Six minute walk test; not remdesivir: guidelines from the center for the management of Covid in children | India News

Six minute walk test;  not remdesivir: guidelines from the center for the management of Covid in children |  India News

NEW DELHI: The government on Wednesday released detailed guidelines for managing Covid-19 among children. In the guidelines, the General Directorate of Health Services (DGHS) of the Ministry of Health of the Union has advised against the use of remdesivir In the kids.
These are the key points of the guidelines.
* He said that steroids are harmful in asymptomatic and mild cases of infection and are recommended against self-medication.
“Steroids should be used at the right time, in the right dose, and for the right time. Self-medication of steroids should be avoided,” he said.
* Rational use of HRCT Imaging is recommended. Treating physicians must be very selective when requesting a HRCT of the chest.
* Remdesivir (an emergency use authorization medicine) is not recommended in children due to a lack of safety and efficacy data.
* For asymptomatic and mild cases, the guidelines say that antimicrobials 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 an infection overcome
* For mild infections, paracetamol 10-15 mg / kg / dose can be given every 4-6 hours to relieve fever and throat. Warm saline gargles have been recommended in older children and adolescents for coughing.
* In case of moderate infection, the guidelines suggested starting oxygen therapy immediately.
* Corticosteroids are not necessary in all children with moderate disease; they can be administered in rapidly progressive disease and anticoagulants may also be indicated.
* For severe Covid-19 among children, the guidelines say that if acute respiratory distress syndrome (ARDS) develops, the necessary treatment should be started.
“In the event that shock develops, the necessary management should be initiated. Antimicrobials will be administered if there is evidence / strong suspicion of bacterial infection overcome. You may need organ support in case of organ dysfunction, for example, renal replacement therapy”, He said.
* A six minute walk test is recommended for children 12 years and older under parent / guardian supervision.
“It is a simple clinical test to assess tolerance to cardiopulmonary exercise and is used to unmask hypoxia. Put a pulse oximeter on your finger and ask the child to walk in the confines of his room for six minutes straight,” he said.
Some reports have suggested that the third wave of Covid could be dangerous for children. However, the government has said there is no evidence to support the claims. Multiple states, including Maharashtra and Delhi, have been improving infrastructure to prepare for the likely impact of the rise of Covid among children.
Read the full guidelines here:

(With PTI inputs)


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