New Delhi | Jagran News Desk: In the midst of the concerns about the potential wave of the COVID-19, which is said to affect the health of children with commands, the center on Wednesday night published some guidelines for the management of Covid- 19 Among the children. The General Directorate of Health Services (DGHS), under its guidelines for children, warned against the use of remdore injections in children, however, suggested the rational use of HRCT images to monitor the effect on lungs.
The guidelines also suggested that the use of steroids in cases of asymptomatic and mild infection is detrimental and could lead to other serious problems. The DGHS only recommended the use of steroids only in moderately severe hospitalized and critical ill, Covid-19, cases under strict supervision. “Steroids should be used at the right time, in the correct dose and for the correct duration. Steroid autolition should be avoided,” he said.
The guidelines also said that remdodes (an emergency use authorization medication) is not recommended in children. “The lack of sufficient safety and effectiveness data with respect to remdden in children under 18 years of age,” the guidelines said.
The guidelines suggested the rational use of high resolution CT (HRCT) to see the extension and nature of the participation of the lungs in patients with COVID-19. “However, any additional information obtained from the HRCT exploration of Cofre often has little impact on treatment decisions, which are almost totally based on clinical severity and physiological deterioration. Therefore, the treatment of doctors should be Be highly selective to order the HRCT images of the chest in COVID -19 patients, “the guidelines said.
For asymptomatic and mild cases, the guidelines said antimicrobial are not recommended for therapy or prophylaxis, while for moderate and severe cases, antimicrobials should not be prescribed unless there is a clinical suspicion of a SuperAdded infection. Admission to the hospital increases the risk of infections associated with medical care with resistant multirruges.
For asymptomatic infection among children, the guidelines did not recommend specific medications and promoted proper behavior of Covid (strict hands, physical hygiene) and suggested giving a nutritious diet.
The guidelines said that for the mild infection Paracetamol 10-15mg / kg / dose can be administered every 4-6 hours to obtain fever and soothing agents of the throat and the warm saline garles in older children and adolescents have been recommended for the cough. In case of moderate infection, the guidelines suggested initiating an immediate oxygen therapy.
“Corticosteroids are not required in all children with a moderate disease, they can be administered in a rapid progressive disease and anticoagulants can also be indicated,” the guidelines said.
For the severe VOCID-19 among children, the guidelines said that if the acute respiratory distress syndrome (ARD) is developed, the necessary management to be initiated. “In case Shock develops, the necessary management must be initiated. Antimicrobials to be administered if there is a strong evidence / suspicion of Bacterial SuperAdded infection. May require organ support in case of organ dysfunction, for example, renal replacement therapy” , He said.
The guidelines also recommended a test on foot for six minutes for children over 12 years under the supervision of parents / guardians. “It is a simple clinical trial to evaluate tolerance to cardiopulmonary exercise and is used to unmask hypoxia. Place a pulse oximeter to your finger and ask the child to walk on the confines of your room for six minutes,” she said.
