If a child is infected, how should parents do home treatment?

【Scientific Epidemic Prevention Tips】(40)

Children have always been our key protection group,

If the child is infected, how should the parents take care of it?

Is it possible to reduce fever in children by covering sweat?

Can convulsions in children be prevented in advance?

How should children under the age of 3 who have not been vaccinated take good health protection?

Here comes the answer!

Question: If a child is infected at home, how to take care of the home treatment?

  After being infected with the new coronavirus, the vast majority of children have respiratory symptoms, including fever, cough, nasal congestion, runny nose, sore throat, etc. Some may have muscle aches, fatigue, vomiting and diarrhea, and a few children may have hoarseness, etc. The performance of laryngitis, febrile convulsions may also occur in some children.

  Since the vast majority of children have a self-limiting course of disease, symptomatic treatment is mainly carried out to relieve symptoms and increase the child's comfort.

  Antipyretics can be properly selected and taken according to the age of the child; the ambient temperature and clothing should be appropriately reduced to make the child comfortable.

Do not cover the heat after the child has a fever, but also prevent the child from catching cold again.

  The purpose of taking antipyretics is mainly to increase the comfort of the child and let the child pass the fever period safely and comfortably, rather than simply pursuing the reduction of body temperature to a normal value.

Under normal circumstances, it takes half an hour to an hour after taking the antipyretic medicine to take effect, and the body temperature can drop by about 1 to 2°C.

  As long as the child is not so uncomfortable, parents don't need to be particularly anxious, and they don't need to take the child to the hospital repeatedly in a short period of time. Parents only need to closely observe whether the child has any special conditions.

  Let the child rest more, eat a reasonable diet, have balanced nutrition, eat more vegetables and fruits, and drink plenty of water (if the child eats less and sweats a lot, it is recommended to supplement oral rehydration salts or other water containing electrolytes).

Avoid the home environment being too dry and ensure the humidity to make the child more comfortable.

  Parents should maintain a peaceful mind, pay attention to the child's condition, and not be overly anxious, carefully observe the child's condition, and help the child recover as soon as possible.

Question: The new crown virus infection has also affected some babies. These children have limited options for antipyretics. Can you help them reduce their fever by covering their sweat?

  Babies over 2 months and under 6 months can only choose acetaminophen as an antipyretic, and infants under 2 months, including newborns, generally do not take antipyretics. If you have a fever, you should go to the hospital for help.

  It must be made clear that babies cannot reduce fever by covering sweat.

  For young babies, their thermoregulatory centers are not fully developed, and they mainly rely on the skin to dissipate heat. If the baby is covered with too much clothing or quilt, the baby cannot dissipate heat through the skin, and its body temperature may become higher and higher, even reaching 40 This situation is not uncommon in clinical practice; some children may also develop mugging syndrome, leading to dehydration, nervous system damage, respiratory failure and other serious complications, and even life-threatening.

  Therefore, when the child has a fever, parents should try their best to create a relatively cool and ventilated environment for the child, and pay attention to reducing clothing appropriately so that the child is comfortable.

Question: A small number of children may have febrile convulsions during the course of the disease. Once it happens, what should parents do?

Can taking antipyretics in advance prevent febrile convulsions?

  Febrile convulsions are things that make parents very worried and nervous.

Respiratory infection caused by a virus is the most common cause of febrile seizures.

  Febrile convulsions mostly occur in children aged 6 months to 5 years, and usually occur within the first 24 hours of fever, often when the body temperature rises the fastest.

At the time of onset, the child's body temperature often exceeds 38.5°C.

During the attack, the eyes usually turn up, the limbs are stiff or twitching, the lips are bruised, the teeth are closed, and there is no response.

  If your child has a febrile convulsion, in addition to calling an emergency call in time, you should do the following:

  One is to place the child on a flat, non-injured floor or bed.

  The second is not to have sharp things around, to prevent children from falling and other secondary injuries during convulsions.

  The third is to loosen the child's collar to keep the airway open.

  The fourth is to let the child's head tilt to the right, or keep the child lying on the right side.

  There are "four don'ts" when dealing with:

  One is not to put anything in the child's mouth, including spoons, chopsticks, adults' fingers, etc., which may cause damage to the child.

  Second, during the convulsions, do not feed anything, neither medicine nor water.

  The third is not to try to restrain the child's limbs, so as not to cause physical damage to the child.

  Fourth, there is currently no evidence that pinching is helpful in shortening the onset of febrile convulsions. On the contrary, it may cause local damage to the child due to the parents' nervousness and excessive force. Therefore, pinching children is not recommended.

  During the child's convulsions, try to avoid unnecessary stimulation.

  Most children's febrile seizures are short and usually stop within 3-5 minutes. If the child has had a persistent convulsion before, or if the convulsion has not stopped for more than 5 minutes, the child will stop the convulsion on its own If the possibility is small, you should go to the hospital immediately.

  The overall prognosis of febrile seizures is good, and most children with febrile seizures do not have neurological sequelae.

  There is currently no evidence that taking antipyretics in advance has a preventive effect on children with a history of febrile convulsions.

Question: At present, children under the age of 3 in our country have not been vaccinated against the new crown virus. Will they have more serious consequences if they are infected?

How should these children do a good job in health protection?

  From a clinical point of view, we have not found that children under the age of 3 are more seriously ill after being infected with the new coronavirus.

  At present, there is no new crown vaccination recommendation for children under 3 years old, and the vast majority of children infected with the new crown virus are clustered in families. To indirectly protect children.

  Parents should protect themselves and their children by:

  Because it is not routinely recommended for children under the age of 3 to wear a mask, the child lacks a piece of protection, so parents should try to avoid taking their children out, especially places with dense crowds and poor air circulation, and try to go out to places with few people, empty and open spaces. .

  The home is regularly ventilated, but the winter in the north is relatively cold, so be careful not to let your children catch cold when ventilating.

  Parents should do a good job of personal protection, and train their children to form good hygiene habits from an early age, including washing hands frequently, not spitting, and maintaining a safe social distance.

  If there is an infected person at home, you should isolate yourself from your children and wear a mask; after going home, you should wash your hands, face, and change clothes, and disinfect and clean your frequently used items, such as mobile phones, before holding and talking to your children play.

  Let children maintain a regular schedule, ensure adequate sleep, have a reasonable diet, comprehensive nutrition, eat more fruits and vegetables, drink plenty of water, and do some family exercise programs suitable for young children.

  (Source: National Health Commission official website, Healthy China)