The Directorate General of Health Services (DGHS), which comes under the Ministry of Health, has said that children below 5 years of age are not advised to wear masks.
The government has issued guidelines for the management of COVID-19 in children, stating that children aged 5 years and below are not required to wear masks. Children aged 6-11 years under the direct supervision of a parent/guardian may wear a mask depending on their ability to use the mask safely and appropriately.
The guidelines suggest a six-minute walk test for children above the age of 12. “This is a simple diagnostic test to assess cardiopulmonary exercise tolerance and is used to uncover hypoxia. Place a pulse oximeter in his finger and have the child walk around the perimeter of his room for six consecutive minutes. Ask for,” the guidelines state.
For severe COVID-19 in children, the guidelines state, “If shock occurs, necessary management should be initiated. Antimicrobials should be administered if there is evidence/strong suspicion of superimposed bacterial infection. In case of organ dysfunction, renal replacement therapy may require organ support.”
Remdesivir is not recommended and the guidelines suggest high-resolution CT (HRCT) imaging. Additionally, the DGHS also stated that remdesivir is not recommended for children. “There is a lack of adequate safety and efficacy data with respect to remdesivir in children less than 18 years of age,” it said. Rational use of HRCT is suggested to look at the extent and nature of lung involvement in patients with COVID-19.
“However, any additional information obtained from HRCT scans of the chest often has little effect on treatment decisions, which are based almost entirely on clinical severity and physical impairment. Therefore, the treating physicians are should be highly selective in ordering HRCT imaging of the chest in Covid-19 patients,” it said.
Steroids have been reported to be harmful in asymptomatic and mild cases of infection. “Steroids should be used at the right time, in the right dosage and for the right duration. Self-medication of steroids should be avoided,” read the guidelines.
For asymptomatic and mild cases, antimicrobial drugs are not recommended for therapy or prophylaxis. Whereas for moderate and severe cases antimicrobial drugs should not be prescribed unless there is a clinical suspicion of a superseded infection.
Original Article Read at www.dnaindia.com