Beijing has seen a high incidence of COVID-19 recently, and many children are seeking medical treatment! The Municipal Centers for Disease Control reminds us that these drugs are completely ineffective.

Respiratory diseases are at their peak, and the number of children with respiratory infections seen by the Peking University Third Hospital's pediatric department has increased by about 30% compared to the same period last month, with a considerable proportion of them being infected with Mycoplasma pneumoniae . Experts from the hospital's pediatric, respiratory and critical care medicine departments remind the elderly and children to pay special attention to protection and standardized medication.

Newly admitted children

More susceptible to infection

On the afternoon of November 6, Ms. Sui brought her 3-year-old daughter Yiyi to the outpatient clinic of Han Tongyan, director of the pediatric department. Last month, Yiyi, who had just entered kindergarten, developed respiratory symptoms such as fever, runny nose, and cough due to a viral infection and was treated at the Third Hospital of Peking University. Soon after the fever subsided, Yiyi returned to kindergarten, but the coughing symptoms persisted. In the past few days, the child's cough has become more and more severe, and Ms. Sui brought her child to see a doctor again.

After examination, Yiyi was diagnosed with Mycoplasma pneumoniae infection , and the chest X-ray results showed that she had met the criteria for diagnosing pneumonia . "The child has repeated and mixed respiratory infections, but fortunately the condition is not serious and does not require infusion or hospitalization." Han Tongyan prescribed oral and nebulized treatment drugs for the child.

"This time of year is the peak period for pediatric respiratory patients to seek medical treatment. The largest number of them are children who have just entered kindergarten or school. " Han Tongyan explained that children who have just entered kindergarten or school are young and have just moved to a new environment. They are prone to decreased resistance due to lack of adaptability, which can lead to respiratory bacterial or viral infections, so they must pay special attention to protection.

Han Tongyan reminded parents to **not take their children to crowded and enclosed environments, and to **develop good living habits, eat more vegetables and fruits, and not stay up late.
Elderly people should stay away

People with respiratory symptoms

Since last month, elderly patients infected with Mycoplasma pneumoniae have appeared intermittently in the outpatient department of the Department of Respiratory and Critical Care Medicine of Peking University Third Hospital.

Mr. Zhao, 65, came to the outpatient clinic of Liang Ying, deputy director of the Department of Respiratory and Critical Care Medicine, for low-grade fever, cough and sputum . After examination, he was diagnosed with mycoplasma infection. Upon inquiry, it was found that Mr. Zhao's granddaughter had been diagnosed with mycoplasma infection in the Children's Hospital not long ago, and the old man took care of her for a week without taking off his clothes. "I always thought I was in good health, but I didn't expect to be infected."

Liang Ying said that Mr. Zhao's situation is more common among elderly patients with mycoplasma infection. "Clinical data show that the number of elderly people infected with mycoplasma is lower than that of children. However, many elderly patients are infected due to close contact with sick family members. "

He reminded the elderly to reduce going out during the peak period of respiratory diseases, avoid crowded and poorly ventilated public places, stay away from people with fever and cough symptoms, and reduce the number of visits. While taking good protection, they should actively get vaccinated against influenza, pneumonia and other diseases to prevent infection and reduce the risk of severe illness.
Improper medication

May reduce drug effectiveness

Some parents reported that when their children were infected with Mycoplasma pneumoniae last year, they took tetracycline as prescribed by the doctor. When they were infected again this year, the medicine did not seem to work as well as last time. Han Tongyan explained that on the one hand, there are more Mycoplasmas carrying drug-resistant genes , "about 80% of Mycoplasmas carry drug-resistant genes." On the other hand, some parents do not strictly follow the doctor's advice when giving their children medication, or use antibiotics as soon as their children show symptoms, which makes Mycoplasma more resistant.

The Municipal Center for Disease Control and Prevention reminds that antibiotics such as penicillin and cephalosporin are completely ineffective in treating Mycoplasma pneumoniae infection. If fever is accompanied by severe cough, you should seek medical attention in time, find out the cause as soon as possible, and receive standardized treatment. Do not blindly take medication on your own. At present, macrolide antibiotics such as roxithromycin and azithromycin are the first choice for the treatment of Mycoplasma pneumoniae infection .

Since there is no vaccine yet, the most important thing to prevent Mycoplasma pneumoniae infection is to develop good personal hygiene habits. The Municipal Center for Disease Control and Prevention reminds citizens: During the high-incidence season, pay attention to hand hygiene; pay attention to indoor ventilation, and ventilate for no less than 30 minutes each time; exercise moderately and keep warm. In addition, key places such as schools and kindergartens should pay attention to ventilation and disinfection to avoid clustered infections.

Source: Beijing Daily

Image: Qianku.com