S.or not hundreds of thousands of Covid cases that are interesting children and adolescents in the last few weeks, especially for the diffusion of the Omicron variant. Most boys do not have severe symptoms that require hospitalization, however it is important know how to manage ailments from home such as cough, fever and sore throat because it is not “just a cold” as many continue to claim. Above all it is It is essential to avoid doing it yourself with self-prescribed drugs, supplements or antibiotics not indicated by the doctor.
That’s why the Technical table for Infectious Diseases and Vaccinations of the Italian Society of Pediatrics summarized in a handbook the correct ways of managing the child and the positive Covid adolescent at home. Here the PDF with the DECALOGUE Decalogue covid SIP
Covid children and adolescents, the advice of pediatricians for parents
The doctors of the Italian Society of Pediatrics have drawn up ten practical rules to “help parents to keep unnecessary anxieties away, but also to avoid the risks of” do it yourself “and the improper administration of anti-inflammatory antibiotics, always remembering for any doubts about refer to your pediatrician / doctor “.
Asymptomatic cases: what to do
In asymptomatic cases of SARS-CoV-2 infection no therapy is indicated and in the majority of cases in children and adolescents it is recommended symptomatic therapy alone with paracetamol or ibuprofen.
How to aerosol (if and when needed)
In case of respiratory symptoms requiring inhalation therapy with bronchodilators and / or cortisones, the spacer to the aerosol therapy device to reduce the spread of viral particles in the air.
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Diarrhea or vomiting: you need hydration
In case of diarrhea or vomiting, one must be ensured proper hydration with oral rehydrating solutions. The utility of administering specific vitamin preparations has not been demonstrated.
Antibiotics yes or no?
Antibiotic therapy is not indicated except in the presence of a likely bacterial complication. In particular, the therapeutic use of azithromycin is not indicated.
When to go to the emergency room
Avoid taking pediatric patients with mild symptoms suggestive of Covid or without symptoms to the emergency room simply for having had positive contacts. Instead, in the presence of difficulty in breathing, persistent chest pain, cyanosis, altered state of consciousness and oliguria (decreased excretion of urine) do not delay access to the emergency room.
When hospitalization is needed
Hospitalization is recommended in case of moderate to severe diseaseIn the febrile infant less than 3 months of age and in case of difficulties in managing the child from the family.
Radiological examinations
Performing radiological examinations (radiography, ultrasound or CT) should be considered only in children and adolescents with moderate to severe symptoms.
Immunomodulatory therapy
Only in hospitalized children with moderate to severe clinical conditions, with pneumonia and progression in deterioration of respiratory function, syndrome from acute respiratory distress (ARDS) or clinical conditions that are part of the diagnosis of MIS-Cat the Supportive care, the addition of immunomodulatory therapy should be considered (with corticosteroids and immunoglobulins), biologics and one antithrombotic prophylaxis with heparin.
The quarantine
Quarantine and tracking of close contacts with their surveillance are essential to break the chain of transmission of the virus.
The vaccine is recommended
Covid vaccination is recommended in all children and adolescents from 5 years of age. In adolescents from 12 years of agein addition to the primary two-dose vaccination course, is a booster dose 4 months after the 2nd dose is recommended.
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