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Official Government of India updates on #COVID19 by @MIB_India.

Jun 19, 2021, 8 tweets

#IndiaFightsCorona

📍Guidelines for Management of #COVID19 in Children (below 18 years)

➡️Asymptomatic
➡️Mild
➡️Moderate
➡️Severe

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#IndiaFightsCorona

📍#COVID19 symptoms in children – at a glance

➡️Common symptoms

▪️Fever
▪️Cough
▪️Rhinorrhoea
▪️Sore throat/throat irritation
▪️Body ache/headache
▪️Malaise/weakness
▪️Diarrhoea
▪️Anorexia/nausea/vomiting
▪️Loss of sense of smell and/or taste

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📍Management of Acute Respiratory Distress Syndrome (ARDS) and Shock guide

➡️Management/treatment of ARDS
▪️Mild ARDS: High flow nasal oxygen or non-invasive ventilation may be given
▪️Moderate – Severe ARDS: Restrict fluids <10%

➡️Management of shock

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📍Management of Multisystem Inflammatory Syndrome (MIS-C) in children and adolescents temporally related to #COVID19

➡️Diagnostic criteria (@WHO)

▪️Children and adolescents 0–18 years of age with fever ≥3 days

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📍Stepwise investigations in a patient with MIS-C

➡️Positive Tier 1 screen (both of these should be present):
▪️CRP >5 mg/L and/or ESR >40 mm/hour;
▪️At least one: ALC <1000/µL, platelet count <150,000/µL, Na <135 mEq/L, neutrophilia, hypoalbuminemia

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📍Management of MIS-C

➡️MIS-C with shock or MODS
➡️Kawasaki phenotype
➡️MIS-C without shock

➡️Use biologicals only after expert consultation
and at tertiary care only

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📍Infection Prevention and Control (IPC)

➡️Every COVID care facility should have a multidisciplinary hospital infection control committee

➡️Guide for using mask

▪️Masks are not recommended for children aged 5 years and under

➡️Antimicrobial use guide

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📍Use of steroids and anticoagulants

➡️Steroids
▪️Steroids are not indicated and are harmful in asymptomatic and mild cases of COVID-19

➡️Anticoagulants
▪️Not indicated routinely

◾️Self-medication of steroids must be avoided

🔗bit.ly/3xziwUc

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