covid-19 guidelines Flashcards
Case definition of MISC-C
age <21 years old presenting with:
fever
lab evidence of inflammation
clinically severe illness requiring hospitalization with multisystem (>2) organ involvement (cardiac, renal, respiratory, hematologic,GI, dermatologic or neurological) and
- no alternative plausible diagnosis and
- positive for current or recent SARS-COV 2 infection by RT-PCR, serology or antigen test or covid-19 exposure within the 4 weeks prior to onset of symptoms
contact is defined by WHO as a person who has experienced any one of the ff. exposures during the 2 days before and 14 days after the onset of symptoms of a probable or confirmed case
- face to face with a probable or confirmed case within 1 meter for at least 15 minutes
- direct physical contact
- direct care with probable or confirmed case without using recommended PPE
for confirmed asyptomatic cases, period of contact is measured as
2 days before through the 14 days after the date on which sample that led to confirmation was taken
typical chest radiograph findings suggestive of COVID-19
hazy opacities often rounded in morphology with peripheral and lower lung distribution
typical chest CT findings suggestive of COVID-19
multiple bilateral ground glass opacities, often rounded in morphology with peripheral and lower lung distribution
lung ultrasound findings suggestive of COVID-19
thickened pleural lines
B lines
symptomatic patients meeting case definition for covid-19 without evidence of viral pneumonia or hypoxia
Mild case
child with clinical signs of nonsevere pneumonia (cough or DOB + fast breathing and/or chest indrawing) and no signs of severe pneumonia
moderate disease
Pneumonia
adult or adolescent with clinical signs of pneumonia but no signs of severe pneumonia; spO2 >/=90% room air
moderate disease
Pneumonia
clinical signs of pneumonia plus at least 1 of the ff:
central cyanosis or spO2 <90%; severe respiratory distress
general danger sign
inability to breastfeed or drink
lethargy or unconscious or convulsions
Severe disease
Severe pneumonia
acute life threatening organ dysfunction caused by a dysregulated host response to suspected or proven infection
Critical disease
Sepsis
persistent hypotension despite volume resuscitation requiring vasopressors to maintain MAP >/=65 mmHg and serum lactate level >2mmol/L
Septic shock
MIS-C preliminary case definition
children and adolescents 0-19 years of age with fever >3 days AND two of the following:
rash or bilateral non-purulent conjunctivitis
mucocutaneous inflammation signs
hypotension or shock
features of myocardial dysfunction
evidene of coagulopathy
acute GI problems AND
elevated markers of inflammation such as ESR, CRP, procalcitonin AND no other obvious microbial cause of inflammation
MIS-C preliminary case definition
children and adolescents 0-19 years of age with fever >3 days AND two of the following:
rash or bilateral non-purulent conjunctivitis
mucocutaneous inflammation signs
hypotension or shock
features of myocardial dysfunction
evidene of coagulopathy
acute GI problems AND
elevated markers of inflammation such as ESR, CRP, procalcitonin AND no other obvious microbial cause of inflammation
Children less than 2yo should not wear mask. Mask is also not recommended in the ff:
- child has difficulty breathing when a mask is worn
- has cognitive or respiratory impairment
- mask is choking or strangulation
hazard - if wearing a mask causes a child to touch face frequently
