There is some evidence to suggest younger infants (less than one year of age) may be more unwell, but this is confounded by the higher incidence of respiratory illness, such as bronchiolitis or croup, in this age group.

However, many children will meet clinical criteria of acute respiratory illness and/or fever (without epidemiologic criteria), and rates of asymptomatic carriage are thought to be quite high.
Therefore, careful attention to infection control is critical.
The spectrum of disease presentations also appears to be different in children. Up to 50% of children may not have a fever. Gastrointestinal symptoms are the predominant feature in about 10% of cases. This variability in presentation, coupled with potential asymptomatic carriage, means that the management of potentially infected patients is a challenge.

We align with:

  • The Royal Childrens’ Hospital, Melbourne, Clinical Practice Guideline on the management of the patient with suspected COVID-19. March 2020 [Link].

  • The role of stand-alone Paediatric EDs
  • Triage and screening
  • Care within the ED
  • Considerations for special patient groups
  • Clinical assessment
  • Investigations
  • Treatment options
  • Follow-up and ongoing care
  • Caregiver considerations
  • Psychological safety
  • References
  • Section disclaimer
  • Resources