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China - Recently the number of outpatient and emergency rooms in hospitals countrywide are increased: pneumonia & respiratory tract - adults, but mostly children - November 23, 2023

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  • China - Recently the number of outpatient and emergency rooms in hospitals countrywide are increased: pneumonia & respiratory tract - adults, but mostly children - November 23, 2023

    alert! Mycoplasma pneumoniae has not gone away yet, and mixed infection appears again

    Shanghai Hongkou

    2023-11-22 17:34
    Source: The Paper·The Paper·Government Affairs

    Recently, the number of outpatient and emergency services in many hospitals across the country has increased to varying degrees. Most of the patients are children. In addition to Mycoplasma pneumoniae infection, other diseases that cause respiratory tract infection symptoms are also on the rise.
    Lu Hongzhou, director of the National Clinical Research Center for Infectious Diseases and president of Shenzhen Third People's Hospital, said that after the National Day, the nucleic acid test results of respiratory pathogenic microorganisms for patients in his hospital showed that the highest positive rate of nucleic acid tests was Mycoplasma pneumoniae (34.33%). , followed by influenza A virus (12.17%) and influenza B virus (5.79%), respiratory adenovirus (2.76%), and respiratory syncytial virus (2.03%). He reminded that adenovirus and Streptococcus pneumoniae can be mixed with mycoplasma infection, and the younger the child, the greater the risk of mixed infection. If combined with mycoplasma infection, the child's symptoms will worsen, and parents should be more vigilant.
    In addition to Mycoplasma pneumoniae and the new coronavirus, what infectious diseases should we pay attention to in the near future? How to prevent it?
    flu virus
    There are certain similarities between Mycoplasma and A and B viruses, which leads to confusion among many people. Influenza A and B are caused by viruses, while mycoplasma is neither a bacterium nor a virus, but a type of microorganism. The medications for the two are completely different, so it is important to learn to distinguish them.
    Jiang Chunming, director of pediatrics at Hangzhou First People's Hospital, said that the symptoms of infection between the two are somewhat different. Among them, the main symptoms of influenza A and B are high fever, sore throat, nasal congestion, and fluid, as well as body aches, discomfort, and headaches; while Mycoplasma pneumoniae The infection is more cunning. Mycoplasma pneumonia does not necessarily cause fever symptoms. Some children may only have low fever or even no fever, and their blood routine and CRP are basically normal. It is easy to miss the diagnosis. However, Mycoplasma pneumoniae infection often causes severe coughing and even wheezing.
    How to prevent
    Influenza vaccination is the most economical and effective measure to prevent influenza and can significantly reduce the risk of influenza and serious complications in recipients.
    respiratory syncytial virus
    Respiratory syncytial virus is the most important viral pathogen causing acute lower respiratory tract infections in children under 5 years of age worldwide. Respiratory syncytial virus is an RNA virus, and the dominant virus strain mutates every year, making it easy to cause repeated infections. It is highly contagious and is mainly spread through coughing, droplets and close contact (such as touching and kissing an infected person). It can survive for several hours outside the body on contaminated tabletops, toys, etc.
    When most healthy children are infected with respiratory syncytial virus, mild and early symptoms of infection are similar to those of a common cold, with symptoms such as nasal congestion, coughing, sneezing, runny nose, and low fever. As the disease progresses, severe cases may develop difficulty breathing or shortness of breath, wheezing, irritability, loss of appetite, etc., and may even be complicated by respiratory failure, heart failure, etc.

    ​source: z