Thread by @FoolzWizdom

#Adenovirus in Children: Recent surge
 
Adenovirus causes mild infections mostly in children
Outbreaks of ‘Madras eye/pink eye’, clusters of seasonal respiratory illness are not unusual
Severe illness with adenovirus has been rare

After a build up over 3mo we now see a surge

Parents should look out for:
Sudden onset high fever with chills
Headache and throat pain
Nausea and vomiting
Red eyes and red throat
Poor response to fever medications
Excessive tiredness
Burning sensation during urination

This infection is more of an inconvenience than a cause of concern
As a rule, kids get better in 5-6 days, very few need short hospitalisation to stay hydrated
Severe and unusual presentations needing ICU care (pneumonia or multi-organ involvement) are exceptionally rare

Symptoms can be managed at home, but if fever lasts for >2 days child needs to be seen
Close monitoring in OPD for any unusual features, rescue admissions for hydration maybe needed
Testing may help avoid unnecessary use of antibiotics if there are any doubts

Do’s
1. Keep well hydrated
2. Use paracetamol at the right dose
3. Consult if unwell > 2 days
4. Avoid spreading it to others
Don’ts
1. Self medicate with antibiotics
2. Delay medical attention of child is very tired and has poor intake of fluids

Stay safe, keep others safe:

Adenovirus spreads through aerosol (droplets) and contact

Good old recommendations for COVID limits the spread

Practice cough etiquette
Do not share face towels
Frequently wash hands/ use alcohol hand gels
Mask up if you are unwell