Sometimes it is hard to distinguish the flu from other colds and viruses.  The big tip off is high fever and body aches and overall appearance – usually the flu really wipes you out.
Who Needs An Appointment?
If your child is healthy and has no chronic medical conditions we recommend home care with ibuprofen or acetaminophen for fever and aches. Over the counter cough and cold preparations are safe over age 6 years, but only partially relieve symptoms. We are happy to see your child for any concerns – but here are some key reasons to make an appointment:
  • Ill appearance
  • Fever for more than 5 days
  • Ear pain
  • Trouble breathing, chest pain, wheezing
  • Dehydration
Who Should Get Tamiflu?
Not everyone with the flu needs antiviral treatment.  It only lessens the flu duration by ½ to 1 whole day.  It has a high rate of side effects specifically stomach upset, nausea, vomiting, and behavioral changes in young children. The Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP) provide the following indications for antiviral treatment:
  • Any child hospitalized with presumed influenza
  • Children with confirmed or suspected influenza who have severe, complicated, or progressive illness
  • Influenza infection of any severity in children at high risk for complications regardless of influenza-immunization status (asthma, neurological conditions like seizures, chronic lung disease, heart disease, diabetes, kidney disease, liver disease, immune disease or suppression)
  • Any otherwise healthy child with influenza infection for whom a decrease in duration of clinical symptoms is felt to be warranted by his or her provider (particularly if treatment can be initiated within 48 hours of illness onset)
When to return to school or work?
The best thing to do if you are sick with the flu is to stay home, rest, and drink lots of fluids. The best indicator of contagiousness is fever, so return to school or work only after the fevers have been gone for 24 hours.
Is there any benefit to getting the flu shot at this point?
The influenza vaccine is our best protection against the flu.  It doesn’t always prevent the disease but can help the body fight it off and lessen the severity.  We recommend continuing to get vaccinated even during this outbreak as sometimes there is a second wave of flu that can be prevented. Right now we are seeing mostly influenza A so the B strain is yet to hit in high numbers.
Posted: 1/12/2018 10:51:11 AM | with 0 comments