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H1n1 Influenza In Children
H1N1 influenza (swine flu)
is an infection caused by a virus. H1N1 influenza is easily spread when an infected person coughs, sneezes, or has close contact with others. Your child may be able to spread H1N1 influenza to others for 1 week or longer after signs or symptoms appear.
Common signs and symptoms:
Severe symptoms are more likely in children younger than 5 years. They are also more likely in children who have heart or lung disease, or a weak immune system. Your child may have any of the following:
- Fever and chills
- Headaches, body aches, earaches, and muscle or joint pain
- Dry cough, runny or stuffy nose, and sore throat
- Loss of appetite, nausea, vomiting, or diarrhea
- Fast breathing, trouble breathing, or chest pain
Call 911 for any of the following:
- Your child has fast breathing, trouble breathing, or chest pain.
- Your child has a seizure.
- Your child does not want to be held and does not respond to you, or he does not wake up.
Seek care immediately if:
- Your child has a fever with a rash.
- Your child's skin is blue or gray.
- Your child's symptoms get better, but then come back with a fever or a worse cough.
- Your child will not drink liquids, is not urinating, or has no tears when he cries.
- Your child has trouble breathing, a cough, and he vomits blood.
Contact your child's healthcare provider if:
- Your child's symptoms get worse.
- Your child has new symptoms, such as muscle pain or weakness.
- You have questions or concerns about your child's condition or care.
Most healthy children get better within a week. Your child may need any of the following:
- Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to give your child and how often to give it. Follow directions. Acetaminophen can cause liver damage if not taken correctly.
- NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If your child takes blood thinner medicine, always ask if NSAIDs are safe for him. Always read the medicine label and follow directions. Do not give these medicines to children under 6 months of age without direction from your child's healthcare provider.
- Antivirals help fight a viral infection. This medicine works best if it is given within 48 hours after symptoms begin.
- Do not give aspirin to children under 18 years of age. Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.
- Give your child's medicine as directed. Contact your child's healthcare provider if you think the medicine is not working as expected. Tell him or her if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency.
Manage your child's symptoms:
- Help your child rest and sleep as much as possible as he recovers.
- Give your child liquids as directed to help prevent dehydration. Ask your child's healthcare provider how much liquid your child should drink each day. Good liquids include water, fruit juice, or broth.
- Use a cool mist humidifier to increase air moisture in your home. This may make it easier for your child to breathe and help decrease his cough.
Prevent the spread of H1N1 influenza:
- Have your child wash his hands often. Have him use soap and water. Make sure he washes his hands after he uses the bathroom or sneezes, and before he eats. Use gel hand cleanser when soap and water are not available. Tell him not to touch his eyes, nose, or mouth unless he has washed his hands first.
- Teach your child to cover his mouth when he sneezes or coughs. Show him how to cough into a tissue or the bend of his arm.
- Clean shared items with a germ-killing cleaner. Clean table surfaces, doorknobs, and light switches. Do not let your child share towels, silverware, and dishes with people who are sick. Wash bed sheets, towels, silverware, and dishes with soap and hot water.
- Wear a mask over your mouth and nose when you are near your sick child.
- Keep your child home if he is sick. Keep your child away from others as much as possible while he recovers.
- Influenza vaccine helps prevent influenza (flu). Everyone older than 6 months should get a yearly influenza vaccine. Get the vaccine as soon as it is available, usually in September or October each year.
Follow up with your child's healthcare provider as directed:
Write down your questions so you remember to ask them during your child's visits.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.