86% of SPs have pediatric ICU beds – 04/27/2022 – Equilíbrio e Saúde

The city of Sওo Paulo has seen an increase in cases of severe acute respiratory syndrome (SARS) among children, which has caused the city’s hospitals to overflow. Currently, 84% of pediatric wards and 86% of ICU beds are occupied.

The increase in cases is considered normal for autumn, when the transmission of respiratory disease-causing viruses increases. According to hospitals and doctors, most records are related to RSV (respiratory syncytial virus), not Covid-19.

The Sheet It has already been seen that since the beginning of March, private hospitals in the city have been preparing for lawsuits and hospitalizations. One of the concerns was that children could be at greater risk for the viruses that spread during this period after school was closed during the epidemic and they were stuck at home for about two years due to limited movement.

According to the Municipal Health Department, the city has already significantly increased the number of children’s beds in anticipation of this increase in cases. In recent weeks, the number of ICU beds has increased from 96 to 116 and the number of children’s wards from 386 to 404.

The data in the folder shows that the number of cases and hospital admissions has started increasing since March and has been at a high level since then. The numbers are still lower than the numbers recorded in January, when there was an explosion in the Covid-19 case, driven by the Omicron variant, and there was an atypical flu wave for that time.

Of the 6,190 SARS cases registered between the ages of 0 and 19 last week, 52.6% were among children under 5 years of age. These people were considered the most at risk for respiratory viruses because they had less contact with them. This age group concentrates 79% of hospital admissions recorded during the period.

The information comes from notices issued to all hospitals in the city – including municipal, state, federal, charitable and non-governmental organizations.

“What we’re observing is that before the epidemic, what happened in previous years, cases increased during the fall. Children under the age of 2 were the most hospitalized. That’s the expected profile,” said Dr. Felipe Laura. , Sabara Children’s Hospital Technical Director.

According to him, the forecast is that the number of cases and, as a result, hospitalization, will increase further in May, but will decrease again in June and July.

“There is no reason to panic, because, unlike epidemics, we have a history of these cases and we know that the tendency is to cool down until winter arrives. In May, it is still high, but in June and July when they arrive they start to read. .School holidays, “he said.

For him, the difference between respiratory syndrome registered this year is that in severe cases it did not occur only due to RSV, which is usually the strongest. According to him, “beautiful viruses” such as rhinovirus, metapneumovirus and enterovirus have caused more serious conditions.

Experts say it is too early to say what causes these viruses to cause more severe symptoms, but one of the assumptions is that children have less immunity after the isolation period.

“We’ve been here for two years where transmission of these viruses was low due to isolation. In addition, young children could not go to school where they are usually infected and develop immunity,” said Renato Kafouri, a specialist doctor. Infectious diseases of children.

At Sabara Children’s Hospital, the number of pediatric ICU beds has already been increased in recent weeks to meet the increased demand. They went from 45 to 54. Beneficiencia Portuguesa registered for this type of bed “more than normal demand last week” and said it was attentive and ready for the need to increase its service capacity.

The Sওo Camilo Hospital Network reports that the occupancy rate for pediatric wards is 93% in wards and 95% in ICUs and that it is “optimizing the continuous flow of triage to emergency rooms to reduce waiting time and increase capacity. To care for critically ill patients.”

In a note, the city of Sওo Paulo said the increase was considered normal due to the seasonality of respiratory diseases in March, April and May. He added that the municipal network is ready to serve the people.

The state health department said it was monitoring the situation and could activate new beds if needed.

Physicians have stressed that the population can protect themselves from the virus by following health recommendations, such as keeping children’s hands healthy, in a well-ventilated environment, keeping them well hydrated and avoiding contact with those who have symptoms.

“I hope the epidemic leaves a good lesson for families, not to ignore the flu symptoms. Children with symptoms, fever, cough, sore throat should not go to school. It is a way to prevent any respiratory disease, it is combined care.” Said Laura.


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