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When the flu hit the shadow of death in infants with pneumonia
2014-04-16 8:31:33 Star Online
Experts advise that children were hospitalized influenza cases and deaths, and Streptococcus pneumoniae coinfection is an important pathogen; infants born after a hundred days, the need for timely and fully immunized epidemic
Yin Fei medical guidance Xiangya Hospital of Pediatrics, Professor
March-June of each year, is called "flu season." Flu season one, the self-immunocompromised infants bear the brunt of the impact. Recently, a significant increase in the number of children with major hospitals in the capital for medical treatment due to colds. Professor Yin (First Xiangya doctors) fly Xiangya Hospital, Central South University, director of pediatric noted that not only brought influenza flu season, more likely to cause flu virus co-infection with other bacteria, such as Streptococcus pneumoniae is a secondary infection of influenza virus One of the most common pathogens. Children's hospitalization and death due to influenza cases in Streptococcus pneumoniae is an important pathogen coinfection.
Typical case
Children Initial symptoms are fever,
Eventually die from pneumococcal meningitis
Wu, baby 7 months old, was rushed to hospital when a fever seven days, the temperature reached 40 ℃, also appeared shortness of breath, wheezing. After admission examination revealed the baby was suffering from pneumococcal bronchopneumonia. Given the seriousness of the disease, the hospital quickly transferred to the intensive care unit babies. After nearly three weeks before treatment to alleviate the condition, medical expenses over 25,000 yuan, respiratory disease caused by the failure, heart failure and other problems for the future health of the baby left many risks.
14-month-old baby was originally named Li big to the hospital because of fever, was eventually diagnosed with Streptococcus pneumoniae sepsis, pneumonia, meningitis, hospital 45 days after discharge, but the mental and motor aspects leave serious sequelae, currently Rehabilitation is still being ......
Neck pain 3-year-old baby named Hu for "recurrent fever 2 more than a month, and then fever and vomiting," admitted, temperature 39 ℃, and after. Admission examination showed purulent meningitis, cranial CT showed hydrocephalus, blood culture, cerebrospinal fluid culture have also shown that pneumococcal growth, was diagnosed with pneumococcal meningitis. The first five days of admission to frequent convulsions, shortness of breath, was hospitalized 12 days died.
2 years, 6 months soup surname baby due to "fever four days, convulsions one day," admitted, body temperature 39.8 ℃, drowsiness, confusion, yellowing of the skin, liver increases, initially considered as "central nervous system infections." 2 hours after admission sudden sobbing like breathing, pale cyanosis, circulatory failure, hospital mechanical ventilation, expansion, vasoactive drugs and other treatment, but her condition continued to deteriorate, the next day she died in hospital. After the blood culture showed pneumococcal infection.
Reporter survey
Streptococcus pneumoniae is mainly spread through droplets,
Nasopharynx of children carrying higher than adults
A seemingly little cold, eventually evolved into a dangerous disease that, even took the child's life, can not help but regret and lament.
Yin Fei said that in the pathogenic mechanism, "Streptococcus pneumoniae" and "flu virus" has a synergistic effect. On the one hand, the influenza virus can damage the respiratory epithelium, making it easier to pneumococcal colonization. Meanwhile, other pathological changes caused by viruses pathogenic Streptococcus pneumoniae is also beneficial. This is often combined flu Streptococcus pneumoniae infections reason. On the other hand, can enhance pneumococcal virulence of the virus. China's "Influenza diagnosis and treatment guidelines" clearly states that influenza infection or complications of severe pneumonia, the most common bacteria, Streptococcus pneumoniae is a major pathogen. The severe pneumonia is one of the four children died of disease.
In particular, attention is needed, Streptococcus pneumoniae is widely distributed in nature, mainly through droplets. Streptococcus pneumoniae carriers can be spread by coughing, sneezing, talking, discharge droplets from the mouth or nose, and the bacteria infect healthy people; can also be carriers of contaminants (such as sputum, nasal mucus, saliva, etc.) spread . Its mode of transmission is very extensive, is not limited to crowded public places such as stations and the like, kindergarten, nursery and so may become infected places.
"Streptococcus pneumoniae may be a long time lurking in the human body, but also carry higher nasopharynx of children in adult children carry Streptococcus pneumoniae infection does not necessarily immediately, but their immunity when the event (such as a cold), will the disease, influenza virus and Streptococcus pneumoniae Once in combination, often causing very serious consequences. "Yin Fei said. It is reported that pneumococcal disease sequelae caused quite serious, and sometimes may give children bring a lifetime of regret, like the risk of pneumococcal meningitis caused by the occurrence of serious complications and mortality rates are higher than the flu addicted Haemophilus (Hib). Statistics show that 30% of purulent meningitis leave serious sequelae.
