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China - Ningbo: "The number of pediatric patients has been running at a high level...Mycoplasma pneumoniae, influenza A virus, respiratory syncytial virus, etc.", Zhejiang province - November 7, 2023

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  • China - Ningbo: "The number of pediatric patients has been running at a high level...Mycoplasma pneumoniae, influenza A virus, respiratory syncytial virus, etc.", Zhejiang province - November 7, 2023

    Tuesday, November 07, 2023​

    Mycoplasma pneumonia is coming fiercely
    Ningbo Women's and Children's Hospital has taken multiple measures to alleviate the difficulty of medical treatment and hospitalization for children.

    Since March this year, the number of pediatric outpatient and emergency visits in many hospitals across the country has continued to increase. The situation in Ningbo is the same. The number of pediatric patients has been running at a high level. The most common disease is acute respiratory infection. The main pathogens monitored are Mycoplasma pneumoniae, influenza A virus, respiratory syncytial virus, etc. Especially since June, there has been a significant increase in children with widespread pneumonia after Mycoplasma pneumoniae infection, and the demand for pediatric hospitalization has also increased significantly.
    According to data from the Municipal Women's and Children's Hospital, the average number of pediatric emergency department visits in the hospital's two campuses combined is around 2,000 per day, and this has been going on for several months.
    According to Zheng Jishan, deputy director of the hospital, in order to cope with the continued increase in outpatient, emergency and hospitalized children, the hospital has established a rapid emergency response mechanism. By optimizing number sources, strengthening outpatient and emergency services, opening new wards, adding beds and other measures to ensure that patients Children's medical treatment was smooth and orderly, and severely ill children under observation were treated in a timely manner.
    Take multiple measures to alleviate the difficulty of seeing a doctor and being hospitalized for children
    According to Zheng Jishan, as early as when the flu peak began in March this year, they predicted that this wave of pediatric respiratory diseases might be more severe. Sure enough, Mycoplasma pneumoniae infections came one after another. The hospital party committee attached great importance to it, convened the pediatric and functional departments to provide suggestions, and launched a series of measures to alleviate the difficulty of children's medical treatment and hospitalization to the greatest extent through reasonable overall arrangements.
    The hospital increases the total number of call sources for outpatient doctors when they visit. In addition to the appointment number for that day, each outpatient doctor has an on-site number of more than 5 people. At the same time, the proportion of specialist call sources is adjusted to increase the number of general pediatric internal medicine call sources; taking into account All outpatient clinics now implement an appointment system. The hospital arranges two doctors in the morning and one doctor in the afternoon every day. Numbers are assigned on-site to patients who come to the hospital without making an appointment. At present, more than 100 call sources are released on-site every day, which effectively reduces the pressure on emergency departments.
    While increasing the number of calls, the hospital also added emergency doctors on weekends and at night. The number of night emergency doctors in the southern campus has increased from 6 to 8, and the number of night emergency doctors in the northern campus has also increased from 3 to 4. At the same time, nighttime pediatric specialist outpatient clinics were also added, and the hospital's retired experts, clinical directors, and administrative staff with pediatrician qualifications also actively participated. Nursing, outpatient offices, property security and volunteers have also increased their staff on duty to ensure the smooth operation of the nighttime emergency department.
    Starting from June, there has been a significant increase in children with widespread pneumonia after Mycoplasma pneumoniae infection, and the demand for pediatric hospitalization has increased accordingly. So far, a total of 170 pediatric internal medicine beds have been added in the north and south campuses of the hospital by opening new wards, borrowing beds in the surgical department, and opening additional beds in comprehensive wards in the emergency area. While the number of beds is increasing, bed turnover will also be accelerated.
    For some severely ill children who cannot be admitted to the hospital immediately, the hospital keeps them under observation and arranges senior doctors with rich clinical experience to be responsible for the treatment to ensure the safety of severely ill children under observation. Patients who need hospitalization and specialist inpatients make an appointment at the admission preparation center and queue up to wait for an inpatient bed. Critically ill children are given priority every day, and other patients are uniformly arranged for admission by the admission and admission preparation center in order.
    The outpatient doctor dared not drink water all morning
    The substantial increase in outpatient, emergency and inpatient patients has put great pressure on hospital medical staff, especially pediatric medical staff, and working overtime has become their normal work routine for several months.
    As the director of the pediatric respiratory department that treats severe respiratory diseases, Yu Yubo has been in the hospital almost every day in recent months. She told reporters with a haggard look that in nearly 40 years of work, she has never encountered such a severe Mycoplasma pneumoniae infection. Mycoplasma pneumoniae was also prevalent in the past, but the scale was relatively small, with a cycle of 3 to 7 years. In the south, it was generally prevalent during the alternation of summer and autumn, while in the north it appeared in autumn and winter.
    Yu Yubo said that this year's Mycoplasma pneumoniae epidemic has several obvious characteristics: it starts early, usually at the turn of summer and autumn, but this year it appears much earlier, with Mycoplasma pneumoniae infection appearing in April; it lasts long, starting from April It has appeared in recent months and is still at a high level. How long it will last is still unknown. Especially after June, severe cases have increased significantly than before. It is normal for every doctor to go to work early and keep working. When they are so busy, they don't even think about drinking water, eating on time, and not getting off work on time.
    Ensure children receive timely treatment
    Gan Dongmei, director of the Department of Pediatric Emergency Medicine, has had a hoarse voice for several days. Since the peak of influenza began in March, her place has become the first point of contact to deal with the peak number of children: emergency infusion, critical illness observation, hospitalization arrangements... every link is overcrowded.
    According to reports, their emergency department volume has risen rapidly since April and continues to remain at its peak. So far, the daily emergency department volume in the two hospital districts combined has remained at a high of 2,000 people.
    Gan Dongmei said that since June, the number of severely ill children under observation has also begun to increase. At that time, they purchased folding beds and placed them in corridors and aisles for children under observation. Although inpatient beds are tight and there are many patients, every critically ill child can receive timely treatment.
    According to reports, pediatric medical treatment is different from that of adults. The time is concentrated from 9 a.m. to noon, and from 7 p.m. to around 11 p.m. Due to this characteristic of medical treatment, it has become normal for doctors to work late and often miss lunch. The hospital's Department of Pediatrics makes dynamic adjustments based on the flow of children, and dispatches additional doctors during peak periods to shorten the waiting time for children as much as possible.
    Don't panic and don't be careless

    more... http://daily.cnnb.com.cn/nbwb/html/2...nt_1379732.htm
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