China - Beijing pediatric hospitals crowded with flu patients

[sharon sanders]

machine translation

A three popular winter flu virus
At 13:00 on November 30, 2014 Legal Evening News 0

A three popular winter flu virus
　　Morning, in the child Institute outpatient hall packed with children and their families camera / Legal Evening News reporter Yangyi

　　Legal Evening News (Reporter Wang Shuo) "Today we outpatient end of time is 1:40." ...... "Legal Evening News" reporter learned that children up to the Institute on outpatients nearly 8,000 people, is close to Children's Hospital outpatient weekend million.

At the same time, within the past two weeks, pediatric hospitals have become the hardest hit. Many children have caught a cold plus fever.

　　For this year's hot clinic, Capital Institute of Pediatrics, said Chen Yuzhi respiratory disease experts, currently in clinical common multi-kindergarten or elementary collective disease, through professional Virology measured primarily infected with a stream III.

　　In this regard, the Beijing Municipal Center for Disease Control, director of infectious diseases endemic to control all intended to explain the king, from the current situation, A three viruses occupy a certain "advantage", this winter will be its main part of the seasonal flu.

　　Institute outpatient children live super summer vacation

　　"We have registered the hospital in the morning 6:00 start, before the 8:00 basically good number of parents who are **** up, but now the team are routed outside the building." 8:00 am, and children's outpatient lobby Institute Vaccine Immunol told reporters.

　　Reporters learned that recently, the Institute on outpatients children have significantly increased, including outpatient November 25 has reached 7890 people, more than the amount of visits during the peak period of summer vacation.

Meanwhile, Beijing Children's Hospital outpatient also an increase in outpatient weekend are close to ten thousand people. Many parents complain that the class as long as there is a child with a fever, along with the other children are also sick.

　　In addition to the two children's hospital, General Hospital pediatric emergency door but also as "war" the same. 13:20, Air Force General Hospital pediatric emergency room hallway crowded with people who see a doctor. Reporters saw, waiting for treatment of medical records put out a whole table. Zhang Hong, director of the recent upper respiratory tract infections due to children particularly, most of the time only one morning more than 120, "in addition to general duty of all to the emergency aid."

　　Analysis of the virus this winter A three schools collectively onset love prevail

　　"At present, more common in clinical kindergarten or elementary collective disease, through professional Virology measured primarily infected with a stream III." For this year's hot clinic, Professor Chen Yuzhi Road.

　　In this regard, all intended to director Wang explained, from the current situation, A three viruses occupy a certain "advantage", this winter will be its main part of the seasonal flu. "A stream is divided into an A and A three two subtypes, A third is commonly referred to as H3N2."

　　"Every year in October to April is the influenza epidemic season, after the New Year December to January is the peak period, so soon into the current." Wang whole meaning that, in fact, every time this time, hospital pediatric full reasons besides flu, there may be a cause of respiratory tract infections, such as adenovirus, "after cold symptoms is probably the performance of adult infection, not heat, but the child will be a high fever, and flu almost."

　　Wang stressed that the full meaning, schools and emergency department visits centralized heat rose, are characterized by the onset of the flu. Due to the high density living children, school easier for more people infected each other. And after some heavy infection symptoms are characterized by three influenza A disease.

　　Clear up doubts

　　A three after infection

　　Symptoms will be more severe it?

　　All Italian director, said the king, is not particularly obvious, but the symptoms are caused by different subtypes of influenza virus have slightly different severity.

　　Due to personal circumstances are not immune, as young children after infection, are more prone to flu-like symptoms, a temperature over 38 ℃, aching muscles. The reaction of the elderly would not be so strong, the temperature will not be a lot of older people is high after infection, the body's reaction is not child-sensitive, but are due to influenza viruses that cause respiratory tract.

　　All Italian director Wang explained that influenza vaccination is recognized worldwide as an effective means of prevention. "Unlike the influenza vaccine measles vaccine, targeted particularly strong, since the total variation of influenza virus, it is not vaccinated, will increase the risk of infection, even after repeated re-infection will get."

