March 20, 2020 // by Needham Pediatrics

Coronavirus Update - March 20, 2020

As you are well aware, COVID-19 now is classified as a pandemic, spread worldwide, including many cases in the Boston area. Around 300 people have been diagnosed in Massachusetts, but most likely the actual number of infections is much higher.

Based on what we know so far, children are at low risk for complications of COVID-19. Middle aged and elderly people account for the great majority of serious cases. So, even if your child does acquire COVID-19, the illness will most likely be a minor flu-like illness which can be easily managed with routine care. Rarely, children will be hospitalized with pneumonia. Serious complications (requiring ICU care, for instance) are very rare in children.

In most cases, if your child has fever and cough but appears well, it is appropriate to manage with simple supportive care (rest, fluids, and fever control). If your child is younger than 2 years of age, or if fevers persist beyond a couple of days, it would be appropriate to contact us to consider an office evaluation. If your child appears to have trouble breathing or significant lethargy or significant dehydration, please do contact us immediately. In most such cases, we would refer you to the Emergency Department.

Because of the concern for COVID-19, many patients prefer not to come into our office for routine care. In some cases (but not all), we may be able to manage your concern via a Telehealth (or "virtual" visit). Please contact our office if you feel you need a virtual visit, an we can help you make arrangements.

Here are some links to the CDC and Massachusetts DPH for reliable information about COVID-19.

https://www.mass.gov/resource/information-on-the-outbreak-of-coronavirus-disease-2019-covid-19

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