How to deal with the high incidence season of respiratory diseases caused by multiple pathogens? – Quanzhou Net

How to deal with the high incidence season of respiratory diseases caused by multiple pathogens? Experts’ detailed explanation →

Entering the season of high incidence of respiratory infectious diseases, during this period, multiple pathogens such as influenza, adenovirus, and syncytial virus are prevalent. Recently, the number of respiratory infection admissions in many hospitals, especially children’s hospitals, has been at a high level. The Influenza Surveillance Weekly Report released by the Chinese Center for Disease Control and Prevention on the 23rd showed that last week, the positive rate of influenza virus detection in southern and northern provinces continued to increase, with type A H3N2 being the main type, followed by type B Victoria lineage. In fact, starting from mid-to-late October, the Chinese Center for Disease Control and Prevention’s weekly influenza surveillance report showed that the positive rate of influenza virus testing continued to increase. Yesterday, the Joint Prevention and Control Mechanism of the State Council issued a notice stating that since October this year, influenza and Mycoplasma pneumoniae infection activities have gradually increased in my country. It is expected that influenza will have a national epidemic peak in winter and spring, and Mycoplasma pneumoniae infection will continue in some areas in the future. The incidence is high. This winter and next spring, our country may face a superimposed epidemic situation of multiple respiratory diseases such as COVID-19, influenza, and Mycoplasma pneumoniae infection. How to deal with the peak season of respiratory diseases? Today’s attention service brings you expert detailed explanations.

Are respiratory diseases more severe this winter than in previous years?

Compared with previous years, are respiratory diseases more severe this winter than in previous years? In response, Tong Zhaohui, director of the Beijing Institute of Respiratory Diseases, responded.

Tong Zhaohui, director of the Beijing Institute of Respiratory Diseases: In fact, respiratory infectious diseases and infectious diseases have a high incidence every winter. Because of the stricter protective measures against the COVID-19 epidemic in the past three years, everyone feels that there have been fewer respiratory infectious diseases such as influenza and other mycoplasma infections in the past three years. The second point is that some people think that for example, there are more mycoplasma pneumonias today or something like that. In fact, Mycoplasma pneumoniae is a very common pathogen, both in adults and children. It is not only in winter, but also in other seasons. It will also come out. After so many years of monitoring in adults, the fluctuations are basically not big. Therefore, it should be said that as the season gets warmer and the temperature slowly rises, this respiratory disease infection will decrease.

Most of the current epidemic viruses invade the upper respiratory tract and are self-limiting

Tong Zhaohui, director of the Beijing Institute of Respiratory Diseases, also said that in Beijing, the current number one respiratory infection is influenza virus, followed by respiratory syncytial virus, adenovirus, rhinovirus, and Mycoplasma pneumoniae, most of which invade Upper respiratory tract, and most are self-limiting. Self-limiting means that after the disease develops to a certain extent, it can rely on its own immunity to control the development of the disease and gradually recover.

Tong Zhaohui, Director of the Beijing Institute of Respiratory Diseases: For example, some premature infants and some elderly people with underlying diseases are often infected with respiratory syncytial virus in the lower respiratory tract, with tracheitis, bronchiolitis, and pneumonia. However, these older children, including healthy adults, are often infected with respiratory syncytial virus in the upper respiratory tract, which means they have fever and cough, so they do not pose any threat to adults. Adenovirus is also more common in children, but less common in adults, and most of it is also manifested in the upper respiratory tract. The common colds most commonly mentioned by ordinary people are caused by coronaviruses and rhinoviruses, so whether it is syncytial virus, adenovirus, or rhinovirus, most of them are in the upper respiratory tract, and most of these viruses are Self-limiting.

Children with fever and cough without signs of worsening do not need to go to the hospital repeatedly

When a child gets a respiratory disease, the main symptoms are fever and cough, which is what worries and worries parents. Experts say that fever and cough are almost inevitable after respiratory infection. As long as there are no signs of worsening of the condition during the process, there is no need to go to the hospital repeatedly.

Wang Quan, chief physician at Beijing Children’s Hospital of the National Children’s Medical Center: The purpose of taking antipyretics is not to lower the body temperature to normal, but to increase the comfort of our children so that they can spend the fever period safely and comfortably. But we want to… Say you came to the hospital today and after taking the medicine, I want the child to have a normal body temperature and be fine. This is impossible because all diseases have a process. Especially for our respiratory virus infection, there must be a course of the disease, which usually requires a recovery period of 3-5 days. No matter what kind of medicine you take, you need to have such a normal course of the disease. Return.

Experts say that coughing is a protective reflex of the human body. If a child is uncomfortable in the throat or has secretions in the respiratory tract, coughing to expel them will be beneficial to alleviating the child’s condition.

Wang Quan, Chief Physician of Beijing Children’s Hospital of the National Children’s Medical Center: Especially for our little babies, their ability to cough is insufficient. If you suppress his cough, the secretions will not come out easily. , it will be more concentrated inside, which may aggravate his condition. So usually we do not recommend giving antitussive medicine to our children by ourselves, but it affects sleep and makes people really anxious, and it is difficult for parents to accept it. Then we can use some antitussive medicine under the guidance of a doctor, such as atomizer And some suitable cough and expectorant drugs for relief.

Experts: Do not advocate taking medicine in advance to prevent diseases

Many patients with respiratory diseases are the elderly and children. Is there a more suitable TCM treatment method for the “one old and one young” group? What should we pay attention to in daily life? Come and listen to the experts’ introduction.

Liu Qingquan, President of the Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University: When the elderly come to winter, respiratory infections suddenly worsen their chronic diseases. This may be a major blow to the elderly, so respiratory infections peak in the winter for the elderly. , avoiding respiratory tract infections is key. For example, infections such as syncytial virus and adenovirus are called exogenous diseases in traditional Chinese medicine. Therefore, when we use Chinese patent medicines to treat colds caused by exogenous diseases, we should use some drugs in the early stage to quickly relieve the external infection. Don’t let them take over. Chronic diseases are activated.

Experts suggest that during the season of high respiratory tract infections, the elderly, infants and patients with underlying diseases should take personal protection, maintain adequate sleep, maintain a light and nutritious diet, and enhance their ability to resist diseases. Preventing disease by taking medication in advance is not recommended.

Liu Qingquan, President of the Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University: Don’t rely on us to take a lot of medicines to prevent diseases, because if we take too many medicines, adverse reactions will occur. Therefore, we can wear masks, wash hands well, and maintain good living habits, which is the best prevention.

Expert: Flu vaccination is an effective way to prevent influenza

Getting the flu vaccine is an effective way to prevent the flu and can significantly reduce the risk of getting the flu and developing serious complications. Experts recommend that people 6 months and older who have no contraindications to vaccination should receive the influenza vaccine before the peak influenza season every year.

Wang Quan, chief physician at Beijing Children’s Hospital of the National Children’s Medical Center: Our current vaccination rate for these respiratory diseases is not high, so active immunization is actually very critical for us to prevent diseases. And this disease prevention process is not just for my children who go to school or kindergarten, but also for our adults, but also for the working population of our schools, including the staff of our hospitals. Generally speaking, children under 6 months old cannot be vaccinated against influenza, so we have always called on you to actively vaccinate when you live with children under 6 months old, so that we can indirectly to protect our children. (CCTV News Client CCTV reporter Long Xiaoqin Hao Liang)

Editor:blue sea wave