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Govt issues guidelines for Covid in children, discourages use of Remdesivir The Director General of Health Services (DGHC) under the Union Health Ministry on Wednesday issued guidelines for the management of Covid-19 in children below 18 years of age
The Director General of Health Services (DGHC) under the Union Health Ministry on Wednesday issued guidelines for the management of COVID-19 in children below 18 years of age, according to which use of Remdesivir, an emergency use authorisation drug, has not been recommended and said that the usage of steroids in treating asymptomatic and mild cases of infection is harmful.
"Remdesivir, an emergency use authorisation drug, is not recommended in children. There is a lack of sufficient safety and efficacy data with respect to Remdesivir in children below 18 years of age," the guideline said. "Steroids are not indicated and are harmful in asymptomatic and mild cases of COVID-19. It is indicated only in hospitalised moderately severe and critically ill COVID-19 cases under strict supervision. Steroids should be used at the right time, in the right dose, and for the right duration. Selfmedication of steroids must be avoided," DGHC said in the guideline. The guideline suggested only a rational usage of a high-resolution CT (HRCT) scan for knowing the extent and nature of lung involvement in COVID-19 positive patients. "However, any additional information gained from HRCT scan of the chest often has little impact on treatment decisions, which are based almost entirely on clinical severity and physiological impairment. Therefore, treating physicians should be highly selective in ordering HRCT imaging of the chest in COVID-19 patients," it added...