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Children with suspected or diagnosed COVID-19 and with mild symptoms should generally be treated at home. These severe course of the disease require a stay in a hospital with an intensive care unit – these are the recommendations of the Polish Pediatric Society
- Experts: “In children requiring hospitalization due to COVID-19, the administration of convalescent plasma should be considered. In critically ill children, the lack of effectiveness of this treatment must be taken into account »
- Children with the severe form of the coronavirus require hospitalization in a hospital with an intensive care unit
- 80-90 percent of children with COVID -19 have mild or asymptomatic disease
- You can find more about the coronavirus on the TvoiLokony home page
12 experts, including from medical universities in Warsaw, Poznań, Wrocław, Łódź and Białystok, recommended pediatricians, primary care physicians and all those who treat children infected with SARS-CoV-2, that children with suspected and diagnosed COVID-19 should be substantially treated with home.
This indication applies to cases of illnesses with mild symptoms, such as fever, cough, pharyngitis or other respiratory ailments.
As they noted: “symptomatic treatment of COVID-19 in an outpatient setting is similar to that of other infections of the upper respiratory tract or gastrointestinal tract”.
How to treat COVID-19 in children at home?
A “asymptomatic” child, according to the authors of the recommendation, should be hydrated in accordance with the daily fluid requirements, and should have a fever measured four times a day.
In case of doubt, the parent should contact the primary care physician, who will “set the hours of contact with the child’s guardians and the rules applicable in a situation requiring quick consultation”.
Experts described the mildly symptomatic course of the infection as symptoms of gastroenteritis, loss of smell and taste, and a fever lasting more than three days. Treatment of such a child also involves proper hydration and administration of antipyretic drugs.
Prolonged fever, severe cough, dehydration should cause concern and require consultation with a primary health care physician.
COVID-19 in children – risk groups
Experts point out that 80-90 percent of children with COVID-19 suffer mildly, i.e. scanly or asymptomatically.
However, they defined the severe course as one in which the patient experiences an increased demand for oxygen, without the need for mechanical ventilation. It affects several groups of children with comorbidities.
Thus, the severe course of the coronavirus is particularly vulnerable to children suffering, among others, from congenital heart defects, metabolic and neurological diseases, genetic defects – including neuromuscular dystrophies that impair respiration, as well as cancer, chronic kidney diseases, cystic fibrosis, chronic respiratory diseases , immunodeficiency after organ transplant and poorly controlled diabetes.
A critical form of COVID-19 is one that is accompanied by sepsis, multiple organ failure, or a rapidly deteriorating clinical condition.
With regard to infants and children under 2 years of age, the experts emphasized: “They always require medical examination at the clinic and, depending on the condition of the child, are referred to home care or to hospital”.
They also pointed out that children with the severe form of COVID-19 require hospitalization in a hospital with an intensive care unit.
Small patients with severe comorbidities who are already treated in specialized departments after diagnosis of SARS-CoV-2 infection should still remain there.
«There should be separated isolation zones, the so-called > red <, with full protection in personal protective equipment "- they write in the document.
Plasma of convalescents in the treatment of COVID-19 in children
“Plasma of convalescents should be considered in children requiring hospitalization due to COVID-19. In children in severe and critical condition, the lack of effectiveness of this treatment must be taken into account, ”the document reads.
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Experts also recommended that therapy with children with COVID-19 should also include “managing the indirect effects, especially the negative effects on physical and mental health of long-term stay at home”, as risk of violence.
The full text of the recommendations can be found HERE
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