The Ministry of Public Health reveals that children under 5 years of age are more infected.How to care for young children infected with COVID mostly have a fever Be careful of high fever-convulsions during the first 1-2 days. Focus on wiping often.
Dr. Ekachai Piansrivatchara, MD. Deputy Director of the Department of Health revealed that over the past week, more than 6000 children were infected, especially in the area. Bangkok, Samut Prakan, Chonburi, Phuket, Nakhon Si Thammarat and Nonthaburi, and throughout the period of the Covid-19 epidemic, there were more than 107,059 cases of pediatric patients aged 0-5 years, comprising 24,742 0-2 years of age, 21,237 cases between 2 years old. 3 years old, 20,525 cases, 4 years old, 20,373 cases, 5 years old, 20,181 cases, 29 deaths, found as children with congenital disease
Factors that cause children to have a high infection because it is a group that has not been vaccinated The risk factor for infection is close contact with family members.
Dr. Teerachai Boonyaleephan, deputy director of the National Institute of Child Health Development, said the guidelines in the event of an infected child are found. It is divided into cases of infected children and their parents who are infected to receive treatment together, emphasizing that they are classified as family groups.
In cases where the child is infected But parents are not infected with the child to be hospitalized or hospitalized. Parents should be under 60 years of age and do not have any underlying disease to be able to take care of the child in a medical facility.
As for the syndrome Classified as mild, low fever, runny nose, slight cough, no symptoms of breathlessness, fluid diarrhea, still eating can drink milk normally In this group can receive medication. Treat symptoms that can be treated at home
moderate to severe symptoms This is a group with symptoms of illness, fever higher than 39 degrees, shortness of breath. or breathing faster than usual, using force to breathe, cyanotic mouth, fingertip oxygen level less than 94%, seep down and do not eat or drink milk. In this group, seek immediate medical attention.
The most common symptoms in children infected with coronavirus are multi-day fever, high or low fever, dry cough, sore throat, tiredness, stuffy nose. In which in this group the symptoms are similar to the flu. In addition, some children also have a red rash. The nose does not smell anorexia. In babies, they may drink less milk. May also have diarrhea ask parents Mainly looking at fever Focus on wiping to reduce fever and prevent seizures in children.
Recommendations, care and treatment according to symptoms If the child has a fever, take antipyretic drugs such as paracetamol 10 mg per 1 kg of body weight and wipe to reduce fever. If the child has a cough with runny nose. Take a cough or nasal decongestant and drink plenty of fluids. If you have diarrhea, drink mineral water often.
“The most common symptom in infected children is fever, which is evident on the first and second day. The fever will be high or low depending on the level of symptoms. Dry cough, sore throat, tiredness, stuffy nose, runny nose, with or without flu-like symptoms Some people may have a red rash. nose can’t smell which older children can tell, anorexia, children refuse to eat milk, diarrhea and abdominal pain. Symptoms are divided into 2 levels: 1. Mild, such as low-grade fever, runny nose, cough or slight liquid stool. Enough to play with milk and 2. Severe symptoms, fever over 39 degrees Celsius, rapid breathing, using more force than usual. Observed from the open nose, dimpled chest breathing, dimpled rib cage, blood oxygen less than 94%, symptoms of seepage, not suckling. In which children under 1 year old will look at eating, for example, when they are not sick, they can eat 100%, if they are sick, how many percentages they eat less? If they are over 1 year old, they will mainly look at the story. that playing less than 50-60% is considered more sick.
“The instrument for testing is a thermometer to be careful regarding falling apart. The commercial oxygen meter is for adults. In children, they may not be able to pinch, so a few fingers or big toes are recommended. But the measurement must be squeezed by a small hand. because the child is not still and keep the numbers steady before reading the value and measure it several times to compare and check The photographs or clips will be sent to personnel to help assess symptoms.”
“The most commonly used generic home remedy is paracetamol to reduce fever, take 10 milligrams per 1 kilogram of weight, for example, 10 kilograms of weight is multiplied by 10 to 100 milligrams, which is sold in the market, 1 teaspoon 5 cc contains 120 milligrams, it takes regarding 5 c. C is 1 teaspoon, but the most consumed is every 4 hours. Wipe the body to reduce fever to wipe the whole body. No time limit or number of times Wipe often when you have a fever. Because we are worried regarding high fever in the first days and may be convulsions. Tired to drink a lot of water If you have a liquid, drink mineral water.”
However, if, in the case of an infection in the child care center, The agency must notify the health facility in that area. and grouping those who touch the high and low tones to make them separate The group of people exposed to high noise must be isolated. Those who are exposed to low sounds can still return to school. There are three types of screening tests for children with ATK: saliva, nose poke, and nasal prick. by the method of probing the nasal cavity deeply Not recommended for children The other two methods can be done. by saliva testing Must spit 20 cc of saliva, which this method has a high tolerance Little trust in the nose poke The method is to use a 2 cm deep nose prop for children. Not as much as an adult who pokes at a depth of regarding 5 centimeters, which is a commonly recommended method.
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