Outbreaks appear to be exacerbated during this time of year

(Photo: Fripik)

Autumn / Winter should be a precautionary measure against the spread of respiratory diseases in children, such as colds, flu, sinusitis, allergic rhinitis, respiratory syncytial virus (RSV – responsible for the onset of acute bronchiolitis and pneumonia) and asthma. Get instructions from a pediatrician so that the condition does not improve. A study by the Brazilian Society of Pediatrics (SBP) based on data collected from the Unified Health System (SUS) indicates that 44% of deaths among children aged 0 to 6 years are due to perinatal complications or respiratory, infectious and parasitic causes. Disease., And can be avoided with proper treatment.

According to Nivio Tadeu Gil de Lima, a pediatrician at Villa da Serra in the hospital, the cold accelerates the spread of viruses and bacteria. “Also, air circulation contributes to the pollution of the enclosed environment. It is important to keep windows open, instruct children to wash their hands regularly with soap and water, as they are the main source of infection, and do not take the child to school.” He guides.

Pediatricians emphasize the importance of keeping vaccination cards up to date. “Vaccination against influenza virus is the most effective way to prevent the flu and its complications. The pneumococcal and anti-Haemophilus influenzae type B vaccine protects against infections such as meningitis and pneumonia,” he explained.

Nivio Tadeu Gil de Lima reminds parents that children should be taken to the emergency room only in the presence of fever, diarrhea and respiratory failure above 37.8 degrees Celsius for more than 48 hours so that the hospital emergency is not overburdened. “If this is not an emergency, it is best to take the child to a health center or office so that the pediatrician can examine it, prescribe the necessary medication, guide the parents and observe the clinical picture,” said the hospital’s pediatrician Villa da Mountains. .

When to take emergency care for children?

Children’s health is a big concern for the whole family and whenever they get sick, there is a desire to resolve it as soon as possible. Young children, most of the time, still do not fully express what they are feeling and this is a cause of pain for parents. At this time of year, the appearance of acute respiratory diseases, especially viruses, is very common, however, most of the time, the service can be performed in the office.

It is important to know how a child can wait for a pediatrician’s consultation, especially with their assistant pediatrician, where there is an indication for emergency medical care. Taking a child to the emergency department while he or she may wait for counseling in the office, in addition to bringing discomfort to the illness, increases the number of waiting patients, which makes health services too full, including slow services, even putting the child at risk of other illnesses.

According to pediatrician Nivio Tadeu Gil de Lima, here are some tips and guidelines on when to seek help in the emergency department of child care:


They are a group of more sensitive and delicate patients. They must return to the birth maternity unit within 28 days of life when they are present:

  • Breastfeeding is less acceptable
  • Decreased urination – Typically, a baby’s urine volume increases day by day, with an average of 6 to 8 urine diapers per day from 3 urine diapers to 2 to 3 days of life.
  • Fever, slightly active child, severe annoyance associated with lack of appetite
  • Presence of redness and discharge in the navel stump
  • Shortness of breath
  • Repetitive and incoherent muscle movements, where the presence or absence of convulsions is suspected
  • Presence of blood in urine or feces, or other symptoms of bleeding. Orange spots on baby’s diapers are usually urate crystals and no problem, they will disappear day by day
  • Very light colored, or white, stool, especially if associated with jaundice
  • Jaundice, with yellow skin under the groin (usually the skin turns yellow first on the head, then on the chest, abdomen, and more). Jaundice, if severe, may be associated with a nervous sequel, so referral is important for assessment by the attending pediatrician and assessment of dosage and phototherapy requirements.
  • Trauma – falling from the lap, from the bed, etc.

Children of other ages

  • Domestic accidents, trauma, burns, falls which cause injury
  • Trauma to the head area, especially if consciousness is lost
  • Acute allergic reactions
  • Frequent diarrhea and vomiting with symptoms of dehydration (frequent and less urination, crying without tears, dry mouth)
  • Persistent fever, which does not subside with antipyretic use, lasts more than 48 hours, especially if associated with symptoms of hypoactivity or apathy, or if it is accompanied by loss of bowing, refusal of food, refusal of fluid, and diuresis.
  • Nervous changes such as dizziness, abnormal drowsiness, mental confusion, vomiting and convulsions with headache
  • Shortness of breath
  • Intoxication (taking drugs from parents or grandparents, cleaning products, etc.)
  • Spontaneous and unexpected bleeding such as bleeding through the nose that does not improve with contraction; Bleeding gums or mouth without injury; Blood in stool or urine, especially if accompanied by discomfort and pain

“If your child is sick, but does not fit the above, seek out your trusted pediatrician. This can avoid the stress of caring for the emergency department, and he will be given medication by someone who knows him and will be with him. Strong “, recommends pediatrician Nivio Tadeu Gil de Lima

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