2023 13:57     Subject: Re:Mild RSV daycare question
Anonymous wrote:Our pediatrician doesn’t even test for rsv (which I find annoying.) my kids were quite sick with it last year, at ages 1 and 4, for over a week. It started out as a mild cough and runny nose but then turned into low fevers and lethargy that went on for days.

My now 2yo now has it again, obviously because other people are sending their kids to school with coughs and runny noses. She was very mildly sick for the first three days and now on day 4, again with the low fever and low energy. I will send her back to school when she’s back to herself. Her preschool is a chorus of coughing and snotty noses and everything under the sun is incubating there.

There are no specific guidelines for rsv at the my kids school. Just fever free for 24 hours and not feeling sick.


There are no specific treatments for RSV, prior infection does not make you immune, and it is endemic. Therefore, there really is no reason to test for it other than assuring the parent that their child’s runny nose is due to RSV and not one of the thousands of other viruses currently infecting daycares across America.

Anonymous
Post 11/14/2023 13:54     Subject: Mild RSV daycare question
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Personally I would be ok with it given that it’s been 6 days and because every kid gets RSV at some point and it is inevitable. Most kids in a toddler room have had it. I understand how scary RSV is but I also know it is in the center constantly whether my kid specifically has it or not. A mask is a great idea.


+1 half the kids at the center probably have it too and haven't been tested

To the PP that says "it can't be mild" that's just not true. Why would you say that?


PP here. Because it's RSV. Some viruses we know can be very dangerous to others and RSV is one of them. What is mild in one child could kill another. I cannot fathom sending my child to school who was positive for something like RSV.


But when would you send them back? (Assuming no fever, acting like themselves, mild runny nose, etc as is the case with OP?)


When they no longer tested positive or all symptoms are gone (except a lingering cough). It sucks. We did this all the time for any illness during the pandemic and it sucked. But for something I knew was RSV or strep or COVID or the flu, I couldn't do it any other way. (and we didn't have backup childcare during the pandemic, so I know it really does suck)


You sound like you have more leave / a much more flexible work situation than the average parents using daycare.
Anonymous
Post 11/14/2023 13:52     Subject: Re:Mild RSV daycare question
Anonymous wrote:Fine, OP and PP's who can't google...The CDC says 3-8 days, so I'd keep my kid home 8 days from diagnosis.

"People infected with RSV are usually contagious for 3 to 8 days and may become contagious a day or two before they start showing signs of illness. However, some infants, and people with weakened immune systems, can continue to spread the virus even after they stop showing symptoms, for as long as 4 weeks."

https://www.cdc.gov/rsv/about/transmission.html#:~:text=People%20infected%20with%20RSV%20are,as%20long%20as%204%20weeks.

I'm a pp who's infant nearly died from it. Honestly, it's shocking and maddening how little pediatricians know about the risk. I brought my sick infant in and saw my ped's colleague. He said NBD. Thank god I ignored that @sshole. Hours later I brought my infant into the ER and they whisked DC away because DC didn't have enough oxygen.


8 days from diagnosis is ridiculous. You do you, but that is not based in any sound science unless you just happened to get a diagnosis on Day 1 of contagiousness, before your child had any symptoms prompting you to seek out medical attention.

I’ll also point out that HFM can shed in poop for weeks. Just because someone is hypothetically contagious doesn’t mean they actually are.
Anonymous
Post 11/14/2023 13:49     Subject: Mild RSV daycare question
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Personally I would be ok with it given that it’s been 6 days and because every kid gets RSV at some point and it is inevitable. Most kids in a toddler room have had it. I understand how scary RSV is but I also know it is in the center constantly whether my kid specifically has it or not. A mask is a great idea.


+1 half the kids at the center probably have it too and haven't been tested

To the PP that says "it can't be mild" that's just not true. Why would you say that?


PP here. Because it's RSV. Some viruses we know can be very dangerous to others and RSV is one of them. What is mild in one child could kill another. I cannot fathom sending my child to school who was positive for something like RSV.


But when would you send them back? (Assuming no fever, acting like themselves, mild runny nose, etc as is the case with OP?)


