SignIn
Kerala Kaumudi Online
Monday, 14 June 2021 7.47 AM IST

Govt issues guidelines on Covid in children; suggests rational use of CT scan, discourages Remdesivir

remdesivir


NEW DELHI: Comprehensive guidelines for the management of Covid-19 among children have been issued by the central government in which Remdesivir has not been recommended and rational use of HRCT imaging has been suggested.

The guidelines issued by the Directorate General of Health Services (DGHS) under the health ministry said that steroids are harmful in asymptomatic and mild cases of infection.

The DGHS recommended steroids only in hospitalised moderately severe and critically ill Covid-19 cases under strict supervision.

"Steroids should be used at the right time, in the right dose and for the right duration. Self-medication of steroids must be avoided," it said.

The Centre guidelines said Remdesivir, an emergency use authorisation drug, is not recommended in children.

"There is lack of sufficient safety and efficacy data with respect to Remdesivir in children below 18 years of age," the guidelines said.

The guidelines suggested rational use of High-resolution CT (HRCT) for seeing the extent and nature of lung involvement in patients with Covid-19.

"However, any additional information gained from HRCT scan of the chest often has little impact on treatment decisions, which are based almost entirely on clinical severity and physiological impairment.”

"Therefore, treating physicians should be highly selective in ordering HRCT imaging of the chest in COVID-19 patients," the guidelines said.

"Therefore, treating physicians should be highly selective in ordering HRCT imaging of the chest in COVID-19 patients," the guidelines said.

For severe Covid-19 among children, the guidelines said if Acute Respiratory Distress Syndrome (ARDS) develops, necessary management to be initiated.

"In case shock develops, necessary management should be initiated. Antimicrobials to be administered if there is evidence/strong suspicion of superadded bacterial infection. May need organ support in case of organ dysfunction, e.g. renal replacement therapy," it said.

The guidelines also recommended a six-minute walk test for children above 12 years under the supervision of parents/guardians.

"It is a simple clinical test to assess cardiopulmonary exercise tolerance and is used to unmask hypoxia. Attach a pulse oximeter to his/her finger and ask the child to walk in the confines of their room for six minutes continuously," it said.

JOIN THE DISCUSSION
TAGS: GOVT, ISSES, GUIDELINES, COVID, CHILDREN, SUGGESTS, RATIONAL USE, CT SCAN, DISCOURAGES, REMDESIVIR
KERALA KAUMUDI EPAPER
TRENDING IN INDIA
TRENDING IN INDIA
X
Lorem ipsum dolor sit amet
consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat.
We respect your privacy. Your information is safe and will never be shared.