　　Professor Chen Yuzhi reminder, even now coming flu, do not go to the hospital with children and old, such as a fever, can be at home on their own physical cooling, drink plenty of water or drink some ginger water, must remember not just run to the hospital. "In the time of the onset of flu may be appropriate to use oseltamivir or Tamiflu. In addition, if there are no symptoms of the flu, but can also take these two drugs as a precaution.'d Like to remind parents to be vigilant to avoid the pandemic."

　　In addition, experts recommend that children or to enhance outdoor activities.

　　(Original title: A three popular winter influenza virus)

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[sharon sanders]

Re: China - Pediatric ward overcrowded due to respiratory illnesses - Wuxi, Jiangsu province

Re: China - Pediatric ward overcrowded due to respiratory illnesses - Wuxi, Jiangsu province

machine translation

Flu surge in Beijing Children's Hospital outpatient bursting

2014-12-01 03:35:12 Source: Beijing Youth Daily
Original title: the surge in flu patients at Children's Hospital outpatient bursting
　　Beijing Youth Daily reporter learned yesterday from the Beijing Children's Hospital, nearly two weeks due to temperature changes in the magnitude of increase, at the same time usher in the annual flu high incidence of Beijing Children's Hospital outpatient close on weekends million. Meanwhile, the Japanese capital outpatient child Institute also has nearly 8,000 people, the hospital can be seen everywhere in the move because of a fever and a child.

　　Relevant sections of the experts said that this year's outpatient analysis found that the vast majority of patients with clinical manifestations of colds and fever, but mostly kindergarten or elementary collective disease. According to the CDC laboratory to detect the virus, the vast majority of patients infected with influenza A H3N2 mainly influenza virus, "belongs to the seasonal flu."

　　On site

　　Pediatric outpatient doctor bursting lianzhouzhuan

　　Beiqing Bao reporters yesterday came to Children's Hospital outpatient building, you could see children come for treatment. Not only in the individual physician's office, even the corridor and corridors are full of patients and their families, the reporter downstairs needs to pass sideways. Children's Hospital officials said that since entering the winter, the situation is full of Children's Hospital Outpatient been very obvious, compared with last year's figures have some growth. Last week, not only the usual daily outpatient already broken million, and even the weekend has nearly outpatients.

　　Because patient treatment time is relatively concentrated, Children's Hospital for some really special day to hang less than number, the situation is more serious in children plus, "the doctor-patient almost always lianzhouzhuan, sometimes eat are trotting to go. As the patient had many doctors these days at the earliest in order to work at 78 o'clock. "

　　In the pediatric emergency room of the General Hospital of the Air Force, the situation with children come to see the doctor She has been a sea of ​​people in front of anxious silly. Infusion in the emergency room, 27 fixed infusion chairs already full. To meet the treatment needs of children for treatment, the hospital has an additional temporary infusion of four chairs, the infusion room packed full to the brim. Zhang Hong, director of Pediatrics introduction:. "Recently, due to upper respiratory tract infection to the hospital's children particularly, especially on weekends, one morning from respiratory infections to hospital of children to more than more than 120 general officers in addition to the duty of all to the emergency Room to help. "

　　Analysis

　　A whole class of people caught colds this winter collective disease into the "Features"

　　Surge in pediatric patients for outpatient, Beiqing Bao reporter interviewed experts CDC. Experts said that currently more common in clinical practice is a kindergarten or elementary collective disease, through professional Virology measured primarily infected with influenza A H3N2 influenza.

　　
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Re: China - Beijing pediatric hospitals crowded with flu patients

Translation Google

2014 Thursday, December 04

Cold wave struck the increase in children

Children's Hospital outpatient refresh highest single-day record

(Reporter Fang Fang) cool wind in recent days, so many weak resistance of children trick children, to the hospital in children increased significantly, Beijing Children's Hospital Emergency Department volume hit a day more than 13,000 people in a single day highest on record, the first child of the outpatients also close to 8,000 people, an increase of two percent over last year.

This week, Beijing ushered in the first post-cold winter, the highest temperature yesterday again about 0 ℃, many children with fever, cough, vomiting and diarrhea and intestinal infections and other respiratory symptoms.