Expert advice
Pneumococcal disease is "a very high priority for the use of vaccine-preventable diseases," infants born after a hundred days of the relevant vaccine inoculation required
Potential World Health Organization (WHO) reference to mortality, epidemic or pandemic, the impact on the economy, mortality, the highest incidence of the disease burden in the region, the long-term sequelae, incidence, unfairness, lack of other alternative preventive measures and the severity of symptoms such as ten indicators to assess the need pneumococcal disease as "a very high priority for the use of vaccine-preventable diseases."
The face of the flu season, Yin Fei noted that effective prevention of influenza virus infection of Streptococcus pneumoniae merger, it is currently one of the urgent tasks of disease prevention. Therefore, strengthening the pneumococcal vaccine at the time of immunization and other basic flu season, even more important than usual. U.S. Department of Health and Human Services (HHS) is recommended for all high-risk groups influenza vaccination pneumococcal vaccine. For pneumococcal vaccine before the age of 5 have respective different vaccination programs ranging from pneumonia vaccine program after completion of vaccination, vaccination may not have a needle from a year to four-pin according to different age groups; while the flu vaccine every year because of the different pandemic influenza virus requires vaccination every year.
In particular, said Yin Fei, infants after birth, maternal antibodies (IgG) gradually disappeared six months after the baby disappeared zero. In this process, it will slowly lose antibodies to protect the baby from the mother; while at the same time, the infant's own immune system is still in continuous development, not yet fully mature. Comprehensive maternal antibodies (IgG) and autoimmune system to produce antibodies (IgG) both ways, mainly to protect infants in vivo serum antibodies (IgG) in the overall level of about 3 to 5 months after birth to minimize the stage . That is to say, 3 to 5 months old baby stages of their overall immunity levels start at the lowest level. Therefore, in order to deal with this serious disease threats pneumococcal disease in infants born after about one hundred days, the whole is even more timely and vaccine-preventable diseases, in order to provide the baby with the most timely and comprehensive protection.
zhttp://health.changsha.cn//h/703/20140416/1570106.html
When the flu hit the shadow of death in infants with pneumonia
2014-04-16 8:31:33 Star Online
Experts advise that children were hospitalized influenza cases and deaths, and Streptococcus pneumoniae coinfection is an important pathogen; infants born after a hundred days, the need for timely and fully immunized epidemic
Yin Fei medical guidance Xiangya Hospital of Pediatrics, Professor
March-June of each year, is called "flu season." Flu season one, the self-immunocompromised infants bear the brunt of the impact. Recently, a significant increase in the number of children with major hospitals in the capital for medical treatment due to colds. Professor Yin (First Xiangya doctors) fly Xiangya Hospital, Central South University, director of pediatric noted that not only brought influenza flu season, more likely to cause flu virus co-infection with other bacteria, such as Streptococcus pneumoniae is a secondary infection of influenza virus One of the most common pathogens. Children's hospitalization and death due to influenza cases in Streptococcus pneumoniae is an important pathogen coinfection.
Typical case
Children Initial symptoms are fever,
Eventually die from pneumococcal meningitis
Wu, baby 7 months old, was rushed to hospital when a fever seven days, the temperature reached 40 ℃, also appeared shortness of breath, wheezing. After admission examination revealed the baby was suffering from pneumococcal bronchopneumonia. Given the seriousness of the disease, the hospital quickly transferred to the intensive care unit babies. After nearly three weeks before treatment to alleviate the condition, medical expenses over 25,000 yuan, respiratory disease caused by the failure, heart failure and other problems for the future health of the baby left many risks.
14-month-old baby was originally named Li big to the hospital because of fever, was eventually diagnosed with Streptococcus pneumoniae sepsis, pneumonia, meningitis, hospital 45 days after discharge, but the mental and motor aspects leave serious sequelae, currently Rehabilitation is still being ......
Neck pain 3-year-old baby named Hu for "recurrent fever 2 more than a month, and then fever and vomiting," admitted, temperature 39 ℃, and after. Admission examination showed purulent meningitis, cranial CT showed hydrocephalus, blood culture, cerebrospinal fluid culture have also shown that pneumococcal growth, was diagnosed with pneumococcal meningitis. The first five days of admission to frequent convulsions, shortness of breath, was hospitalized 12 days died.
