First, college students with signs of COVID-19 mustn’t attend faculty. Signs of bronchial asthma and COVID-19 might overlap, together with cough and shortness of breath. Due to this fact, college students experiencing acute bronchial asthma assaults shouldn’t be attending faculty with out approval by a healthcare supplier; if an bronchial asthma assault begins in school, a pupil may have a bronchodilator therapy earlier than being despatched dwelling or earlier than an ambulance arrives. The American Lung Affiliation’s Mannequin Coverage for Faculty Districts: Inventory Bronchodilatorspdf iconexterior icon recommends utilizing inhalers with disposable spacers/mouthpieces and nebulizers with disposable tubing with masks/mouthpieces. Inhalers and nebulizers needs to be used and cleaned in line with the producer’s directions.
Throughout this COVID-19 pandemic, bronchial asthma therapies utilizing inhalers with spacers (with or with out face masks, in line with every pupil’s individualized therapy plan) are most popular over nebulizer therapies at any time when doable. Primarily based on restricted information, use of bronchial asthma inhalers (with or with out spacers or face masks) is just not thought-about an aerosol-generating process.
Attributable to restricted availability of knowledge, it’s unsure whether or not aerosols generated by nebulizer therapies are doubtlessly infectious.1 Throughout this COVID-19 pandemic, nebulizer therapies in school needs to be reserved for kids who can not use or shouldn’t have entry to an inhaler (with or with out spacer or face masks).
Use of peak stream meters, together with within the faculty setting, contains forceful exhalation. Primarily based on restricted out there information1, forceful exhalation is just not thought-about an aerosol-generating process related to elevated danger of transmitting the virus that causes COVID-19. Nonetheless, for some folks with bronchial asthma, utilizing a peak stream meter can set off cough.
Faculties ought to get hold of the suitable private protecting gear (PPE) for workers who administer nebulizer therapies and peak stream meters to college students with bronchial asthma. PPE to be used when administering nebulizer therapies or peak stream meters to college students with bronchial asthma consists of gloves, medical or surgical facemask and eye safety. Faculty workers needs to be educated on when to make use of PPE, what PPE is critical, the place this PPE is saved, how you can correctly don (placed on), use, and doff (take off) PPE, and how you can correctly eliminate used PPE. CDC has data on utilizing PPE. Employees must also be educated on how you can administer nebulizer therapies and peak stream meters.
Throughout this COVID-19 pandemic, if a nebulizer therapy or use of peak stream meter is critical in school for a pupil, the variety of folks current within the room needs to be restricted to the scholar and the workers member administering the therapy or peak stream meter. If applicable primarily based on the scholar’s age and degree of maturity, the workers member might go away the room and return when the nebulizer therapy is completed. After the nebulizer therapy or use of peak stream meter, this room ought to bear routine cleansing and disinfection. CDC has data on how you can clear and disinfect and how you can forestall bronchial asthma assaults triggered by cleansing and disinfecting actions.
Individuals with average to extreme bronchial asthma could also be at increased danger of extreme COVID-19. CDC has extra data on COVID-19 for faculties and healthcare suppliers (together with faculty nurses).
1 Reference associated to aerosol producing procedures:
Tran Okay, Cimon Okay, Severn M, Pessoa-Silva CL, Conly J (2012) Aerosol Producing Procedures and Danger of Transmission of Acute Respiratory Infections to Healthcare Staff: A Systematic Evaluation. PLoS ONE 7(4); https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3338532/#!po=72.2222exterior icon.