"Because it was cold and wanted to go out early child to the hospital will be parked underground garage, directly into the child has a fever outpatient building less exposure to cold on the outside, the car did not expect so much!" Mr. Wang is not the first time the kids to the Beijing Children's Hospital doctor, in the past he is about 6:00 in the morning from home, half an hour later to the hospital, one row in the parking lot 10 minutes to stop the car, just 7:00 to register. Yesterday, he arrived at the hospital or the old time, was surprised to find that line up into the parking lot of the car has been all the way north from East Gate Hospital, and turning west, came through the north gate of the hospital, the less the front row of dozens of vehicles, until 8:00 he entered the parking lot.

Have more than 9:00, outpatient hall registered teams also go a long throw. Beijing Children's Hospital, the person in charge, has recently increased significantly in children than before, last week, the amount of 85,484 emergency department visits, an increase of 26.6 percent, average daily attendances reached 12,212 people. Monday December 1 amounted to 13,365 emergency department visits, the highest single-day record of the highest emergency door. Because too many go to the Children's Hospital of the car, the traffic control department had issued several tips, advice parents with children to visit as much as possible to park vehicles around the parking lot, then walk to the hospital, or as much as possible by public transport to the transit vehicle can be around OK Taiping Bridge Street, Sanlihe Road.

And another Children's Hospital - the first child of the day there was a marked increase outpatient, outpatient November 25 which reached 7890 people, an increase of more than 20 percent over last year, exceeding the amount of visits during the peak period of summer vacation .

Medical analysis, patients on the one hand because of the recent surge in temperatures plunged, on the other hand it is also the current flu season. Every year in October to next April is Beijing influenza epidemic season, after the New Year to January is the high incidence of fever and concentrated number of outpatient and emergency visits rose, all the characteristics of the high incidence of influenza. According to the monitoring, this year three type A influenza virus in the majority, which is a common seasonal flu viruses are common. In addition to the flu, there are some children packed hospital pediatric respiratory infection caused by adenovirus, high fever. Winter is the high incidence of respiratory diseases, the temperature difference between morning and evening, combined with the start of heating, indoor air is dry, indoor and outdoor temperature difference is relatively large. Because children have respiratory stenosis, immune function is not perfect, the lack of defense and other physiological characteristics, are more susceptible to respiratory and other diseases.

The two hospitals said it had mobilized all resources to respond to the current peak attendance, but by the venue and personnel constraints, still can not meet the growing outpatient peak winter demand for treatment. To avoid waiting too long delayed children because the disease diagnosis and treatment, suggests that parents who try nearest doctor.

Experts advise parents to take their child to the best little recent public places to avoid being infected; do not let the children go to school sick or go to kindergarten, the children will be worse a bad break, but may also infect other people; indoor ventilation should always maintain fresh air; reasonable arrangements for the boy and rest, to ensure adequate sleep; adults in contact with infants before, wash your hands, wash, change clothes, so as not to bring children germs cause disease; if the family was sick, we must pay attention to isolation.

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[sharon sanders]

Re: China - Beijing pediatric hospitals crowded with flu patients

machine translation

Beijing Children's Hospital emergency eighty percent of children get together and just have a cold
2014-12-05 06:43:29 Source: Beijing Youth Daily


　　Emergency department doctors are overloaded with daily work status Photo / reporter Hao Yi

　　City thing observed

　　Observation Motivation: sustained winds cool so many children with cough and fever and other flu symptoms, treatment volume increased again to push Beijing Children's Hospital of the single-day record of the emergency door. Beijing Youth Daily reporter visited the pediatric emergency room at night after the discovery, medical clinic for one night only 450 people on admissions, which means an average of one doctor on duty overnight admissions need hundreds of patients. Although the hospital has mobilized all resources to deal with peak attendance, but it is still hard to alleviate the needs of the patient surge. Although health authorities have repeatedly recommended that families of children with the nearest clinic, but the community first diagnosis and effective treatment classification measures doctor appointments and other changes attitudes, in the actual implementation is still a long way to go.

