COVID-19 Clinical Guidelines–General Pediatrics

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COVID-19 - clinical management of children admitted to hospital with suspected COVID-19

Date: 2020 May 29
Developer: Royal College of Paediatrics and Child Health (RCPCH)

Guideline Focus
Management of children hospitalized with COVID-19

Patient Population
Pediatric patients hospitalized with COVID-19

Intended Users
Clinicians

Guideline Topics

  • Considerations for providing good patient care for children
  • Considerations for children with pre-existing conditions
  • Indications for laboratory and imaging studies
  • Guidance on treatment options, including bronchodilators, systemic steroids, antibiotics, antivirals, and diuretics
  • Continuation of chronic ACE inhibitors and NSAIDS
  • Preference for paracetamol over NSAIDS as first-line antipyretic therapy
  • Escalation of respiratory support and management of respiratory failure
  • Role of clinical trials and infectious disease experts in treatment

COVID-19 rapid guideline: children and young people who are immunocompromised

Date: 2020 May 1
Developer: National Institute for Health and Care Excellence (NICE)

Guideline Focus
Management of immunocompromised pediatric patients during the COVID-19 pandemic

Patient Population
Pediatric patients who are immunocompromised

Intended Users
Health care workers

Guideline Topics

  • Communicating with patients and infection prevention
  • Modifications to routine care, including appointments, laboratory testing, and medication initiation, continuation, and provision
  • Considerations for immunocompromised patients diagnosed with COVID-19, including management of chronic medications
  • Infection control and personal protective equipment (PPE) considerations for health care workers

Guidance: paediatric multisystem inflammatory syndrome temporally associated with COVID-19

Date: 2020 May 1
Developer: Royal College of Paediatrics and Child Health (RCPCH)

Guideline Focus
Diagnosis and management of multisystem inflammatory syndrome for COVID-19

Patient Population
Pediatric patients with COVID-19

Intended Users
Clinicians

Guideline Topics

  • Description of symptoms, exclusion of alternate causes, and diagnostic studies
  • Use of personal protective equipment (PPE), supportive management, laboratory, and cardiac monitoring
  • Role of intravenous immunoglobulin (IVIG) and aspirin treatment
  • Management principles and level of care considerations
  • Treatment options, including antiviral and immunomodulatory therapy, and the role of specialists

Pediatric endoscopy in the era of coronavirus disease 2019: a North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition position paper

Date: 2020 Jun
Developer: North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN)

Guideline Focus
Pediatric endoscopy during the COVID-19 pandemic

Patient Population
Pediatric patients requiring endoscopy during the COVID-19 pandemic

Guideline Topics

  • Use of personal protective equipment (PPE) and procedure setting
  • Risk assessment for triaging procedure necessity
  • Intraprocedure precautions, and postprocedure cleaning and infection prevention measures
  • Personnel and trainee considerations

Return to the ECRI COVID-19 Resource Center