When they no longer tested positive or all symptoms are gone (except a lingering cough). It sucks. We did this all the time for any illness during the pandemic and it sucked. But for something I knew was RSV or strep or COVID or the flu, I couldn't do it any other way. (and we didn't have backup childcare during the pandemic, so I know it really does suck)


I’m sorry you did this, but it probably made no difference in stopping the spread of anything. Fever free for 24 hours, symptoms improving, and able to participate is sound advice, except for things like strep which are 24 hours from start of antibiotics.
Anonymous
Post 11/14/2023 13:28     Subject: Mild RSV daycare question
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Personally I would be ok with it given that it’s been 6 days and because every kid gets RSV at some point and it is inevitable. Most kids in a toddler room have had it. I understand how scary RSV is but I also know it is in the center constantly whether my kid specifically has it or not. A mask is a great idea.


+1 half the kids at the center probably have it too and haven't been tested

To the PP that says "it can't be mild" that's just not true. Why would you say that?


PP here. Because it's RSV. Some viruses we know can be very dangerous to others and RSV is one of them. What is mild in one child could kill another. I cannot fathom sending my child to school who was positive for something like RSV.


But when would you send them back? (Assuming no fever, acting like themselves, mild runny nose, etc as is the case with OP?)


When they no longer tested positive or all symptoms are gone (except a lingering cough). It sucks. We did this all the time for any illness during the pandemic and it sucked. But for something I knew was RSV or strep or COVID or the flu, I couldn't do it any other way. (and we didn't have backup childcare during the pandemic, so I know it really does suck)


I have never had a pediatrician recommend returning for repeat testing until a negative test for RSV, strep etc. None of this follows standard medical advice.


Fair enough. But OP did just have a positive test. So wait until no symptoms except maybe a residual cough.


Please stop making up medical advice.


Sorry if it wasn't clear, I'm not giving medical advice. I am saying what I would do and what I think is the right thing to do. Not sure when the thread became "medical advice only"- wasn't OP asking for what others would do?
Anonymous
Post 11/14/2023 13:23     Subject: Mild RSV daycare question
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Personally I would be ok with it given that it’s been 6 days and because every kid gets RSV at some point and it is inevitable. Most kids in a toddler room have had it. I understand how scary RSV is but I also know it is in the center constantly whether my kid specifically has it or not. A mask is a great idea.


+1 half the kids at the center probably have it too and haven't been tested

To the PP that says "it can't be mild" that's just not true. Why would you say that?


PP here. Because it's RSV. Some viruses we know can be very dangerous to others and RSV is one of them. What is mild in one child could kill another. I cannot fathom sending my child to school who was positive for something like RSV.


But when would you send them back? (Assuming no fever, acting like themselves, mild runny nose, etc as is the case with OP?)


When they no longer tested positive or all symptoms are gone (except a lingering cough). It sucks. We did this all the time for any illness during the pandemic and it sucked. But for something I knew was RSV or strep or COVID or the flu, I couldn't do it any other way. (and we didn't have backup childcare during the pandemic, so I know it really does suck)


I have never had a pediatrician recommend returning for repeat testing until a negative test for RSV, strep etc. None of this follows standard medical advice.


Fair enough. But OP did just have a positive test. So wait until no symptoms except maybe a residual cough.


Please stop making up medical advice.
Anonymous
Post 11/14/2023 13:15     Subject: Mild RSV daycare question
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Personally I would be ok with it given that it’s been 6 days and because every kid gets RSV at some point and it is inevitable. Most kids in a toddler room have had it. I understand how scary RSV is but I also know it is in the center constantly whether my kid specifically has it or not. A mask is a great idea.


+1 half the kids at the center probably have it too and haven't been tested

To the PP that says "it can't be mild" that's just not true. Why would you say that?


PP here. Because it's RSV. Some viruses we know can be very dangerous to others and RSV is one of them. What is mild in one child could kill another. I cannot fathom sending my child to school who was positive for something like RSV.


But when would you send them back? (Assuming no fever, acting like themselves, mild runny nose, etc as is the case with OP?)


