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China - Full pediatric infusion rooms, severe pneumonia cases increasing, fevers, seasonal flu, COVID-19 - November 2, 2023

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  • China - Full pediatric infusion rooms, severe pneumonia cases increasing, fevers, seasonal flu, COVID-19 - November 2, 2023

    The fever is 40℃ and the infusion room is full! The number of severe pneumonia cases is increasing rapidly. Doctor: This round is more severe.
    beiqing.com2023-11-02 18:56

    On October 31, a video was released on multiple social platforms. A parent said to the doctor: "If you can see it, just see it. If you can't see it, don't make 1,000 calls! There is a child with a fever of 40°C, and no one comes out to deal with it."

    The woman on the side also said: "The child had a fever and was very uncomfortable. He lay down at the door to enjoy the cool breeze and waited for a full 7 hours."

    Chao News reporters learned from relevant sources that since March this year, the number of pediatric outpatient and emergency visits in many hospitals across the country has continued to be high. "In the past, autumn and winter were the peak visits, and March this year has been the peak." Mycoplasma this year The peak number of medical consultations caused by pneumonia, influenza, new coronavirus, etc. has increased by nearly 30% compared with the peak number of medical consultations in previous years.

    According to Qian Dongmei, deputy director of the Pediatric Emergency Department of Ningbo Women and Children's Hospital, in mid-October, mycoplasma pneumonia has been going on for some time and has been increasing since June. Recently, the number of outpatient visits has increased 2-3 times than usual. Not long ago, Ningbo Hospital of Traditional Chinese Medicine infected pulmonary disease. The department admitted a 32-year-old patient with mycoplasma pneumonia. While he was hospitalized, his children at home were also hospitalized. Three people in the family were infected one after another.
    The following is a Chao News reporter’s visit to Hangzhou Hospital
    What I learned
    There are queues at the infusion department, and all 56 beds are full.
    At about 10 o'clock in the morning, the reporter came to the Hubin Campus of the Children's Hospital Affiliated to Zhejiang University School of Medicine.
    In the waiting hall of the fever clinic, there are many children and parents waiting for treatment. It can be seen on the call screen that there are 6 clinics open, and the registration machine shows that all the morning treatment numbers have been taken, and there are 91 afternoon treatment numbers left.

    Outside the clinic on the second floor, Mr. Sun, who had made an appointment the night before, was waiting in line with his children. Mr. Sun said that there was an activity in the kindergarten the day before yesterday. In the evening, he was told by the teacher that a student was infected with hand, foot and mouth disease. That night, his son also had a fever. "The highest temperature was close to 39°C. I had taken Motrin yesterday. Although the temperature dropped a little, I was afraid of him." I was also infected and registered overnight.”
    Mr. Sun specially asked for a morning off and checked in for the 111th medical appointment from 10:00 to 10:30. Just as he was talking, the prompter at the door of the clinic called number 111, and Mr. Sun hurried into the clinic with his son.

    At the pre-examination desk in the waiting hall, two nurses were busy asking about the children's condition and taking their temperatures.
    One of the nurses told reporters that the fever clinic starts calling at 7 a.m. every day and does not take a break at noon. The afternoon calls usually start at 12:30. "Numbers will be allocated according to the number of doctors seeing each day. Sometimes there are seven to eight hundred numbers a day, and sometimes there are three to four hundred."

    Outside the hall, Ms. Yang is waiting for the test results of her son Xiaochen.
    Xiaochen's fever lasted for three days, with the highest temperature reaching nearly 40 degrees Celsius. The anxious Ms. Yang got up at about 5 o'clock this morning to register and took Xiaochen from her home in Xiaoshan. While waiting for the doctor, she opened a routine blood test form on the self-service machine in advance.
    "Xiaochen had already been to the Children's Hospital a month ago because of the flu. I am quite experienced." Ms. Yang explained that routine blood tests can be applied for through the self-service machine. Use the queuing time to do the routine blood tests before seeing the doctor. It not only saves time, but also facilitates doctor's consultation.
    "This period is the period of high incidence of influenza and mycoplasma pneumonia. Children have low immunity, so it is normal for the hospital to be crowded." Ms. Yang said that because you have to wait in line for a while and see your children suffering, parents are inevitably anxious. "But doctors are responsible for every sick child, and we all understand that."

