The government, in its guidelines issued on Wednesday, said that drugs such as ivermectin, hydroxychloroquine, favipiravir used in the treatment of adult patients of corona and antibiotics like doxycycline and azithromycin are not recommended for the treatment of children because they are not used on children suffering from corona. has not been tested. The government has prepared guidelines for the operation of corona care centers for children, amid fears of an increase in the cases of the epidemic after a hiatus.
Guidelines issued by the Union Health Ministry
In the guidelines issued by the Union Health Ministry, it has been said that the existing capacity of corona care establishments should be increased to provide medical care to children seriously infected with the coronavirus. If an anti-corona vaccine for children is approved, priority should be given in vaccination to children who are suffering from other diseases and who are at serious risk of the corona.
Possible third wave in next 3-4 months
There is a need for joint efforts by the private and public sector to deal with any increase in cases after the lockdown is lifted or schools reopen or during a possible third wave in the next three-four months.
Sick children need additional resources to care
The guidelines also said that additional beds for child care can be estimated based on the peak of daily cases of infection in different districts during the second wave of the pandemic. This gives an estimate of the possible cases of infection in children as well as how many of them will need to be admitted. It is desirable to increase the capacity of existing Corona Care Centers to provide care (medical) to children seriously ill with Corona, the guidelines said. In this sequence, additional specialized equipment and related infrastructure will be needed for the treatment of children.
Adequate number of trained doctors and nurses
Adequate number of trained doctors and nurses should also be made available. Health officials should initiate capacity building programs for proper care of children. Children's hospitals should arrange separate beds for children suffering from corona. A separate area should be made for the care of children in Corona hospitals where their parents are allowed to go with the children.
There is also a need to increase HDU and ICU services in hospitals.
Children with the multisystem inflammatory syndrome who are not severely infected with corona should be cared for in existing children's hospitals. There is also a need to increase HDU and ICU services in these hospitals.
Community health workers need training
ASHAs and MPWs should be included in the community system to oversee the need for home management and admission of children. It also emphasizes on providing training to all stakeholders including community health workers and the community.
Telemedicine can also be arranged
Some centers can be made regional centers of excellence for corona care and research. These centers can provide leadership in medical management and training. Telemedicine systems can also be made to reach a large number of hospitals. In order to collect the data of corona infection in children, it has been recommended for national registration.