Clinical management

 Supportive care
 Management of co-existing conditions
 Treatment of possible bacterial co-infections
PATIENTS WITH MILD SYMPTOMS

Caregiver ● Ideally, assign one person of good health, as primary caretaker of the child ,non-elderly, and with no
underlying comorbidities and immunocompromising conditions, to avoid undue risk to the caregiver.
1) Isolation ● Children should stay at home and be separated from other people in the household.
Place the child in a well-ventilated single room, ideally with its own bathroom. use dedicated dishes, drinking
glasses, cups, eating utensils, towels, and beddings.
Children 2 years of age and older should be properly instructed on how to wear a mask.Children younger than 2
years old should NOT wear masks due to risk of suffocation.
All household members should practice hand hygiene.
2) Hygiene and Sanitation ● Proper hand washing with soap and water for at least 20 seconds should be performed.
Avoid direct contact with the child’s secretions and stool. Clean and disinfect surfaces frequently touched in the
room as well as toilet surfaces using regular household soap or detergent
3) Laundry and Disposal of Soiled Linen and Diapers ● Waste generated during home care should be placed
into a waste bin with a lid in the child’s room and must be tightly sealed before disposal.
● Do not shake dirty laundry
Machine washing with warm water and laundry detergent is recommended. Clothes/beddings/pillows/stuffed
toys used by the child must be washed separately
● Wear disposable gloves and face masks when handling soiled items.
4) Home Therapies ● Antipyretics such as paracetamol may be given to febrile child,Ibuprofen also effective in
pain management.
child may be prescribed empiric antibiotic treatment according to his physician’s clinical judgment.
● Home nebulization should be avoided unless the child’s physician indicated.
essential vitamins and minerals such as Vitamin D3 and Zinc can be given.
5) Emotional and Mental Support: If the child can comprehend, parents are encouraged to talk to the child
and reassure.
● Continue with the child’s regular routine while under quarantine at home and allow time for learning
activities and simple play if the child feels well enough for it
6) Monitoring ● The caregiver should be instructed to record the child’s symptoms using the symptom
monitoring form, and It may be necessary to bring the child to the nearest health care facility for proper
assessment if symptoms worsen or if no improvement is seen in 2-3 days at home.
 • PATIENTS WITH MODERATE, SEVERE OR CRITICAL SYMPTOMS

• All patients with moderate, severe or critical symptoms should be admitted, would be assumed as
having COVID-19 and should be tested for diagnostic tests.
• If the facility is not equipped to handle COVID-19 patients, coordination with a COVID-19 referral
center must be done.