    There was a queue at the infusion section of the infusion room on the third floor, and the 56 beds were filled with children undergoing infusion and their accompanying parents.
    3-year-old Xing Xing had a high fever caused by otitis media and had just received medicine. Star mothers came to the hospital with their children early in the morning. After describing the symptoms, the nurse at the triage desk suggested going to the internal medicine department. "It was after 8 o'clock, and there were not many people in the internal medicine department. We were the third to see the doctor. After the doctor made the diagnosis, Let us come to the infusion room to get fluids, it’s pretty quick.”
    A check-in process is set up in the waiting area
    At noon, at the fever clinic at the Binjiang Campus of the Children's Hospital of Zhejiang University School of Medicine, the waiting area was filled with children and parents.
    It can be seen from the display on the wall that the afternoon number 173 has been called. While waiting in line for treatment, in addition to sleeping, many children were reading books and building blocks.

    On-site medical treatment. Photo by Chao News reporter Wang Hao
    "We have opened 12 clinics today. All patients must register first and then sign in. We call the number according to the order in which they sign in." The nurse at the triage desk said that due to the large number of people, a sign-in process was set up in the waiting area to facilitate the queuing of numbers. Children and parents who are close to the patient and present at the scene can see the doctor in sequence.
    At 2 o'clock in the afternoon, the nurse at the triage desk loudly reminded, "There are already more than 100 children queuing up. If children after No. 260 have fever symptoms, they can order a routine blood test on the self-service machine first, and wait until the number is reached. It is convenient for doctors to diagnose.”

    On-site medical treatment. Photo by Chao News reporter Wang Hao
    Outside the clinic, Ms. Zhao lined up anxiously with her 19-month-old daughter and two suitcases.
    "The child had a fever last night and had symptoms of convulsions." Mother Zhao and her child's grandfather came from out of town early in the morning. They got off the high-speed rail at noon and went straight to the hospital to catch the afternoon train.
    "She has been in this situation before, so I prepared some necessities in advance so that she wouldn't be in a hurry if she was hospitalized."
    After hearing the advice of the nurse at the triage desk, Zhao's mother stayed where she was to take care of her child, while her grandfather went to the self-service machine to write a routine blood test. "Although there are many people here, it feels quite orderly overall. The child's condition is relatively stable now, so I feel more at ease." Mother Zhao held her daughter in her arms and patted her gently.

    On-site medical treatment. Photo by Chao News reporter Wang Hao
    In the infusion room, Ms. Chen's daughter had just been hooked up to an intravenous drip and was gradually falling asleep in her mother's arms.
    Looking at the indwelling needle in her daughter's hand and the tears on her face, Ms. Chen felt heartbroken. "She started to have a fever last night. My grandma and I took her to the fever clinic at 10 o'clock today. We waited until 11 o'clock to see a doctor. At 1:30 p.m., she got an injection. The whole medical treatment process went smoothly."
    At 2 o'clock in the afternoon, the infusion room of the fever clinic was full of children. The nurses also reminded that if it is too late for infusion in the fever clinic, you can go to the general outpatient clinic with the diagnosis and treatment form for infusion. "There are doctors and nurses there 24 hours a day."
    In addition, on the Internet registration platform of the Children's Hospital of Zhejiang University School of Medicine, the appointment registration instructions also remind that the treatment of fever patients is not limited to the fever clinic, and children with fever can be admitted in all clinic areas of the clinic.
    The number of children with mycoplasma pneumonia is still increasing.
    The flu is coming fiercely and there are mixed infections!

