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Published on: November 7, 2020
Overview of management of children with COVID-19
Dyah Kanya Wati1, Arya Krisna Manggala2
1Pediatric Emergency and Intensive Care Sanglah Public Hospital, School of Medicine, Udayana University, Denpasar, Bali, Indonesia.
Insights
Exploring potential COVID-19 treatments for children is crucial, as management strategies remain inconclusive. This review examines various modalities, including mechanical ventilation and antivirals, for severe pediatric cases.
Area of Science:
- Pediatrics
- Infectious Diseases
- Virology
Background:
- Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, presents a significant global health challenge.
- Pediatric COVID-19 cases often exhibit milder symptoms compared to adults.
- Current understanding of COVID-19 pathogenesis and effective management in children is still evolving.
Purpose of the Study:
- To explore potential treatment modalities for COVID-19 in pediatric populations.
- To review existing evidence from case reports, guidelines, and review articles on pediatric COVID-19 management.
- To identify promising therapeutic options for severe COVID-19 cases in children.
Main Methods:
- Literature review of case reports, review articles, and clinical guidelines.
- Analysis of potential treatment strategies for COVID-19 in children.
- Focus on symptomatic and respiratory support measures.
Main Results:
- Several treatment options show promise for reducing COVID-19 symptoms in severe pediatric cases.
- Modalities discussed include mechanical ventilation (MV), antiviral drugs, and immune-modulating agents.
- No randomized clinical trials specifically for pediatric COVID-19 treatments have been published yet.
Conclusions:
- Further research is needed to establish definitive treatment protocols for pediatric COVID-19.
- Exploring various therapeutic avenues is essential given the ongoing impact of the pandemic.
- Current management relies on symptomatic care and supportive interventions, with emerging evidence for specific agents.
Abstract:
The widespread and contagious coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 has become a burden in the global health domain. The subsequent discovery of the virus features and pathogenesis, and prompt and adequate management are still lacking and remain inconclusive. Children usually present milder symptoms than adults, and management focuses on providing symptomatic and respiratory supports. Several treatment modalities, including the utilization of mechanical ventilation (MV), antivirals, immune-modulating drugs, or other agents, may present promising results in reducing the symptoms of COVID-19, particularly in severe cases. Although no randomized clinical trials have been published to date, it is interesting to explore potential modalities for treating COVID-19 in children, based on review articles, case reports, and recent guidelines.
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