Latest guidelines for Covid management : Government guidelines for Covid-19 management in children’s
The government has released the guidelines for the COVID-19 management in children in the country.
Remdesivir is an emergency use authorisation drug and is not recommended in children.
The updated guidelines issued earlier this week also advocates for the rational use of HRCT imaging.
Similar to adults, children with obesity, diabetes, asthma or chronic lung disease, sickle cell disease, or immunosuppression might also be at increased risk for severe illness from COVID-19.
Key point :
For a mild infection, for fever ; Paracetamol 10-15 mg/kg/dose may be given every 4-6 hours for fever and warm saline gargles, and throat soothing agents in older children or adolescents have been recommended for cough.
Guidelines for using masks by children :
Children aged 5 years and under should not be required to wear masks.
Children aged 6-11 years may wear a mask depending on their ability to use it safely and appropriately under direct supervision of parents or guardians.
Children’s having aged 12 years and over should wear a mask under the same conditions as adults; and should ensure hands are kept clean with soap and water, or an alcohol based hand rub, while handling masks.
Signs or symptoms of COVID-19 in children :
Nasal congestion or rhinorrhea
New loss of taste or smell
Shortness of breath or difficulty breathing
Nausea or vomiting
Poor appetite or poor feeding
Asymptomatic and mild cases in children: Guidelines :
COVID-19 is a viral infection, and that antimicrobials have no role in the prevention or in the treatment of uncomplicated Coronavirus infection.
For mild or asymptomatic cases in children, the guidelines do not recommend antimicrobials for therapy.
On the other hand, for moderate or severe cases, antimicrobials for children must not be prescribed unless there is a clinical suspicion of superadded infection.
For asymptomatic infection in children, the guidelines by DGHS have recommended no specific medication and promoted only COVID-appropriate behaviour (strict hand hygiene, physical distancing, masks) and have suggested a nutritious diet.
Steroids are not indicated and are harmful in asymptomatic and mild cases of COVID-19
Indicated only in hospitalized moderately severe and critically ill COVID-19 cases under strict supervision.
Steroids should be used at the right time, in right dose and for the right duration.