Pediatric Poliomyelitis Treatment & Management

Updated: Jun 29, 2017
  • Author: Benjamin Estrada, MD; Chief Editor: Russell W Steele, MD  more...
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Treatment

Medical Care

No antivirals are effective against polioviruses. The treatment of poliomyelitis is mainly supportive.

Analgesia is indicated in cases of myalgias or headache.

Mechanical ventilation is often needed in patients with bulbar paralysis.

Tracheostomy care is often needed in patients who require long-term ventilatory support.

Physical therapy is indicated in cases of paralytic disease. In paralytic disease, provide frequent mobilization to avoid development of chronic decubitus ulcerations. Active and passive motion exercises are indicated during the convalescent stage.

Fecal impaction is frequent in cases of paralytic disease and can be treated with laxatives as soon as it develops.

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Surgical Care

Total hip arthroplasty is a surgical therapeutic options for patients with paralytic sequelae of poliomyelitis who develop of hip dysplasia and degenerative disease. [18]

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Consultations

See the list below:

  • Physical therapist and rehabilitation therapist
  • Pulmonologist
  • Neurologist
  • Immunologist
  • Infectious diseases specialist
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Diet

Because patients with poliomyelitis are prone to develop constipation, a diet rich in fiber is usually indicated.

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