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When Children Get COVID-19, Danger Signs Threaten Their Lives

According to Dr. Do Tuan Anh, parents need to monitor and detect life-threatening signs and symptoms before taking their children to hospital check-ups and emergency rooms.

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At the recent seminar “Beyond COVID-19 – Know Not to Worry”, Dr. Do Tuan Anh from Bach Mai Hospital’s Obstetrics and Gynaecology Centre said that from February 2022 until now, children infected with COVID-19 are mainly infected with the virus . . Omron disease. different.

BS. Do Tuan Anh, Obstetrics and Gynaecology and Paediatric Centre, Bach Mai Hospital.

In addition to respiratory and gastrointestinal manifestations such as Delta/Alpha strains, up to 30% of children with Omicron variant COVID have upper respiratory symptoms with common complications such as acute laryngitis and bronchiolitis in children. In infants under 6 months, it is the leading cause of hospitalization and emergency department visits.

Omicron-mutated COVD-19 increases the number of infected children, but up to 40% of children are asymptomatic and 44% have mild symptoms, so symptomatic treatment and nutritional support are important.

For the treatment of COVID-19 in children, Dr. Do Tuan Anh believes that four principles must be adhered to: the first is to classify the severity of the disease, the second is symptomatic treatment, and the third is individualized measures. treat. The fourth is to monitor, detect and treat when the disease has not progressed.

The goal of treatment is to be safe and correct.

– Right: right time, right medicine, right dose and right course of treatment.

– Safety: It is the rational and correct use of drugs to avoid drug abuse, increase side effects, and drug interactions.

Antibiotics are not indicated for the treatment of COVID-19 unless the patient has a confirmed/suspected bacterial superinfection.

In the past, Dr Do Tuan Anh has also often advised parents or caregivers of F0 children at home: monitor and detect life-threatening signs and symptoms, take the child to a doctor/hospital emergency.

Signs of danger in children with COVID-19 fall into three groups:

Respiratory group: shortness of breath, shortness of breath, purple lips, purple limbs, two important parameters are: respiratory rate and Sp02 index.

Dehydration group, mostly F0-grade high fever, accompanied by gastrointestinal symptoms (abdominal pain, vomiting, loss of appetite/anorexia): fatigue, lethargy, difficulty waking up, dry lips and oral mucosa, less crying, less urine…

Whole body: coma, loss of appetite, pale/cyanotic skin, persistent high fever, convulsions…

Dr Do Tuan Anh also stressed that children and adults often need time to recover after contracting COVID-19.

To support this process, parents or caregivers need to pay attention to their child’s nutrition and rest. Children pay attention to nutritious, digestible foods and beverages; limit exposure to electronic devices outside of school.

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