Infant COVID-19
I would like to ask about my baby, who is currently 4 months old.
On November 29, my baby tested positive and had a fever reaching nearly 38 degrees Celsius.
However, after taking fever-reducing medication, the fever subsided.
My baby occasionally sneezes and coughs, but both appetite and activity levels are normal.
However, after isolation, the rapid test is still positive.
Should I continue to see a doctor and administer medication?
Niming, 20~29 year old female. Ask Date: 2022/12/04
Dr. Xiao Kaiwen reply Pediatrics
COVID-19 may not always test negative quickly on rapid tests, and a persistent positive result does not necessarily indicate more severe symptoms or a higher risk of progression to critical illness.
The primary approach to managing COVID-19 is symptomatic treatment and monitoring for signs of progression to moderate or severe illness.
If there are no significant symptoms, medication is generally not required; however, if there are signs of progression to moderate or severe illness, immediate medical attention should be sought.
Reply Date: 2022/12/04
More Info
When it comes to COVID-19 in infants, it's essential for parents to be vigilant and informed about when to seek medical advice. Given your baby's situation—being 4 months old and having tested positive for COVID-19 with a fever reaching nearly 38 degrees Celsius—it's understandable to have concerns.
First and foremost, it's important to recognize that infants can exhibit different symptoms and reactions to infections compared to older children and adults. While many infants may experience mild symptoms, there are specific signs that warrant immediate medical attention. Here are some key points to consider:
1. Monitoring Symptoms: Since your baby had a fever that responded to antipyretics (fever-reducing medication) and is currently showing only mild symptoms like occasional sneezing and coughing, this is a positive sign. However, you should continue to monitor for any changes. If your baby develops a high fever again, shows signs of difficulty breathing, persistent vomiting, lethargy, or if you notice any unusual behavior, you should seek medical attention immediately.
2. Hydration and Nutrition: It's crucial to ensure that your baby stays well-hydrated, especially if they have had a fever. Infants can become dehydrated quickly, so encourage regular feeding, whether through breastfeeding or formula. If your baby is refusing to eat or drink, this is another reason to consult a healthcare professional.
3. Duration of Symptoms: The fact that your baby is still testing positive for COVID-19 after several days may be concerning. While it is not uncommon for infants to test positive for an extended period, especially if they are asymptomatic or mildly symptomatic, it is essential to keep your pediatrician informed. They may recommend further evaluation or monitoring based on your baby's overall health and symptoms.
4. Follow-Up Care: If your pediatrician has prescribed any medications or recommended specific treatments, ensure that you follow their guidance closely. If your baby is still symptomatic or if you have any doubts about their condition, do not hesitate to reach out to your healthcare provider for advice.
5. Isolation and Safety: Since your baby is still testing positive, it is crucial to continue following isolation guidelines to prevent the spread of the virus to others. Ensure that anyone interacting with your baby is following appropriate safety measures, such as wearing masks and practicing good hand hygiene.
6. Consulting Healthcare Professionals: If you are ever in doubt about your baby's health, it is always better to err on the side of caution. Contact your pediatrician or a healthcare professional to discuss your concerns. They can provide tailored advice based on your baby's specific situation and health history.
In summary, while your baby's current symptoms seem mild, continuous monitoring is essential. Keep an eye on their hydration, feeding, and any changes in behavior or symptoms. If you have any concerns or if symptoms worsen, do not hesitate to seek medical advice. Your pediatrician is the best resource for navigating your baby's health during this time.
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