eISSN: 2449-8580
ISSN: 1734-3402
Family Medicine & Primary Care Review
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1/2021
vol. 23
 
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CONTINUOUS MEDICAL EDUCATION (CME)
abstract:
Original paper

Recommendations for primary healthcare doctors for the management of acute respiratory infections in children during the SARS-CoV-2 pandemic – COVID COMPASS

Ernest Kuchar
1
,
Monika Karlikowska-Skwarnik
2
,
Leszek Szenborn
2
,
Teresa Jackowska
3
,
Zbigniew Doniec
4, 5
,
Agnieszka Mastalerz-Migas
6

  1. Department of Paediatrics with the Observation Unit, Medical University of Warsaw, Warsaw, Poland
  2. Department of Paediatrics and Infectious Diseases, Wroclaw Medical University, Wroclaw, Poland
  3. Department of Paediatrics, Medical Centre for Postgraduate Education in Warsaw, Poland
  4. Department of Pneumonology of the Institute of Tuberculosis and Lung Diseases, Regional Department in Rabka-Zdroj, Poland
  5. Institute of Health Sciences, Podhale State College of Applied Sciences in Nowy Targ, Nowy Targ, Poland
  6. Department of Family Medicine, Wroclaw Medical University, Wroclaw, Poland
Family Medicine & Primary Care Review 2021; 23(1): 116–124
DOI: https://doi.org/10.5114/fmpcr.2021.102647
Online publish date: 2021/04/02
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Respiratory tract infections are one of the most common health problems among children during the winter season. Viruses are responsible for a vast majority of respiratory tract infections. Bacterial infections usually affect specific locations (for example, otitis media, nasal sinuses, lungs or, sometimes, throat) and are more frequent in risk groups, or they can complicate a previous viral infection. During the ongoing COVID-19 pandemic, it is essential to consider SARS-CoV-2 as a possible causative agent for any infectious disease affecting the respiratory tract. Recommendations aim to establish an optimal manner for management of respiratory infections. Any patient should be pre-screened by telephone consultation to reduce the risk to healthcare workers. Regardless of the infection's etiology and location, the top priority should be to determine the patient's general condition and the place of treatment and treatment method (hospital, home, symptomatic, antimicrobial). For epidemic reasons, it is advisable to exclude infection with the new coronavirus in the case of a doubtful clinical picture, as well as patients with SARS-CoV-2 infection. The primary purpose of any consultation is to choose the best treatment for the patient (ambulatory/hospital/symptomatic/antimicrobial), and it is not always crucial to know the exact etiology of the infection. Due to epidemiologic reasons, it is reasonable to exclude SARS-CoV-2 infection in every patient with atypical symptoms or after contact with a person infected with SARS-CoV-2.
keywords:

human influenza, COVID-19, algorithms

  
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