COVID-19 Clinical Guidelines–Pediatric

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National guidance for the management of children with bronchiolitis (2021)

Date: 2021 Dec 7
Developer: Royal College of Paediatrics and Child Health (RCPCH)

Guideline Focus
Management of bronchiolitis in hospital settings during COVID-19

Patient Population
Children with bronchiolitis during COVID-19

Major Interventions

  • Prevention and management of shortness of breath in primary care settings, including clinical pathways
  • Assessment at presentation to emergency department (ED), including testing and initiation of aerosol generating procedures
  • Management at admission and discharge based on respiratory virus testing
  • Considerations for patients being transferred to pediatric intensive care unit (PICU)
  • Policies for parents and carers of hospitalized patients and considerations for escalation of infection control processes

Caring for critically ill children with suspected or proven coronavirus disease 2019 infection: recommendations by the Scientific Sections' Collaborative of the European Society of Pediatric and Neonatal Intensive Care

Date: 2021 Jan 1
Developer: European Society of Paediatric and Neonatal Intensive Care (ESPNIC)

Guideline Focus
Caring for children with suspected or proven COVID-19 in intensive or intermediate care units

Patient Population
Critically ill children with suspected or proven COVID-19

Major Interventions

  • Respiratory support considerations, including ventilator settings
  • Anticoagulation, acute kidney injury, and cardiovascular management
  • Treatment options (e.g., corticosteroids, antiviral therapy), algorithm for COVID-19 related SARS and MIS, and nutritional support
  • Personal protective equipment (PPE), transport, nursing care, and visitation policies
  • Ethical considerations

ASE statement on adapting pediatric, fetal, and congenital heart disease echocardiographic services to the evolving COVID-19 pandemic

Date: 2021 May
Developer: American Society of Echocardiography (ASE)

Guideline Focus
Adapting strategies of practice management for pediatric, fetal, and congenital heart disease echocardiographic services to evolving COVID-19 pandemic

Patient Population
Pediatric and congenital heart disease patients requiring echocardiography during the COVID-19 pandemic

Major Interventions

  • Adaptations for sonographers and echocardiography laboratory processes, including personal protective equipment (PPE) use and scheduling
  • Fetal cardiology phased reopening based on risk
  • Elements of safe and successful training, including PPE use, minimizing contact, and alternative educational methods
  • Indications for echocardiography in patients with suspected or confirmed multisystem inflammatory syndrome in children (MIS-C)
  • Essential elements of COVID-19 echocardiographic examination
  • Role of echocardiography and multimodality imaging in MIS-C and return to activity follow-up

For access to additional guidelines, check out and search the entire ECRI Guidelines Trust® (EGT), a repository of objective, evidence-based clinical practice guidelines.

Return to the ECRI COVID-19 Resource Center