Challenges in managing children with Autism Spectrum Disorder and COVID-19: A case report

George Shaji1, Vui Heng Chong2

  • 1MBBS, DCH, MRCPCH [UK], Department of Paediatrics, PMMPMHAMB Hospital, Brunei,

Insights

Children with Autism Spectrum Disorder (ASD) face unique challenges during COVID-19 isolation and management. This study details the difficulties in managing two siblings with ASD during the pandemic.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Neurodevelopmental Disorders

Background:

  • Coronavirus disease 2019 (COVID-19) affects children, though generally with lower incidence and severity than adults.
  • Children with Autism Spectrum Disorder (ASD) present unique management challenges during infectious disease outbreaks.
  • Effective strategies are needed for isolating and managing pediatric COVID-19 cases, especially those with co-morbidities.

Observation:

  • Two siblings diagnosed with Autism Spectrum Disorder (ASD) contracted COVID-19.
  • Managing these pediatric patients required specialized approaches within a hospital setting.
  • Challenges included adherence to isolation protocols and adapting medical investigations for children with ASD.

Findings:

  • The study highlights the complexities in providing care for children with ASD during the COVID-19 pandemic.
  • Specific difficulties were encountered in quarantine, investigation, and overall patient management.
  • Successful management necessitated tailored interventions considering the neurodevelopmental profile of the children.

Implications:

  • Findings underscore the need for adapted clinical guidelines for managing COVID-19 in children with ASD.
  • Healthcare facilities require enhanced preparedness for neurodiverse pediatric populations during public health crises.
  • Further research is warranted to develop best practices for the care of autistic children during pandemics.

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