　　Beijing in recent days due to high winds continued to cool, ushered in the first months after the cold winter, Beijing Children's Hospital for treatment of children increased significantly. Reporters learned yesterday from the Children's Hospital last week, hospital outpatient and emergency capacity 85,484 people, the highest daily volume of 13,365 emergency department visits, the highest single-day record of the highest emergency door. In the night emergency, only medical treatment of children with the highest amount up to 450 passengers on an average of every doctor to be a more than a hundred admissions of children. In this regard, experts said the emergency department, nearly 80% of children in the performance of cold, cough, fever and other common diseases, it is best not to get together and hospital emergency departments, in order to avoid cross-infection of other diseases.

　　According to the Children's Hospital statistics show that the amount of 85,484 last week, hospital outpatient and emergency department visits, an increase of 26.6 percent, average daily attendances reached 12,212 people. December 1 emergency door amounted to 13,365 people, the highest single-day record of the highest emergency door. In response to a substantial increase in the amount of visits, it is understood, the current Children's Hospital Emergency Department has enabled a comprehensive response to the peak of the program, including increasing the number of staff, to extend the time of diagnosis and treatment; optimizing treatment processes, reduce waiting time; at any time dynamic monitoring of the emergency door, the implementation of a dynamic staff Comprehensive management initiatives. Children's Hospital officials said that despite the current hospital has mobilized all resources to deal with peak attendance, but by the objective conditions of the site and personnel constraints, still can not meet the growing peak winter demand clinic patients, in order to avoid long waiting times of patients due to delay the disease treatment, suggests that parents are as close as possible to a doctor.

　　It is understood that most of the children come to seek treatment for fever, cough, vomiting and diarrhea and intestinal infections and other respiratory symptoms.

This expert, suggests that parents in the respiratory tract infection-prone season, best not to take their child to a public place, in order to avoid being infected; others do not let the children go to school sick or go to kindergarten, children will be worse a bad break, but also may be infected . Adult before touching infants, to do such as washing hands, face, clothes and other basic self-cleaning, so as not to bring children germs cause disease; such as when the family was sick, we must pay attention to isolation.

　　Visits

　　22:30, Children's Hospital Outpatient stop conventional telephone numbers. Many parents of children with no hang-patient number 20 minutes ahead of the south side of the hall came to outpatient emergency center triage desk, waiting in the emergency source. With cold cool emergency department admissions amount consequent sudden rise. Nearly January night emergency admissions amount can reach more than 450 people, of which 80% of the children of exposure to cold and other causes of colds, fever, cough and other common symptoms.

　　In the emergency center is on the door of the emergency rescue indoors, three to four square meters of space, 13 units on both sides of the wall close to the Monitor, incessantly beating, faithfully recorded 13 or sleeping or crying children with physical Some basic data. 13 units in this monitoring equipment, at least four or five patients for temporary extra temporary additional children with at least two parents each side accompany bed. Infusion nurses carrying equipment in the shuttle between beds, often need to pass sideways.

　　"Doctor, Come see my kids, just swallowed a liquor bottle down, breathe it!" 23:00, 120 ambulance Daxing transferred from one pair of anxious father and daughter, father holding children hastily broke into the emergency room, but found a hard time to accurately locate the specific location of the doctor. Due to limited space in the door of the emergency room admissions Gong Shuai and Liu Kun doctor being more than 20 families of children surrounded by tiers, kept asking the children with the disease, treatment, medication precautions and other issues.

　　Children and their families continue to flood into the emergency room, even though the hospital doctors and nurses to do their utmost to mobilize human resources, but according to the working mechanism of conventional inverted five classes, emergency medicine doctors on duty night shift normally only three, two of whom is responsible for the A & E rescue. Patient response to peak, the hospital temporarily deployed at peak times a doctor.

　　Emergency room wall clock pointed to 11:10 at night, but this should not be the moment to withdraw conducted at 10:30 shift Liao Kun doctor. 120 ambulance from Fangshan sent a sudden convulsions in children, when sent children cry no trouble, big open eyes, and accompanied by their parents, but is difficult to suppress anxiety and fear of emotions, the mother always kept sobbing, from time to time close to the child's face, probe to explore the child's breath. Father anxiously urging his wife separated flow as soon as possible, "squeeze" to the front of the doctor, get treatment as soon as possible.