2 years, 6 months soup surname baby due to "fever four days, convulsions one day," admitted, body temperature 39.8 ℃, drowsiness, confusion, yellowing of the skin, liver increases, initially considered as "central nervous system infections." 2 hours after admission sudden sobbing like breathing, pale cyanosis, circulatory failure, hospital mechanical ventilation, expansion, vasoactive drugs and other treatment, but her condition continued to deteriorate, the next day she died in hospital. After the blood culture showed pneumococcal infection.
Reporter survey
Streptococcus pneumoniae is mainly spread through droplets,
Nasopharynx of children carrying higher than adults
A seemingly little cold, eventually evolved into a dangerous disease that, even took the child's life, can not help but regret and lament.
Yin Fei said that in the pathogenic mechanism, "Streptococcus pneumoniae" and "flu virus" has a synergistic effect. On the one hand, the influenza virus can damage the respiratory epithelium, making it easier to pneumococcal colonization. Meanwhile, other pathological changes caused by viruses pathogenic Streptococcus pneumoniae is also beneficial. This is often combined flu Streptococcus pneumoniae infections reason. On the other hand, can enhance pneumococcal virulence of the virus. China's "Influenza diagnosis and treatment guidelines" clearly states that influenza infection or complications of severe pneumonia, the most common bacteria, Streptococcus pneumoniae is a major pathogen. The severe pneumonia is one of the four children died of disease.
In particular, attention is needed, Streptococcus pneumoniae is widely distributed in nature, mainly through droplets. Streptococcus pneumoniae carriers can be spread by coughing, sneezing, talking, discharge droplets from the mouth or nose, and the bacteria infect healthy people; can also be carriers of contaminants (such as sputum, nasal mucus, saliva, etc.) spread . Its mode of transmission is very extensive, is not limited to crowded public places such as stations and the like, kindergarten, nursery and so may become infected places.
"Streptococcus pneumoniae may be a long time lurking in the human body, but also carry higher nasopharynx of children in adult children carry Streptococcus pneumoniae infection does not necessarily immediately, but their immunity when the event (such as a cold), will the disease, influenza virus and Streptococcus pneumoniae Once in combination, often causing very serious consequences. "Yin Fei said. It is reported that pneumococcal disease sequelae caused quite serious, and sometimes may give children bring a lifetime of regret, like the risk of pneumococcal meningitis caused by the occurrence of serious complications and mortality rates are higher than the flu addicted Haemophilus (Hib). Statistics show that 30% of purulent meningitis leave serious sequelae.
Expert advice
Pneumococcal disease is "a very high priority for the use of vaccine-preventable diseases," infants born after a hundred days of the relevant vaccine inoculation required
Potential World Health Organization (WHO) reference to mortality, epidemic or pandemic, the impact on the economy, mortality, the highest incidence of the disease burden in the region, the long-term sequelae, incidence, unfairness, lack of other alternative preventive measures and the severity of symptoms such as ten indicators to assess the need pneumococcal disease as "a very high priority for the use of vaccine-preventable diseases."
The face of the flu season, Yin Fei noted that effective prevention of influenza virus infection of Streptococcus pneumoniae merger, it is currently one of the urgent tasks of disease prevention. Therefore, strengthening the pneumococcal vaccine at the time of immunization and other basic flu season, even more important than usual. U.S. Department of Health and Human Services (HHS) is recommended for all high-risk groups influenza vaccination pneumococcal vaccine. For pneumococcal vaccine before the age of 5 have respective different vaccination programs ranging from pneumonia vaccine program after completion of vaccination, vaccination may not have a needle from a year to four-pin according to different age groups; while the flu vaccine every year because of the different pandemic influenza virus requires vaccination every year.
In particular, said Yin Fei, infants after birth, maternal antibodies (IgG) gradually disappeared six months after the baby disappeared zero. In this process, it will slowly lose antibodies to protect the baby from the mother; while at the same time, the infant's own immune system is still in continuous development, not yet fully mature. Comprehensive maternal antibodies (IgG) and autoimmune system to produce antibodies (IgG) both ways, mainly to protect infants in vivo serum antibodies (IgG) in the overall level of about 3 to 5 months after birth to minimize the stage . That is to say, 3 to 5 months old baby stages of their overall immunity levels start at the lowest level. Therefore, in order to deal with this serious disease threats pneumococcal disease in infants born after about one hundred days, the whole is even more timely and vaccine-preventable diseases, in order to provide the baby with the most timely and comprehensive protection.
zhttp://health.changsha.cn//h/703/20140416/1570106.html