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Adherence to Home Treatment Guidelines Among Pediatric Home Treated Covid-19 Patients in Puducherry

Chandrasegaran Barathy1, Devi Kittu2, Shivaramakrishna Babji3

  • 1Department of Pediatrics, Indira Gandhi Medical College and Research Institute, Puducherry.

Indian Pediatrics
|December 11, 2021
PubMed

Insights

Most caretakers followed home isolation guidelines for children with COVID-19, but adherence decreased over time. Time constraints were a significant barrier to consistent home care for pediatric COVID-19 patients.

Area of Science:

  • Pediatric infectious diseases
  • Public health guidelines
  • Home healthcare management

Background:

  • Home isolation is crucial for managing asymptomatic/mild COVID-19 cases in children.
  • Designated family caretakers play a vital role in ensuring adherence to treatment protocols.
  • Understanding adherence barriers is essential for optimizing pediatric COVID-19 home care.

Purpose of the Study:

  • To assess the adherence of caretakers to Government of India guidelines for home treatment of COVID-19 positive children.
  • To determine the duration of caretaker adherence to home isolation protocols.
  • To identify barriers faced by caretakers during home isolation of pediatric COVID-19 patients.

Main Methods:

  • A study was conducted on caretakers of asymptomatic/mild COVID-19 positive children undergoing home isolation.
  • The proportion of caretakers adhering to the specified guidelines was calculated.
  • The persistence of adherence and reported barriers were documented.

Main Results:

  • 68% of caretakers demonstrated adherence to the Government of India home isolation guidelines.
  • Adherence persisted for an average of 6 (1.4) days.
  • 16.5% of children developed symptoms during home isolation.
  • The primary barrier reported by caretakers was the time-consuming nature of the guidelines.

Conclusions:

  • While a majority of caretakers initially adhere to COVID-19 home isolation guidelines for children, adherence wanes over time.
  • Time constraints represent a significant challenge for caretakers, impacting sustained adherence.
  • Interventions to support caretakers and address time-related barriers are needed to improve home-based pediatric COVID-19 management.

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