　　"Children breathe, the oxygen machine wearing uncomfortable, just do not give for a change!" The other side, in the corner of the emergency department, holding five months old son kept crying, a fathers from Shaanxi and just walked around the nurse a few complaints. A security personnel wearing armbands security immediately approached, quietly behind the persuasion: "temporary conditions are certainly not as formal beds, but the condition is such that you can see other loud noise, being careful to scare other children. ! "The number of children with more limited treatment space shortage on duty, families of children in question can not be resolved immediately, it is often prone to sudden emotional outbreak. In the emergency triage station, loudly scold for nurses has been surprised and questioned. Under enormous pressure treatment, even in the face a table of all items will triage Saola all families of children in the land, you must choose to console the families of temper, and then continue to work.

　　Status quo

　　"The first time the rescue, to ensure that children can survive."

　　According to the emergency department, deputy 任高恒 wonderful introduction, the Children's Hospital emergency department doctor on duty long line duty, to remove due to health reasons, such as cases, be able to direct rescue duty to complete the task, there was only six.

　　Day shift for big night followed day shift, so perennial, no weekends, no holidays, even New Year's Eve should stick to their posts. High-intensity work pressure so many emergency physicians have long-term headache, insomnia common problem. During the day by drinking coffee, refreshing night you need to take Merrill Lynch, stability and other drugs to control headaches, maintaining sleep. Eyes red, his voice hoarse, heavy black eye, his face from the pox ...... due to chronic water shortages, these symptoms almost every emergency personnel are not spared.

　　Compared outpatient department to check and clarify the way the disease after symptomatic treatment, children with more urgent emergency department, admission is unknown in most cases, the need for rapid emergency basis to determine the symptoms and treatment. "Emergency departments are symptom-oriented features, the first time for the most critical for effective treatment of symptoms, to ensure that children can survive." Cohen wonderful representation.

　　In many hospitals, emergency departments due to sudden illness, family members of patients emotional ups and downs, have become the hardest hit by the complaint. Local small, long waiting times, doctors admissions slow, can become a reason for complaints of patients and their families. In order to minimize the incidence of doctor-patient conflicts, Children's Hospital emergency department doctors rotate to other departments, in addition to the intensive training in first aid, but also special arrangements for the content of the communication methods of training the doctor-patient relationship. "For example, children with a fever just cause, I would suggest to the family, it is best not to stay too long in the hospital, nor do they need the infusion, the use of physical cooling, it can be appropriate oral antipyretics 超过 38.5 ℃ some time. If families really tough stance, which calls for treatment in the hospital, and we sympathize with the families of patients with mood will be appropriate to give some attention to avoid confrontation. "Cohen wonderful representation.

　　Sound

　　In fact, many patients do not need to "squeeze" the emergency

　　Although the amount of Children's Hospital, Children's Hospital Emergency Department, the Institute and other children of high innovation, but the severity of the disease point of view, in fact, many children do not need to "squeeze" the emergency room. "The most important task of the emergency is to save lives, reduce risk and safety referral, not as long as the child is sick, regardless of severity, it must immediately go to the hospital emergency room to go to the best doctor."

　　Cohen Miao said, according to internationally accepted standards of emergency five triage, emergency department at Children's Hospital, the most critical of a disease is only a day or so basic. Convulsions, severe pneumonia, asthma, etc. Second, there are about forty or fifty three diseases. Almost all of the remaining 80% for cold, fever, cough, runny nose, sore throat attending decile rating of forty-five, mild illness, no visits to the emergency room of common diseases.

　　In this regard, the health department has repeatedly issued a document, we recommend that the families of children with the nearest clinic, doctor triage classification hopes to ease children's hospital admissions too much pressure. However, from the current situation, in a series of measures to implement the concept of changing the treatment of community first diagnosis system, effective classification system and other medical appointments, and still has a long way to go. (Reporter Liu Yang)

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