After the peak of mycoplasma pneumonia in children, adults started again？ Special reminder from experts
At the specialist clinic of respiratory and critical care medicine in Shanghai Tenth People’s Hospital, Aunt Zheng, who is over 60 years old, just walked for a while, her face turned slightly red and she was a little wheezing. "I came back from a trip a few days ago and started to have a fever and cough." Three days ago, she went to the emergency room and was diagnosed with mycoplasma pneumonia.
In the outpatient department of the hospital, there are still many patients whose families have been "recruited", with fever and cough, and in serious cases, they have been hospitalized because of pneumonia. After the peak of mycoplasma pneumonia in children, adults also started?
Song Xiaolian, chief physician of the Department of Respiratory and Critical Care Medicine of Shanghai Tenth Hospital, said that the infection situation of adults and children is basically synchronous, and the data of both of them have declined slightly at present. The temperature has plummeted these days, so keep warm and beware of a possible new round of respiratory diseases.
Elderly patients have fever, cough and pneumonia after returning from tourism.
On November 14th, an "old patient" came into Song Xiaolian’s expert clinic. Three days ago, Aunt Zheng went to the emergency room because of fever and cough. The examination showed that it was mycoplasma pneumoniae infection, which caused lobular pneumonia and asthma.
After two or three days of infusion treatment, her fever has gone down, but the symptoms of cough and asthma have not been effectively alleviated. Worried about the aggravation of asthma, she quickly hung up the expert clinic she had seen before.
Aunt Zheng had asthma since she was a child. She wanted to travel, but she was afraid of asthma attack. She never dared to leave Shanghai. Seven or eight years ago, after minimally invasive interventional surgery under bronchoscope, her asthma has been well controlled and her overall physical quality has been greatly improved. So she often goes out to visit great rivers and mountains and has not been hospitalized for asthma for several years.
Some time ago, she went out for another trip, but she didn’t expect to be "recruited" when she came back. At first, I had a slight fever, and then I kept coughing, and I even gasped when I walked a little faster. After a detailed examination by the doctor, she was hospitalized for a period of time.
Among the patients who came to see a doctor in the near future, many families have been "recruited" and found to be mycoplasma pneumonia after examination.
In the outpatient clinic, as soon as Ms. Liu came in, she told the doctor, "My old man and children coughed and had a fever a few days ago, and they just happened, so I started again."
Song Xiaolian introduced that, generally speaking, Mycoplasma pneumoniae infection is not as severe as the systemic symptoms of influenza, and the symptoms of upper respiratory tract are not as obvious as the common cold, especially cough and sore throat. In the early stage, it is irritating dry cough, and in the later stage, it will appear white sticky phlegm, which will develop into mycoplasma pneumonia in severe cases, especially for the elderly and children who have difficulty in expectoration, and it is easy to cause lobar pneumonia due to phlegm embolism blocking the airway.
After the peak of mycoplasma pneumonia in children, adults started again?
Not long ago, the topic of "mycoplasma pneumonia in children" frequently appeared in hot search. Affected by mycoplasma pneumoniae, influenza virus, adenovirus and other common pathogens in autumn and winter, in the past two months, the pediatrics of various children’s specialized hospitals and general hospitals in Shencheng continued to explode, especially children with mycoplasma pneumonia occupied more than 80% of the beds in the children’s respiratory ward.
Recently, the number of fever clinics and emergency departments in major children’s specialized hospitals in Shanghai began to decline. The number of fever clinics and emergency departments in Shanghai Children’s Medical Center affiliated to Shanghai Jiaotong University School of Medicine has dropped by 40% compared with the peak at the beginning of the month.
After the peak of mycoplasma pneumonia in children, the concern about adult’s "recruitment" has been increasing. Have adults also begun to enter the peak of infection?
Song Xiaolian said that in fact, the infection situation of adults and children is basically synchronized. Many adult patients have children at home. After the children are infected, they are transmitted to other people in the family, and some are infected after going out to play.
"At present, both adults and children have declined slightly. According to the data, when there was no respiratory epidemic, our daily average number of general outpatients was about 180, which was more than 300 at the peak some time ago, and now it is more than 260 after the peak falls. Generally speaking, compared with adults, children have a higher proportion of pneumonia and have more severe symptoms of high fever. Of course, some patients may have negative mycoplasma antigen antibody test, but the symptoms and images are typical and can still be treated empirically. "
Mycoplasma pneumoniae is a very common pathogen of respiratory tract infection, which exists all the year round, with a small fluctuation every few years, and there are also sporadic cases. Like other respiratory diseases, autumn and winter and seasonal weather changes are high season. Recently, in addition to the prominent mycoplasma pneumonia, there are also many patients with influenza and common cold in outpatient and emergency departments.
Beware of the new peak of respiratory diseases after the sudden drop of temperature.
These days, the temperature in Shencheng has plummeted, will there be a new round of peak medical treatment? According to Song Xiaolian’s experience, it is indeed possible to see a new peak of respiratory diseases.
Under normal circumstances, there are not many patients who come to see a doctor when the temperature drops, but the number of patients who come to see a doctor after a week of cooling will increase significantly. However, the weather forecast shows that the temperature in Shencheng will increase later this week, and the situation will be relatively better.
"It is expected that patients who come to see a doctor later will have mycoplasma pneumoniae infection, flu, common cold, etc., and may also be complicated with infection, so keep warm when cooling down and don’t catch cold. For the elderly, especially those with chronic bronchitis, asthma or bronchiectasis, cooling often leads to sudden aggravation of diseases, and even respiratory failure in severe cases. Therefore, we don’t advocate that the elderly go out to exercise early in the winter. We suggest going out after eight or nine in the morning. It’s too cold in the morning. If there is air pollution, it is recommended to switch to indoor exercise, and you can do aerobic exercise, breathing exercises, and playing Tai Ji Chuan. "
How to prevent the high-incidence season? Song Xiaolian introduced that Mycoplasma pneumoniae is mainly transmitted by droplets, so wear a mask, wash your hands frequently, and ventilate frequently. Don’t go to crowded places, and don’t have close contact with patients with respiratory diseases to enhance their resistance and keep warm. At present, there is no vaccine against mycoplasma, but other respiratory diseases are also high in autumn and winter. It is recommended to vaccinate against swine flu and pneumonia vaccine.
If you are accidentally "recruited", there is no need to panic. She especially reminded that mycoplasma infection is a self-limited disease. For adults with good resistance, take a good rest, even if they are not treated, they will recover after a while. People with poor immunity and severe symptoms should be treated in time.
It is important to pay special attention to that if people are allergic diseases, such as allergies, asthma, etc., mycoplasma pneumoniae infection is easy to induce intractable cough, so it is necessary to see a doctor in time. In addition, the symptoms of pneumonia in the elderly are often atypical, but the more silent they are, the more serious they are. If the elderly have drowsiness, listlessness, or complications, they should see a doctor in time. (Note: All patients in the text are pseudonyms)
(News Morning News Thoughtful APP)
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