The bronchiolitis wave in children emphasizes pediatric emergencies

The bronchiolitis wave in children emphasizes pediatric emergencies




the wave of bronchiolitis in children related to respiratory syncytial virus (RSV) highlights pediatric emergencies being treated across the country 40% more cases than before the pandemic began, according to data from the Spanish Society for Pediatric Emergencies (Seup).

Nevertheless, the peak of infections from bronchiolitis it still hasn’t arrived and it is not known when it will be reached, although in other years it has been common for the maximum to be observed in mid-December. “If we have another month, The situation we can live in is one of total collapse“, the Seup’s pediatrician David Andina drew attention to TVE in this regard.

The majority of children have more than one associated germ, as the head of pediatric emergencies at Hospital Clínico de Santiago, Susana Rey, explained on Canal 24 horas, who has urged families to vaccinate children against the flu to avoid complications of the disease to avoid .

Cases of bronchiolitis burden pediatric emergencies

especially the Confluence of RSV bronchiolitis with influenza and COVID It has sparked consultations in children under 4 years old.

The increase in the three viruses is mainly in the older age group from 0 to 4 yearsaccording to figures from the Acute Respiratory Infection Watchdog surveillance system for the second week of November.

What is bronchiolitis?

Bronchiolitis is an infection of the smaller airways in the lungs, mostly affecting younger children. It can occur at any time of the year, although it’s more common during the winter months and early spring.

This disease can lead to shortness of breath and, in the most severe cases, to admission to the intensive care unit. It develops like a cold, with runny nose, fever or low-grade fever (less than 38 degrees) and cough. In children, mucus builds up in these pathways, which can lead to this breathing disorder

Come on Infants between 2 and 6 months and generally the under 2 years They’re the ones most likely to contract a virus that’s passed off as the common cold in adults and other minors. Children under the age of three months are also at a higher risk of being hospitalized.

Why have cases increased?

The first cases of bronchiolitis were treated in July, while this virus emerged in the pre-pandemic period in October, the authorities said seasonality This year 2022 was brought forward.

The Seup pediatricians believe that there are several reasons that explain this situation, but the most likely go through the lack of circulation this virus in the last two years.

The removal of the masks together with the lack of immunity in children born or living their early years in the midst of a pandemic are other reasons doctors consider.

Pediatricians are demanding emergency plans and a real-time observatory

Faced with this situation and the collapse of the emergency department, pediatricians have expressed concern about the delay in care due to the high patient volume and lack of staff, as well as the lack of space to locate patients.

Because of this, they have requested contingency plans that take this into account equip room to allow minors to wait in reasonable conditions while waiting for a bed for their hospitalization. They have also requested rapid bedside detection tests for RSV, influenza and COVID in addition to bedside pulmonary ultrasound to streamline the care cycle.

In addition, this society calls for the creation of a Real-time observatory of the respiratory syncytial virus, which makes it possible to predict its development and implement strategies for action in a timely manner.

The WHO recommends real-time monitoring of the simultaneous circulation of influenza viruses, SARS-CoV-2 and RSV in all countries with sentinel surveillance systems.

Tips to prevent bronchiolitis

The President of the Catalan Pediatric Society, Anna Gatell, stated in an interview in idea coffeeon Ràdio 4, the recommendations for the prevention of the disease.

Washing hands is essential, but also avoid crowded places, ventilate rooms, don’t share bottles, pacifiers or unwashed cutlery, and don’t smoke where children are.

The Ministry of Health has emphasized that cough syrup, mucolytics or antibiotics should not be given to treat bronchiolitis. However, it is important to maintain good hydration by offering the child small amounts of liquid and food.

Anna Gatell: “The peak of bronchiolitis will be reached in two weeks”

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