is currently entering the high-incidence period of influenza. In some hospitals, the number of children with colds has doubled. After winter enters the period of high-incidence of colds, the number of small patients in the pediatric outpatient clinics of major hospitals in the city has increased significantly, and pediatricians are too busy. On December 4, the reporter learned from an interview that two children in many families had cross-infection, and some kindergartens had half of them absent from work. The doctor reminded that it has entered a high-incidence period of influenza, and citizens, especially children and the elderly, should strengthen protection
In the infusion room of the Women and Children's Hospital of Weifang People's Hospital, many parents bring their children for infusion.
Two children have a fever at the same time and sent to the hospital at 10 p.m.
, Fan Wenhua, who lives in the High-tech Zone, Xinghecheng Community, is very worried recently. The two children have colds one after another. He and his wife take turns to take care of them. The day was too busy, so I simply asked for leave on December 4.
Fan Wenhua’s two children were 6 and 3 years old. At the end of November, the eldest son had a fever first, then a runny nose and cough. In order to avoid infecting his little daughter, he divided the two children into two rooms, eating and playing separately. In spite of this, the eldest son's cold was not clear, and the younger daughter was still infected.
"Both children had a fever last night, and the youngest daughter had a fever of 39.2°C. My wife and I had nothing to do with each other. At 10 o'clock in the evening, we took our children to the Women and Children's Hospital of the Municipal People's Hospital for a comprehensive examination, and the two children were admitted to the hospital. "Fan Wenhua told reporters that during the treatment of his children, he found that there are not a few small patients with colds. "Every winter, the children will catch a cold, and the two children are cross-infected. It is a headache for parents. I hope they will get better soon."
At the Women's and Children's Hospital of the Municipal People's Hospital, Mr. Ma, a citizen who took his child to see a doctor, told reporters that since the beginning of winter, the two children at home have coughed, runny nose and fever intermittently. In recent days, the younger son has a fever and cough, and has infected the older daughter again. In desperation, he brought his two children to the hospital for treatment.
Avoid infecting other children. A lot of kindergarten absenteeism
reporters found that after winter, many children's cold symptoms are mainly cough, taking cold medicines are not effective, and the condition worsens, so they have to go to the hospital for treatment. Because of the increase in the number of small patients with colds, some kindergartens' absenteeism reaches half.
"My son just started a small class this year. There are more than 20 children in the class. Only more than 10 went to kindergarten a few days ago, and a few of them also have cough symptoms." Mr. Zhao, a resident of Xinhua Scenic Area, told reporters that his son I coughed for three days and took three days off. Now as long as you have some symptoms of a cold, you dare not let your children go to kindergarten. Hurry up and ask for leave for treatment to avoid spreading to other children.
In a kindergarten near Yuhe Life City, many parents said that since the cooling down, it is obvious that there are fewer parents sending their children, basically because the children have a cold. "The child's own resistance is weak. Once he is infected, he will quickly take him home. In order to prevent the child from being infected, some parents of small classes simply did not let the child go to school after the winter." Parent Ms. Liu said that her son went to school this year. In the middle shift, I just caught a cold.
"When the child started coughing, we bought some medicine for him, but it didn't work at all. It dragged on for several days. In the end, the cough was very serious, so I hurriedly took him to the hospital and he was cured after 11 days. "Ms. Liu told reporters.
Hospital: parents bring their children for infusions, and the doctors are too busy.
reporters visited the City Maternity and Child Health Hospital, the City People’s Hospital, Women and Children’s Hospital, and the City Hospital of Traditional Chinese Medicine in the urban area. Respiratory diseases, colds and fever are more common.
In the infusion room of the Women's and Children's Hospital of the Municipal People's Hospital, many children have infusions accompanied by their parents, and some children are getting injections.
In the waiting area of the Pediatrics Clinic of the Municipal Hospital of Traditional Chinese Medicine, adults and children are sitting, crying and coughing constantly. The three doctors who were in the consultation patiently treated the children, and could hardly stop all morning, even drinking water.
"After the winter, there have been more minor cases of colds, and the doctors and nurses are always busy." A nurse told reporters that some minor cases of severe colds were left in the hospital directly, and some parents would After the child arrived, he was asked to be hospitalized directly.
In every pediatric clinic of the Municipal Maternity and Child Health Hospital, there are small patients waiting in line for treatment. Yanyong, director of the comprehensive pediatrics department of the hospital , told reporters,Recently, there are more children with colds. The number of outpatient visits in the hospital is at least 500 people a day, which is twice the normal number.
