Infectious Diseases — MCQs

Question 591: What is the recommended treatment for children with mild to moderate symptoms of COVID-19?

• A. Antiviral therapy
• B. Supportive care (Correct Answer)
• C. Corticosteroids
• D. Antibiotics

Explanation: ***Supportive care*** - For children with **mild to moderate COVID-19 symptoms**, **supportive care** is the cornerstone of treatment, focusing on symptom relief. - This includes **rest**, **hydration**, and **fever-reducing medications** (e.g., acetaminophen or ibuprofen) as needed. *Antiviral therapy* - **Antiviral medications** like Paxlovid are generally reserved for older children and adolescents with **severe COVID-19** or those at **high risk for progression to severe disease**. - They are not typically recommended for mild to moderate cases in children due to potential side effects and the usually self-limiting nature of the illness. *Corticosteroids* - **Corticosteroids** (e.g., dexamethasone) are primarily used in children with **severe COVID-19** who require **oxygen support** or have significant inflammation. - They are not indicated for mild to moderate cases, as their benefits are outweighed by potential adverse effects in this population. *Antibiotics* - **Antibiotics** are effective against **bacterial infections** and have no role in treating **viral illnesses** like COVID-19. - They should only be used if a **secondary bacterial infection** is suspected or confirmed.