By Dr. Kelly A. Johnson, MD
Due to increased concerns about viral respiratory illnesses, I wanted to update everyone on Enterovirus EV-D68.
Enterovirus EV-D68: When are antibiotics needed? Never!!!
Enterovirus EV-D68 is a respiratory virus. There are over 100 types of enteroviruses, and they are responsible for the common cold. EV-D68 is more rarely seen and the CDC is not sure why it has resurfaced this year. It does tend to historically cause more severe cold symptoms than the more common strains. Usually the beginning of a new school year is when enteroviral colds start in increase in number.
The important thing to remember is to not panic! This is a cold. However, this is a severe cold virus, so certain populations (asthmatics, infants) of children are being hospitalized due to wheezing and difficulty breathing. If your child has asthma, has an inhaler or nebulizer at home, or is younger than five years old; they are at increased risk for severe wheezing. They will need to be monitored closely. Asthmatics will need to have an aggressive wheezing action plan in place if this virus becomes epidemic in Texas. Healthy kids over five years will most likely have moderate to severe cold symptoms that will subside after a few days like any other cold.
There is no cure for the common cold, even severe ones like EV-D68. Doctors can only treat symptoms like wheezing and wait for the body to heal. Antibiotics will not prevent or treat this illness. By next year, CDC may have developed an immunization similar to the flu shot, but that will not happen in time to help with this outbreak.
Prevention is our best defense. As usual, prevention is good hand washing, covering our cough, and staying home to prevent the spread if you become sick. I realize as a parent, viral illnesses are frustrating and more severe ones are scary. But it’s important to stay calm and stay informed. So far, there has not been a single death due to this virus this year. Never hesitate to contact your child’s doctor if you have concerns.