    The doctor teaches you how to deal with it
    During these days, mycoplasma pneumonia has frequently been a hot topic. Compared with the same period last year, the number of pediatric outpatient clinics in Hangzhou First People's Hospital has more than doubled, with the highest number of daily outpatient visits reaching more than 1,900, of which three or four are the cause of mycoplasma pneumonia. With the rapid increase in the number of children infected with Mycoplasma pneumoniae, the number of Mycoplasma pneumoniae pneumonia and severe pneumonia has also increased rapidly, and the pediatric ward has been in a queue full of beds. "We each have to see about 70 people in a class every day, and sometimes there are more than 100 people, and we don't even have time to drink." Zheng Xuyang, deputy chief physician of pediatrics at Hangzhou First People's Hospital, said. Mycoplasma pneumoniae infections are at their peak, and influenza is also quietly on the rise. The China Influenza Surveillance Weekly Report for the 41st week of 2023 released by the China National Influenza Center shows that the positive rate of influenza virus detection in some southern provinces continues to increase, with the A(H3N2) subtype being the dominant one. "This round of disease is quite fierce." According to Zheng Xuyang, there has been a significant increase in children infected with A and B influenza recently. For every 10 children examined, about 3 to 4 are positive for A and B influenza, which is significantly higher than before. This It does not rule out that some children are infected with both at the same time.


  • #2

    Many places have entered the season of high incidence of respiratory infectious diseases and are alert to the superimposed risks of influenza and mycoplasma pneumonia.
    shunwang2023-11-03 08:50

      Recently, patients with respiratory diseases have continued to increase among outpatient and emergency patients in hospitals in Beijing, Shanxi, Sichuan and other places. Experts remind that respiratory infectious diseases are highly prevalent in autumn and winter, and we need to be alert to the superimposed risks of influenza and mycoplasma pneumonia.
      At the internal medicine clinic of Beijing Children's Hospital, most of the people who come for treatment are children with fever and cough. Doctors said that in addition to mycoplasma pneumonia, which is still prevalent, influenza-like cases are also increasing.

      Xu Baoping, deputy director of the National Clinical Research Center for Respiratory Diseases and director of the Respiratory Department of Beijing Children's Hospital: What we have detected now include influenza virus, parainfluenza virus, adenovirus, respiratory syncytial virus, rhinovirus, metapneumovirus, etc. From the patients seen clinically, influenza-like cases are increasing, and the number of positive influenza tests is also increasing.
      At Taiyuan People's Hospital, the number of patients with respiratory diseases who came for treatment increased by 20% compared with usual.

      Li Xin, attending physician at the Department of Emergency Medicine, Taiyuan People's Hospital: Most of them are upper respiratory tract infections, but some older people may have lung infections. At this time, viral ones will account for a larger proportion.
      In the past two months, the outpatient and emergency departments of Chengdu Women and Children's Central Hospital have been operating at a high level, and children are mainly infected with Mycoplasma pneumoniae infection. The hospital has increased the shifts of medical staff and extended working hours to ensure that children receive timely treatment.

      Wang Li, deputy chief physician of the Department of Pediatric Respiratory Medicine at Chengdu Women and Children's Central Hospital: Mycoplasma pneumoniae infection is a self-limiting disease, and most cases are mild, so there is no need to be too anxious. However, infants and young children younger than three years old need to seek medical attention promptly if they develop symptoms such as cough and fever because their immune systems are not fully developed.
      Hospitals across the country expand service provision to facilitate patients’ medical treatment
      In order to cope with the peak of respiratory diseases in autumn and winter, medical and health institutions in various places have also launched extended outpatient clinics, night outpatient clinics and other convenience measures to make it easier for patients to seek medical treatment.
      In order to ensure medical needs, Beijing Children's Hospital of the National Children's Medical Center has set up day shift, small night shift and full night shift in the Department of Internal Medicine and Fever and Cough Clinic, allowing 24-hour unrestricted admission of children. After adjustments, the number of outpatient clinics has been increased to 54, and auxiliary departments such as the laboratory, imaging, and pharmacy departments have adjusted their shifts, opened more windows, and extended their working hours. At the same time, a new pneumonia sequential outpatient clinic was opened to promptly adjust the treatment plan for children with pneumonia in the outpatient clinic, effectively triage children, and reduce the risk of severe illness. Other departments in the internal medicine system have opened beds to treat children with pneumonia from the "Pneumonia Sequential Treatment Clinic" and are doing their best to provide treatment.