"Compared with the same period last year, the number of children with colds has increased, entering a period of high influenza, but the number of small patients infected with rotavirus has decreased significantly compared with the same period last year." Yanyong said.
1 After the child has the flu, he should go to the hospital for diagnosis and treatment in time. The common cold has symptoms of the upper respiratory tract, such as sneezing, runny nose, sore throat, and watery eyes. Influenza may have high fever, sore limbs, and fatigue. "As long as protective measures are taken, the flu is not terrible." Yanyong said, the current cold symptoms of young patients are mainly fever, headache, vomiting, cough and so on.
Yanyong reminds the public to pay more attention to changes in the weather of , especially children, the elderly and other groups, wear more clothes when going out, and go to places with high traffic as little as possible. People with sensitive physique should take precautions in advance. For children suffering from flu, parents should take them to the hospital for treatment.
“The air is dry in winter, and then plus frequent heavy fog and haze weather, poor air quality, it is easy to irritate people’s respiratory system.” Yanyong said that citizens should strengthen protection, and families with two children, once they If a child has cold symptoms, the other child should be isolated in time to avoid cross infection.
To prevent influenza, it is also necessary to maintain good personal hygiene and strengthen physical fitness; wash hands frequently, keep the environment clean and ventilated; try to reduce activities in crowded places during the influenza epidemic season to avoid contact with patients with respiratory tract infections; when influenza-like symptoms occur, self-isolate , Wear a mask when going to public places or seeking medical treatment.
New version of influenza diagnosis and treatment plan released
Recently, the "Influenza Diagnosis and Treatment Plan (2019 Edition)" issued by the National Health Commission has given authoritative recommendations for the diagnosis and treatment of influenza this winter and next spring.
Compared with the 2018 revision, the main changes in the "Influenza Diagnosis and Treatment Plan (2019 Edition)" include the inspection sequence and content, the dosage of medication for children under 1 year, and preventive drugs.
In the choice of anti-influenza virus drugs, in addition to the three neuraminidase inhibitors of oseltamivir, zanamivir and peramivir, hemagglutinin inhibitor arbidol was added. As for the M2 ion channel blockers amantadine and rimantadine, which are resistant to influenza A viruses and are resistant to the currently circulating influenza virus strains, is not recommended for .
Oseltamivir is a more effective drug for the prevention and treatment of influenza viruses. It is used for the treatment of influenza A and B in adults and children over 1 year old; prevention of influenza A and B in adolescents over 13 years old. Zanamivir is mainly used for the treatment of influenza A and B in adults and children 7 years and older.
Abidol can be used for the treatment of adult influenza A and B and other acute upper respiratory virus infections. It has strong antiviral activity. By blocking the replication of the virus, it has the dual effects of directly inhibiting the virus and inducing endogenous interferon. The main adverse reactions are nausea, diarrhea, dizziness and increased serum transaminase. Pregnant and lactating women, and patients under 18 and 65 years old should not use it. Due to the limited clinical application data in my country, it is necessary to closely observe the efficacy and adverse reactions when using the drug.
In terms of traditional Chinese medicine, Qingkailing granules (capsules, soft capsules, tablets, oral liquid), Jinhua Qinggan granules, Lianhua Qingwen capsules (granules), Shufeng Jiedu capsules, Yinqiao detoxification class, Sangju cold class, Commonly used Chinese patent medicines such as Yinhuang preparations and lotus heat-clearing preparations are still recommended. At the same time, according to different symptoms, children can choose Chinese patent medicines such as children's Kanggan granules, Xiaoer Lianqiao Qingre granules, Xiaoer Feire Kechuan granules (oral liquid), Xiaoer Kechuanling granules (oral liquid), and antelope horn powder granules.
preventive medication recommends oseltamivir and zanamivir. The "Influenza Diagnosis and Treatment Plan (2019 Edition)" pointed out that influenza vaccination is the most effective means to prevent influenza, which can significantly reduce the risk of influenza and serious complications for vaccinators. It is recommended that the elderly (65 years old and above), children (6 months to 5 years old), pregnant women, family members and caregivers of children under 6 months of age, patients with chronic diseases and medical personnel, etc., are given priority to vaccinate each year.
Drug prevention cannot replace vaccination, close contacts with high risk factors for severe influenza (and not vaccinatedOr after vaccination has not gained immunity) for post-exposure drug prophylaxis, recommends not to take drugs later than 48 hours after exposure. Oseltamivir and zanamivir can be used (dose is the same as the therapeutic dose, ie 75mg each time, once a day for 7 days).
Source: Weifang Evening News
