Friday, March 18, 2022 (HealthDay News) — Omicron COVID-19 variant may cause Croup In young children, including severe cases requiring hospitalization and intensive care, a new study shows.
“The relatively high rate of hospitalizations and the large drug doses required for our COVID-19 croup patients suggest that COVID-19 may cause more severe croup than other viruses,” said study co-author Ryan Bruce Dr. T said he was in the joint pediatric residency program at Boston Children’s Hospital and Boston Medical Center.
“Further research is needed to determine the best treatment options for these children,” Brewster said in a press release from Boston Children’s Hospital.
In the paper, doctors describe the cases of 75 children who presented to Boston Children’s Hospital’s emergency department with croup and COVID-19 between March 1, 2020, and January 15, 2022.
Croup is a common respiratory disease in infants and young children that occurs when cold and others Viral infection reason inflammation Swelling around the vocal box, trachea, and bronchi.It is characterized by a distinctive bark cough Sometimes high-pitched breathing (called stridor).In severe cases, it can shrink dangerously breathe.
Most of the children in the study were under the age of 2, and 72% of them were boys.Except for one child who contracted the common cold virus, no one has ever been infected with the virus SARS-CoV-2.
“From when Omicron became the main variant to when we started seeing an increase in the number of people with croup, there was a very clear cut,” Brewster said.
No children died, but nine (12%) were admitted to hospital, four of whom required intensive care.
Before COVID-19, less than 5% of children with croup were hospitalized and only 1-3% of hospitalized patients required Intubationaccording to research.
The steroid dexamethasone was used in 97% of the children in the study and 29% of the children treated in the emergency department.All hospitalized people received rac epinephrine pass through sprayerwhich is reserved for cases of moderate or severe croup.
Hospitalized children required an average of 6 doses of dexamethasone and 8 doses of nebulized epinephrine to control their Croup symptoms – More than is usually required for non-COVID croup.
The findings were recently published in the journal Pediatrics .
Although it can be used at home from humidifier According to the study authors, parents should seek medical attention if their child:
- Frequent noisy inhalation and barking at rest
- Difficulty breathing
- increased fatigue or drowsiness
- have blue lips or fingertips
- Temperatures above 100.4°F for more than three days
- Has mild croup symptoms lasting more than 7 days.
The authors suggest that while many viruses can cause croup, parents should consider the possibility of their child contracting COVID-19 and consider getting them and other family members tested.
More information on hips from the American Academy of Pediatrics.
Source: Boston Children’s Hospital, press release, March 15, 2022