Fever, cough, sore throat… With the arrival of the season of high incidence of respiratory infections in autumn and winter, many people report that they or their children have symptoms of respiratory infections. According to reports, the number of outpatient and emergency visits in hospitals in many places has increased to varying degrees. Some patients said they had to wait in the hospital emergency room for five or six hours. Most of the patients are children, but there are also many adults, especially the elderly. In addition to the well-known mycoplasma pneumonia infections, influenza, and new coronavirus infections, it also includes bacterial infections, norovirus infections, etc.
Previously, although some hospitals had seen patients with respiratory tract infections gathering together for medical treatment, the pathogens were usually relatively simple. For example, during periods of frequent influenza outbreaks, Mycoplasma pneumoniae rarely “joined in the fun”; when Mycoplasma pneumoniae was more active, influenza viruses also relatively subsided. This time is different. Multiple pathogens appear intertwined and the symptoms are very similar. It is difficult for residents to judge, and diagnosis and treatment have become complicated and difficult. For this reason, some experts have warned that we need to be alert to mixed infections of Mycoplasma pneumoniae and other pathogens that cause respiratory infections, such as adenovirus and Streptococcus pneumoniae.
Although mixed infections with multiple pathogens make the situation more complicated, the valuable experience gained in fighting the new coronavirus can currently be fully utilized. Respiratory tract infections have common transmission characteristics and similar prevention methods. Wearing masks, washing hands frequently, maintaining social distance, and not gathering in groups are all very effective personal protection measures. If they can be widely used, the chance of infection will be significantly reduced. .
Mixed infection with multiple pathogens can be regarded as a comprehensive examination question covering a wide range of areas, and prevention and diagnosis and treatment measures must be more diverse and comprehensive. General hospitals and specialized hospitals for children and infectious diseases should try to expand relevant diagnosis and treatment capabilities, especially outpatient support capabilities. The city’s response and comprehensive protection for these diseases should also be improved. When physical medical institutions are unable to cope, Internet diagnosis and treatment, grassroots family doctor teams, etc. should quickly fill the gap.
In addition, for comprehensive infections, we should pay attention to both subtraction and emphasis. For example, through widespread vaccination against influenza, influenza can be controlled and comprehensive infections will become simpler. Although the phenomenon of comprehensive infections is currently occurring in many places, in one place, one pathogen will still dominate the infection, and the prevention, diagnosis and treatment of this pathogen should be targeted to increase.
The key knowledge points of this comprehensive examination question should be kept in mind. The hospital is a place where many pathogens are concentrated. Even if residents are infected with one pathogen, they must avoid cross-infection with other pathogens in the hospital. Therefore, those who can be diagnosed and treated at the grassroots level should try not to go to the hospital. Children are more susceptible, so special attention should be paid to this .
It is the habit of many people to take prophylactic medication before infection and self-medication after infection. However, azithromycin, which is used to treat Mycoplasma pneumoniae infection, must not be abused on its own. This antibiotic is prone to develop resistance, and there are very few types of antibiotics available for children. Once children infected with Mycoplasma pneumonia become resistant to azithromycin, there may be no available treatment.
Respiratory diseases such as Mycoplasma pneumoniae infection and influenza have their own development patterns. During the COVID-19 epidemic, a variety of effective measures not only effectively prevented the new coronavirus, but also caused these respiratory infectious diseases to show low prevalence or silence, resulting in poor herd immunity and vulnerability to infection. The current situation is a compensatory increase in such diseases. Not only will the aftermath not last long, but the herd immunity of multiple pathogens is expected to increase together in the future. Residents should see this trend clearly to enhance their confidence and make response measures more scientific and orderly.