When they no longer tested positive or all symptoms are gone (except a lingering cough). It sucks. We did this all the time for any illness during the pandemic and it sucked. But for something I knew was RSV or strep or COVID or the flu, I couldn't do it any other way. (and we didn't have backup childcare during the pandemic, so I know it really does suck)


I have never had a pediatrician recommend returning for repeat testing until a negative test for RSV, strep etc. None of this follows standard medical advice.


Fair enough. But OP did just have a positive test. So wait until no symptoms except maybe a residual cough.
Anonymous
Post 11/14/2023 13:02     Subject: Mild RSV daycare question
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Personally I would be ok with it given that it’s been 6 days and because every kid gets RSV at some point and it is inevitable. Most kids in a toddler room have had it. I understand how scary RSV is but I also know it is in the center constantly whether my kid specifically has it or not. A mask is a great idea.


+1 half the kids at the center probably have it too and haven't been tested

To the PP that says "it can't be mild" that's just not true. Why would you say that?


PP here. Because it's RSV. Some viruses we know can be very dangerous to others and RSV is one of them. What is mild in one child could kill another. I cannot fathom sending my child to school who was positive for something like RSV.


But when would you send them back? (Assuming no fever, acting like themselves, mild runny nose, etc as is the case with OP?)


When they no longer tested positive or all symptoms are gone (except a lingering cough). It sucks. We did this all the time for any illness during the pandemic and it sucked. But for something I knew was RSV or strep or COVID or the flu, I couldn't do it any other way. (and we didn't have backup childcare during the pandemic, so I know it really does suck)


I have never had a pediatrician recommend returning for repeat testing until a negative test for RSV, strep etc. None of this follows standard medical advice.
Anonymous
Post 11/14/2023 13:00     Subject: Re:Mild RSV daycare question
Fine, OP and PP's who can't google...The CDC says 3-8 days, so I'd keep my kid home 8 days from diagnosis.

"People infected with RSV are usually contagious for 3 to 8 days and may become contagious a day or two before they start showing signs of illness. However, some infants, and people with weakened immune systems, can continue to spread the virus even after they stop showing symptoms, for as long as 4 weeks."

https://www.cdc.gov/rsv/about/transmission.html#:~:text=People%20infected%20with%20RSV%20are,as%20long%20as%204%20weeks.

I'm a pp who's infant nearly died from it. Honestly, it's shocking and maddening how little pediatricians know about the risk. I brought my sick infant in and saw my ped's colleague. He said NBD. Thank god I ignored that @sshole. Hours later I brought my infant into the ER and they whisked DC away because DC didn't have enough oxygen.
Anonymous
Post 11/14/2023 13:00     Subject: Mild RSV daycare question
Anonymous wrote:
Anonymous wrote:Oh man. I absolutely would not, but my infant also almost died from RSV - I would feel absolutely horrible if I knew we had RSV and my family exposed anyone


Same thing here.


Same but let's be real - almost no one is keeping their kid home from 8+ days for an RSV diagnosis. Certainly many with 'mild RSV" haven't even gone to the pediatrician to get a diagnosis and know.

OP I would ask pediatrician and follow daycare policy re fever and other symptoms, plus see how your child is acting/feeling.
Anonymous
Post 11/14/2023 12:57     Subject: Mild RSV daycare question
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Personally I would be ok with it given that it’s been 6 days and because every kid gets RSV at some point and it is inevitable. Most kids in a toddler room have had it. I understand how scary RSV is but I also know it is in the center constantly whether my kid specifically has it or not. A mask is a great idea.


+1 half the kids at the center probably have it too and haven't been tested

To the PP that says "it can't be mild" that's just not true. Why would you say that?


PP here. Because it's RSV. Some viruses we know can be very dangerous to others and RSV is one of them. What is mild in one child could kill another. I cannot fathom sending my child to school who was positive for something like RSV.


But when would you send them back? (Assuming no fever, acting like themselves, mild runny nose, etc as is the case with OP?)


When they no longer tested positive or all symptoms are gone (except a lingering cough). It sucks. We did this all the time for any illness during the pandemic and it sucked. But for something I knew was RSV or strep or COVID or the flu, I couldn't do it any other way. (and we didn't have backup childcare during the pandemic, so I know it really does suck)