On April 11, 2022, Dr. Jirut Chomchoey, a pediatrician specializing in respiratory diseases Pediatrics Maharaj Nakhon Ratchasima Hospital Post a message via Facebook Jiraruj Praise about ATK 2 hits and what’s next for kids
Now let’s talk about defense. It seems to be too late, and I think people should already know. But no matter how hard you try, it can be infected. So, let’s talk about what to do next if infected with 2 ATK.
I would like to focus on children. Refer to the guidelines from the Royal College of Pediatrics, before ATK 2 points, study first.
1. Where is our treatment right, what hospital, or what health center in other provinces, if in Bangkok it would be a bit difficult. Each area and each province has different service guidelines. (This is normal in Thai style) If 2 lines come up, you will go right.
2. Common drugs needed when sick, such as paracetamol antipyretic. Cough relief, phlegm-dissolving, mineral water, anti-vomiting pills, these can be bought at home. If you’re sick, you don’t have to run for medicine.
3. Fingertip oxygen meter, it’s good to have. The price is not very high. Pharmacies are also available for sale. Press it online. You have to be careful. It doesn’t meet the standards. It doesn’t pass the FDA. Medical equipment.
2 hits of ATK, this one speaks like the general public. Does not refer to the definition of epidemic at all for people to understand 2 lines, which is believed to be infected for sure. Many people don’t have PCR confirmation unless they have to go to the hospital or in other cases, but the conclusion is that they are infected. Here it is also about healing.
Do I have to go to the hospital? Severe risk groups such as high fever 39 degrees Celsius for more than 1 day, lethargy, convulsions, inability to eat, excessive vomiting, shortness of breath, these should be examined to determine whether they are eligible for hospitalization or not. (Most of them, if they have such symptoms, should probably sleep.)
The group with mild symptoms, such as fever below 39 degrees C, intermittent, sore throat, edible, or without symptoms. can be treated according to symptoms “at home” or enter the Home Isolation system (if there is a system), take antipyretics, wipe yourself
If there is a continuous fever such as 39 degrees Celsius for more than 1 day, or if the condition worsens, can’t eat, can’t eat, is very tired, this should be checked at the hospital for more. to assess whether or not to be treated in the hospital #Do I have to take Favipiravir antiviral drug? The answer is “Not necessary for everyone”
In most cases, if the symptoms are mild or asymptomatic, antiretroviral therapy is not necessary. But in those who are at risk for severe symptoms, such as being less than 1 year old and having risk factors for severe symptoms, they include:
1. Chronic respiratory disease including asthma with moderate or severe symptoms
2. Fat
3. Cardiovascular disease cerebrovascular disease
4. Chronic kidney disease
5. Cancer and low immunity
6. Diabetes
7. Genetic disease group including Down syndrome Children with severe neurological impairment children with developmental delays
These doctors will consider antiviral drugs, meaning that they must go to the hospital or service facility first. for testing and access to antiviral drugs
in the case of more severe It is also necessary to receive antiviral drugs like favipiravir. What are the symptoms of the disease? in children with mild symptoms No pneumonia, fever, looking tired, heavy for the first 2-3 days, if edible, can support the body, after that the fever will be reduced to a sore throat and hoarseness for up to 7 days. Keep going.
How many days to stay at home to be safe >> at least 10 days from the date of 2 ATK, that’s it, the chance of spreading the infection is greatly reduced. but also recommend Wear a mask while going out. But I recommend at least 14 days, this is probably very little infection. (In the case that the patient has normal immunity) and the chance of spreading the infection is probably very low as well. Do I need to repeat ATK test? There is no clear advice on this, but in general.
After 7 days, ATK is usually negative (single line). Many experts say that if ATK is single, it is likely that The chance of spreading the infection is very low. This depends, but in general, if you are quarantined for 14 days (in normal immune patients), you don’t need to check anything again.
“MISC” will come, how will it look?
MISC or multiple inflammation The system of the body following infection with COVID-19 is found to be more common, although it is not frequent, but should be monitored, especially after 2-6 weeks of infection, after which the chance of being found will decrease. According to the body, hands and feet are red, if in doubt, you should see a doctor. for diagnosis and treatment
#Do you still have to get vaccinated to prevent covids? Age 5 years old and up, still have to get them all. By being away from infection for 3 months (since the date of the 2 ATK mark)
all is “Introduction” When ATK 2 bars, hope it will be helpful to parents in situations where many children are sick now but very importantly, very young children. still can’t tell us The more you have to watch closely If symptoms change, look worse, seep down, can’t eat
should be examined further and receive antiviral drugs according to indications to prevent infection First the best… yes
Such information may change in the future. if there is new information I hope everyone is safe.
Dr. Jirut, a pediatrician specializing in respiratory diseases.