The National Health and Health Commission issued the "Guidelines for the Diagnosis and Treatment of Children's Severe Acute Hepatitis (Trial)"

Xinhua News Agency, Beijing, June 16 (Reporter Xu Penghang) Since March 2022, many countries and regions around the world have reported the serious acute hepatitis in children for unknown children. The cause of the disease is unknown, and there are no relevant case reports in my country. In order to prepare for medical treatment in advance, the National Health and Health Commission has organized the "Guidelines for the Diagnosis and Treatment of Children's Severe Acute Hepatitis (Trial)".

According to the guide, as of May 20, 2022, the European monitoring system data showed that the disease can be seen in children at all ages, which is more common under 5 years of age; 14.1%of inpatient children need to live in the intensive care unit. On May 27, 2022, the World Health Organization announced that 33 countries reported 650 suspected cases, at least 38 cases of liver transplantation, and 9 deaths. There is no obvious epidemiological association between various cases, and it does not support it as a contagious disease.

According to the guide, the clinical manifestations of severe acute hepatitis in children are acute onset, and most of them are fatigue and gastrointestinal symptoms such as fatigue and nausea, nausea, vomiting, diarrhea, and abdominal pain. Some children may have white stool, enlarged liver, fever and respiratory symptoms, and individual may have spleen enlargement. A small number of cases can progress in a short period of time to acute liver failure, and jaundice has performed aggravation and hepatic encephalopathy.

How to treat children with severe acute hepatitis for unknown causes? According to the guidelines, comprehensive treatment measures focusing on symptomatic and supporting therapy should be taken. We must closely observe changes in the condition, evaluate the mental state, monitor laboratory indicators, and prevent complications. Patients with liver failure should be referred to hospitals with ability to treat.

Guide pointed out that prevention and control measures mainly strengthen hand hygiene, pay attention to wearing masks and diet hygiene. In clinical work, medical personnel need to take standard prevention measures. Once a suspected case is found, it should be reported in time as required.

[Editor in charge: Zhan Jing]

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