Winter is a period of high incidence of respiratory diseases in children. Recently, winter respiratory disease epidemic periods have overlapped in many places across the country, and the demand for children’s medical and health services has increased significantly. There are also some confusions and misunderstandings when parents take their children to seek medical treatment.
Which symptoms of children can be observed at home, and which situations require prompt medical treatment? Does infusion necessarily heal quickly? Is a chest X-ray necessary? Which groups need to get the flu vaccine? Recently, China News Network spoke with Lu Fang, an attending physician in the Department of Critical Care Medicine at the Children’s Hospital of the Capital Institute of Pediatrics, and gave a professional interpretation.
Under what circumstances does a child need medical treatment?
Regarding how to judge whether a child needs medical treatment, Lu Fang said that the first thing to look at is the child’s mental state. “If the child is in good spirits, there is generally no big problem.” In addition, during the recent peak of respiratory infections, some children had high fevers that did not go away easily. If the children have high fevers that do not go away, especially if the fever does not go away within three days, they should see a doctor in time.
“Healthy China” has issued a reminder that children should seek medical treatment promptly if they have a body temperature >38.5°C for more than 3 days, severe coughing, shortness of breath, blue lips, lethargy, severe vomiting and diarrhea, or cold skin on hands, feet, etc.
Lu Fang said that about 1/3 of the children she receives in the outpatient and emergency departments do not need to come to the tertiary grade A children’s specialty hospital for treatment.
Fu Wei, director of the Department of Primary Care of the National Health Commission, introduced at a press conference on December 24 that the National Health Commission has strengthened the construction of grassroots pediatrics and enriched the team of pediatricians, requiring general hospital pediatrics within its jurisdiction to connect with grassroots institutions and carry out grassroots Through daily monitoring of the diagnosis and treatment of respiratory diseases, localities can effectively play the role of sentinel points at the grassroots level and guide rational medical treatment. According to monitoring, from November 26 to the present, the daily respiratory disease diagnosis and treatment volume at the grassroots level accounts for about 40% of the respiratory disease diagnosis and treatment volume in medical institutions across the country.
Under what circumstances does a child need infusion?
“Some parents have misunderstandings and believe that their children must be given infusions if they have pneumonia. In fact, this is not the case, and infusions for viral pneumonia are not effective.” During the consultation, some parents will ask for infusions, thinking that this is more effective. Whenever this happens, Lu Fang will patiently explain to parents under what circumstances no infusion is needed.
Lu Fang said that clear mycoplasma pneumonia and severe bacterial infections require infusion, while many viral infections do not require infusion. In addition, some viral infections do not yet have symptomatic antiviral drugs, and they need to wait for self-healing.
Is it necessary for children to take chest X-rays?
Lu Fang said that during the consultation process, some parents also encountered situations where they thought their children had a long cough and asked for a chest X-ray. In fact, during the consultation process, doctors will be more cautious when prescribing such examinations for children, because chest X-rays will cause certain radiation.
Lu Fang said that if there is no suspicion that the child has pneumonia, chest X-rays will generally not be taken. Only when there is a high degree of suspicion will they be taken. “For example, if a child has a fever for one or two days and doesn’t cough much, usually no X-ray is needed in this case; if a child has a fever for more than five days or has a particularly severe cough and hears a “?” sound in the lungs, this Under such circumstances, a chest X-ray will be recommended.”
“During the consultation process, I will also observe the child’s cough in my clinic. If the child coughs frequently in the clinic, it is usually serious, and I will take X-rays for him.” Lu Fang said.
Will there be antibodies after infection with recently popular respiratory diseases?
The “interweaving” of various respiratory pathogens is one of the characteristics of this round of infection. Mi Feng, deputy director of the Publicity Department of the National Health Commission, recently introduced at a press conference that analysis believes that the recent continuous increase in acute respiratory diseases in my country is related to the superposition of multiple respiratory pathogens.
Lu Fang said that among the children she has recently received, there are also repeated infections and mixed infections.
“There are different types of viruses, and the viruses are divided into many serotypes. If you get one subtype of the virus, you may also get other subtypes. Just like the flu, some children just get influenza A, and then get B again after a while. There are cases where people get influenza A again after getting influenza A, which may be different serotypes.” Lu Fang said.
Which groups need to get the flu vaccine?
Lu Fang suggested that infants and young children under 5 years old, elderly people over 65 years old, and patients with underlying diseases and other high-risk groups for severe influenza should be vaccinated against influenza. In addition, kindergarten teachers and other people who have more contact with children should also be vaccinated.
As a medical staff, Lu Fang gets flu vaccine every year. She said that getting the flu vaccine can effectively prevent the development of severe illness after being infected with the flu.
Is it still too late to get a flu shot? Wang Dayan, director of the National Influenza Center, pointed out at a press conference of the National Health Commission on December 2 that the influenza vaccine is still effective for people who have not received the influenza vaccine before. People over 6 months old can be vaccinated, and it is recommended to get vaccinated as early as possible.