While the world is facing an unprecedented pandemic with COVID-19, patients with chronic diseases need special attention and if warranted adaptation of their regular treatment plan. In children, allergy and asthma are among the most prevalent non-communicable chronic diseases, and health care providers taking care of these patients need guidance. At the current stage of knowledge, children have less severe symptoms of COVID-19, and severe asthma and immunodeficiency are classified as risk factors. In addition, there is no evidence that currently available asthma and allergy treatments, including antihistamines, corticosteroids, bronchodilators increase the risk of severe disease from COVID-19. Most countries affected by COVID-19 have opted for nationwide confinement, which means that communication with the primary clinician is often performed by telemedicine. Optimal disease control of allergic, asthmatic and immunodeficient children should be sought according to usual treatment guidelines. This statement of the EAACI Section on Pediatrics puts forward six recommendations for the management of childhood allergies and immunodeficiencies based on six underlying facts and existing evidence.
Keywords: COVID-19; SARS-CoV-2; allergy; asthma; biologics; children; coronavirus; corticosteroids; immunodeficiency; treatment.
This article is protected by copyright. All rights reserved.
Coronavirus disease 2019 (COVID-19) pandemic and pregnancy.Am J Obstet Gynecol. 2020 Mar 23:S0002-9378(20)30343-4. doi: 10.1016/j.ajog.2020.03.021. Online ahead of print. Am J Obstet Gynecol. 2020. PMID: 32217113
Features, Evaluation and Treatment Coronavirus (COVID-19).2020 Apr 6. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan–. StatPearls. 2020 Jan–. PMID: 32150360 Free Books & Documents. Review.
A Practical Approach to the Management of Cancer Patients During the Novel Coronavirus Disease 2019 (COVID-19) Pandemic: An International Collaborative Group.Oncologist. 2020 Apr 3. doi: 10.1634/theoncologist.2020-0213. Online ahead of print. Oncologist. 2020. PMID: 32243668
COVID-19, asthma, and biologic therapies: What we need to know.World Allergy Organ J. 2020 May 16:100126. doi: 10.1016/j.waojou.2020.100126. Online ahead of print. World Allergy Organ J. 2020. PMID: 32426090 Free PMC article. Review.
COVID-19 and Asthma: Reflection During the Pandemic.Clin Rev Allergy Immunol. 2020 May 28. doi: 10.1007/s12016-020-08797-3. Online ahead of print. Clin Rev Allergy Immunol. 2020. PMID: 32468411 Review.