“Repeatedly sick, repeatedly hit!” Xixi, who is three and a half years old this year, fell ill again two days after returning to kindergarten. Xixi’s mother said in distress that in the last two months, she had to go to the hospital almost every two weeks. “At the beginning of last month, I had a sore throat with high white blood cells. In the middle of the month, I had a sudden high fever and infusion for three days. At the end of the month, I had a sore throat with high white blood cells..” In autumn and winter, various respiratory diseases are high. According to incomplete statistics, the number of pediatric patients in Beijing Century Temple Hospital affiliated to Capital Medical University is as high as 500 per day.
“Without separate statistics, there may be 20% to 30% of children with recurrent respiratory tract infections in outpatient clinics.” Wu Wanshui, chief pediatrician of Beijing Century Temple Hospital affiliated to Capital Medical University, said that recurrent respiratory tract infections are more common in young children and children who have just entered kindergarten. One of the children who impressed
Wu Wanshui most had repeated respiratory tract infections in the kindergarten for half a year, and the real time in the kindergarten was only a few weeks. “These children are in the adaptation period of kindergarten, the children they contact are relatively miscellaneous, the opportunities for cross infection are more, and the immune level of the children at this stage is not yet mature, and their resistance is poor.” Wu Wanshui reminded that children with allergic constitution will cough repeatedly when the season changes, which is not necessarily the occurrence of infection, we must pay attention to distinguish.
“This year’s epidemic of mycoplasma infection is actually divided into big and small years, and there will be an outbreak period every 3-7 years.”. In addition, the relatively low level of antibodies in children’s respiratory mucosa is also the cause of repeated infections. Wang Tiancheng, deputy director of pediatrics at Beijing Shijitan Hospital affiliated to Capital Medical University, said that in general, the factors of recurrent respiratory tract infections can be summarized as individual factors, incomplete treatment after infection, seasonal changes and over-protection.
Wu Wanshui and Wang Tiancheng pointed out that to prevent recurrent respiratory tract infections, first of all, we should strengthen children’s physical exercise, balanced diet, ensure protein intake, and enhance children’s own resistance. Secondly, we should pay attention to hygiene, wear masks scientifically, and try not to take children to crowded places during the flu season; Thirdly, once infection occurs, thorough treatment should be carried out to avoid premature withdrawal of children due to the mentality of “three poisons of drugs”. In addition, vaccination can be postponed appropriately to avoid vaccination with strong reaction during the epidemic period.
“Pay attention to the widening of the airway.” Wang Tiancheng reminds parents that they can often help their children pat their backs and expel sputum. Children with cough can be treated with atomization appropriately. If secretion such as sputum can be discharged, it will also help children recover their airway function.
In the process of home care, Wu Wanshui and Wang Tiancheng reminded parents to pay attention to the following misunderstandings.
Mistake 1: Abuse of antibiotics or incomplete
treatment. Some parents believe that antibiotics must be used after infection. In fact, there are very few children who really need antibiotics, and children with viral infections do not need antibiotics, and the abuse of antibiotics may also lead to drug resistance problems. In addition, there are parents who stop taking drugs as soon as their children’s fever subsides. If the treatment is not thorough, when the infection is repeated, the effect of re-medication will be weakened.
Mistake 2: Give children big fish and meat
during the recovery period. When children catch a cold, their digestive system and gastrointestinal function are easily affected, and nausea, vomiting, abdominal pain, diarrhea and other conditions may occur. During the recovery period of the disease, it is not advisable to supplement nutrition excessively. At this time, they should have a light diet to give their children a slow process of adaptation.
Mistake 3: Use strong cough medicine for children. In
general, it is not recommended for children to use cough medicine. Cough is actually a protective reaction, which can discharge sputum and other secretion to avoid the aggravation of trachea, bronchus and lung inflammation caused by secretion. Central antitussives should only be used if the child has a psychogenic cough (non-infectious, an uncontrollable cough).
Misunderstanding four: worry about cross infection dare not see a doctor
children cough, runny nose, sneezing, etc., but not fever, this may be caused by cold air or sensitizer stimulation, at this time can change the environment, the use of anti-allergic drugs, can temporarily not go to the hospital. If the child has a fever again, parents are advised to take the child to see a doctor in time to find out the cause of the fever and treat the symptoms.
