#IndiaFightsCorona
📍Guidelines for Management of #COVID19 in Children (below 18 years)
➡️Asymptomatic
➡️Mild
➡️Moderate
➡️Severe
#Unite2FightCorona #StaySafe
1/8
📍Guidelines for Management of #COVID19 in Children (below 18 years)
➡️Asymptomatic
➡️Mild
➡️Moderate
➡️Severe
#Unite2FightCorona #StaySafe
1/8
#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
2/8
📍#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
2/8
#IndiaFightsCorona
📍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
3/8
📍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
3/8
#IndiaFightsCorona
📍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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4/8
📍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
#Unite2FightCorona #StaySafe
4/8
#IndiaFightsCorona
📍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
5/8
📍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
5/8
#IndiaFightsCorona
📍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
#Unite2FightCorona #StaySafe
6/8
📍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
#Unite2FightCorona #StaySafe
6/8
#IndiaFightsCorona
📍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
7/8
📍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
7/8
#IndiaFightsCorona
📍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
📍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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