The National Health and Wellness Commission guides all localities to strengthen overall planning, implement the graded diagnosis and treatment system, give full play to the role of medical associations, strengthen technical guidance to primary medical and health institutions, and improve the diagnosis and treatment ability of general infections and the efficiency of severe identification and referral. At the same time, it guides all localities to publish the information of medical institutions that can provide pediatric diagnosis and treatment services in the region, so as to facilitate the nearest medical treatment. Experts pointed out that large hospitals are crowded with people and have a long waiting time, and the risk of cross-infection is high. It is suggested that children with mild symptoms should first go to primary medical and health institutions and pediatrics of general hospitals. After seeing a doctor in a children’s specialist hospital, they can also be referred to primary medical institutions for follow-up treatment or home treatment through medical associations.
According to the outpatient data of Beijing Children’s Hospital and Pediatric Research Institute, the epidemic intensity of mycoplasma pneumoniae has dropped to the fourth place among children’s respiratory infectious diseases, and the top three are influenza, adenovirus and respiratory syncytial virus.Zhao Chengsong, vice president of Beijing Children’s Hospital affiliated to Capital Medical UniversityIntroduction: "At present, influenza, respiratory syncytial virus, adenovirus and mycoplasma pneumoniae are the main infections, and A stream and B stream account for a relatively high proportion."
Do children need to go to the hospital immediately for fever and cough? Do respiratory infectious diseases need intravenous infusion treatment? Under what circumstances can I choose to see a doctor online in an Internet hospital?
Influenza or mycoplasma, how do parents judge?
Qin Qiang, Chief Physician, Department of Respiratory Medicine, Beijing Children’s HospitalIntroduction,Mycoplasma pneumoniaThe peak onset age is generally children over five years old or school age. Once infected, there will be obvious high fever, accompanied by irritating dry cough. Doctors often can’t hear the typical respiratory signs such as dry rales and wet rales. If such children have a fever for more than 5 days, the effect of early treatment is not good. When taking a chest X-ray, they will find a lung lesion.
The main popular ones at presentInfluenza virus infectionThe early symptom is sudden high fever, often accompanied by systemic symptoms. Some older children will complain of headache or muscle and joint pain, while younger children may not be able to express it, usually because their mental state is different from before. Little babies may be listless, not nursing well, or even moving less.
bacterial contaminationThere is nothing special at the beginning, but the body temperature will rise slowly. When the infection reaches a certain level, it is difficult to control the body temperature, and it is difficult for ordinary antipyretics to drop to normal. Bacterial infection is a wasting disease.
In addition, adenovirus, rhinovirus, parainfluenza virus and other viruses are also common pathogens in respiratory tract infections. There are no specific therapeutic drugs for these viral infections, and the main thing is to observe the changes of the disease and treat the symptoms. There are many types of adenovirus, among which only some types of infection may cause severe adenovirus pneumonia in children under two years old. The symptoms are persistent high fever, which is often not relieved after general treatment, accompanied by obvious changes in the respiratory system, such as breathing difficulty, obvious cough and wheezing, and even mental changes. Some older children may be positive for adenovirus. At this time, if there is no obvious lower respiratory tract infection, they can be treated at home.
The child has a fever with a cough. Must he go to the hospital at once?
Children with fever or fever with cough symptoms should be treated according to their age:
Parents are advised to take their children to see a doctor in time if they have obvious fever in younger babies, especially those within 3 months.
Older children and children above school age are advised to observe at home and use some symptomatic drugs if they have high fever with mild respiratory symptoms and no other systemic symptoms. If the child continues to have high fever for 3 to 5 days or accompanied by obvious respiratory symptoms, parents are advised to take the child to see a doctor in time.
The vast majority of children with respiratory tract infection have a good prognosis. Viral infection usually has a course of 3 to 5 days. During the treatment, parents don’t need to be overly anxious and don’t go to the doctor repeatedly in a short time, so as not to cause cross infection, which is not conducive to the recovery of children.
Does the child have a fever and need intravenous injection?
The course of viral infection is usually 3-5 days, and most of these diseases do not need intravenous infusion.
Zhao Chengsong, Vice President of Beijing Children’s HospitalParents must pay attention to the fact that not all children with respiratory infections need infusion. For example, the flu can be treated with drugs, and the drugs for treating the flu are very accessible. Parents can go to community hospitals, secondary hospitals and tertiary hospitals with pediatric qualifications near their homes without being too anxious. "
Pediatrician: Internet medical care is more convenient.
Zhao Chengsong, Vice President of Beijing Children’s HospitalInternet diagnosis and treatment is a good supplement to offline medical care, especially in the evening, office workers can use their time after work to accompany their children for online consultation, which can greatly improve the efficiency of medical treatment. Zhao Chengsong said, "For example, if a child can see improvement after taking medicine, he has already been examined and tested in a nearby hospital, and wants to continue to open some self-made medicines in children’s hospitals. These can be treated through Internet hospitals. It is not recommended that parents come to children’s hospitals and children’s research institutes when they have a fever. Respiratory pathogens are prone to cross-infection in a concentrated and closed environment. The more concentrated and closed the space, the easier it is to cross-infect. "
Zhao Chengsong, Vice President of Beijing Children’s HospitalIntroduction: "Parents who are usually busy at work can log in to the service number of Beijing Children’s Hospital or the APP of Beijing Children’s Hospital at night to see their children through the Internet. Parents are worried about their children’s new symptoms ‘ No idea ’ When the medicine is finished, or when it needs to be prescribed again, it can be solved on the Internet, especially when it is necessary to open a self-made preparation in a children’s hospital. The Internet is very convenient. "
At present, 150 secondary and tertiary medical institutions and 250 community health service centers in this city can provide pediatric diagnosis and treatment services. In addition, 242 hospitals in this city, including children’s hospitals, can provide Internet diagnosis and treatment services.
Source: Beijing Radio and Television Station, National Health and Wellness Commission
Editor: Xu Zifeng