      The number of daytime pediatric internal medicine outpatient clinics at Chengdu Women and Children's Central Hospital increased from 21 to 28, and the number of nighttime outpatient clinics increased from 3 to 8. In order to standardize diagnosis and treatment practices, the hospital organized the preparation of "Expert Guidance on the Diagnosis and Treatment of Mycoplasma Pneumonia in Children" and provided it to grassroots pediatricians.

      Zibo Central Hospital in Shandong Province has launched an extended outpatient clinic, which implements free "re-examination" within 3 days. After one registration, patients can enjoy free follow-up consultation within three days to solve the problem that patients cannot get the test results on the same day and cannot complete the diagnosis and treatment. The problem.
      At Yiyang County Traditional Chinese Medicine Hospital in Shangrao City, Jiangxi Province, the number of pediatric outpatient consultations has been increasing since last week, and the hospital has dynamically increased the number of clinics and doctors.

      Cai Xinqiang, Director of Pediatrics at Yiyang County Hospital of Traditional Chinese Medicine, Shangrao City, Jiangxi Province: The outpatient and nighttime consultation hours have been significantly extended, and additional medical staff have been dispatched to assist in maintaining consultation order to meet the public's medical needs.

    ​source: z


    • #3

      This kind of pneumonia has been on the rise recently, and the number of pediatric outpatient clinics in a hospital in Hangzhou has doubled. How to deal with it scientifically?
      CCTV2023-11-01 16:17

      CCTV Hangzhou News on November 1 (Reporter Wang Chunran) Fever, cough, sore throat... With the arrival of the season of high incidence of respiratory infectious diseases in autumn and winter, recently, more patients with mycoplasma pneumonia infection have appeared in many hospitals across the country, mostly with Mainly children. According to early warning information recently issued by local centers for disease control and prevention, pediatric wards in hospitals in Beijing, Shanghai, Guangdong, Fujian and other places are operating at full capacity.
      How is the situation in Hangzhou? Zhou Qin, deputy chief physician of pediatrics at Zhejiang Provincial People's Hospital, said: "Since October, the number of pediatric outpatient clinics at Zhejiang Provincial People's Hospital has doubled compared to before, and has remained at a high level. Respiratory tract infections are the main problem, among which mycoplasma pneumonia infections account for a large proportion. .”

      Pediatric waiting area of ​​the Second Affiliated Hospital of Zhejiang University of Chinese Medicine (Zhejiang Xinhua Hospital) (Photo provided by Zhejiang Xinhua Hospital, China Central Broadcasting Network)
      This afternoon, in the pediatric waiting area of ​​the Second Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine (Zhejiang Xinhua Hospital), many children were waiting for treatment accompanied by their parents. "Compared with previous years, the number of children with high fever and cough in the hospital this year is significantly higher than the same period in previous years. More than 90% of the children admitted to the hospital have such symptoms. The disease is mainly seen in children and adolescents, but it is common among all age groups. It can occur, and clinically we have encountered many parents who have become ill because of taking care of their children." Zhang Fengshuang, deputy chief physician of pediatrics at the hospital, told reporters.
      Recently, the number of pediatric outpatient clinics in many hospitals in Hangzhou has increased to varying degrees. Most of the patients are children, but there are also many adults who have been "recruited". Faced with the large number of children seeking medical treatment, in order to further alleviate the peak number of medical visits and improve the quality of medical services, many hospitals in Hangzhou have taken countermeasures to optimize outpatient services.
      It is understood that Zhejiang Provincial People's Hospital has expanded the number of beds on the original basis and strengthened the number of pediatricians and nurses on duty to cope with the full capacity of the pediatric ward. The Second Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine (Zhejiang Xinhua Hospital) has opened a night clinic. At the same time, it also takes advantage of the characteristics and advantages of traditional Chinese medicine to launch a children's version of "Xinhua Zhengqi Ointment" to enhance children's righteousness and have a preventive effect.

      ​more..... z