Enterovirus D68 Treatment & Management

Updated: Jan 11, 2016
  • Author: Jean Gabriel Bustamante Alvarez, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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Treatment

Approach Considerations

In outpatient settings, ensure that the patient has an asthma action plan to control asthma long-term and understands how to manage worsening asthma or attacks. Provide instructions concerning when to call his or her primary physician or to seek emergency treatment. [17]

Patients with severe respiratory infection should be hospitalized for supportive treatment, as follows:

  • Oxygen if the patient is hypoxic
  • Bronchodilator therapy if the patient presents with clinical evidence of bronchospasm
  • Endotracheal intubation and mechanical ventilation may be needed in patients with impending respiratory failure

In poliolike syndromes, steroids, intravenous immunoglobulin, and/or plasma exchange have no apparent clinical benefit. [19]

Antiviral medications have not been shown to be effective. [17]

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Consultations

Consider consultation with an infectious disease specialist and/or neurologist.

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