Protecting children

Posted on 05/20/2022 06:00

(Credit: Marcelo Ferreira / CB / DA Press)

As winter approaches, anxiety about common respiratory diseases of the period increases, which also affects children. Andrea Jakomo, coordinator of the Department of Ambulatory Pediatrics at the Federal District (SPDF) Pediatric Society (SPDF), said this year, there is an overload of pathogens threatening children. “Since October, we have been working on the out-of-season transmission of the virus. It’s something like this all over the world, including in several capitals of the country,” he said. The pediatrician was a weekly interviewer on CB.Saúde in partnership with TV Brasilia and a choreographed program presented by journalist Carmen Souza.

What is happening to children infected with this viral disease?

Since October last year, we have been working on the introduction of off-season viruses. It is important to inform parents that this is something around the world, including several capitals of the country. We had a respiratory virus that now runs from May to July, but it already happened in October. We went through the off-season influenza, at the end of last year and in January, at the same time with another wave of covid, omikron, in adults and children and now we are in the season of respiratory virus. The peak of Omicron has passed, but other viruses continue to circulate and infect children.

We have noticed an increase in ICU admissions for severe respiratory syndrome. Which of these viruses can cause this syndrome?

The essential respiratory virus, which is the bronchiolitis virus, is detected in young children. Those who survived the early years of the epidemic were also infected with the virus. We have rhinoviruses, which are cold viruses, adenoviruses, and a variety of other types that re-enter intensively as children get out of the house. One of the specialties of winter is the crowding of people, closing of windows like yesterday, which obstructs the ventilation and ventilation of classrooms and play rooms. It can provide an increase in respiratory tract.

How to protect children at this time of low temperature?

It is important to pay attention to children under one year of age. The head, like most parts of their body, has a very vascularized surface, and the young lose a lot of heat in this area. It is important to use a cap. Morning limb care: Protect hands and feet with gloves and socks. If it gets too hot, we remove it, because it is not good for the baby. For older people, who need to leave early for school, we need to put one on top of the other, to take off during the day, to provide that warm comfort.

Winter officially begins within a month. There are a couple
What precautions can be taken now?

It is very important to take care of yourself in winter. Keeping them hydrated is important because babies do not sweat but lose heat to maintain their temperature. In arid environments, we have a habit of water basins to control humidity. It cannot be found in homes with small children, as there is a risk of drowning. So, we use wet towel technique. Humidifiers can be effective, but in the morning, when they are cold, they can help the mites to get out, which triggers an allergic attack. Care is doubled.

These viruses have very similar symptoms. Is it possible to distinguish and indicate warning signs?

Some viruses have more characteristic symptoms. The bronchiolitis virus affects older children in the upper respiratory tract and we deal with it more easily. In young children, bronchospasm occurs, where the child has a certain difficulty in breathing, forcing the muscles to breathe. Another warning sign for minors is to refuse to breastfeed. Viral conditions can cause high fever, more intense within the first 48 hours. You don’t have to force-feed because if the virus affects the pharynx, the baby may vomit, we need to strengthen our hydration and give the baby a rest.

How did Kovid get into this story? Is diagnosis necessary in this case?

Two weeks ago we had a lot of cases of harpangina, a wound characteristic of the virus in the throat. If you have a clear picture, you do not need to diagnose covid. Sars-CoV can come with bronchopasm, it can cause laryngitis or gastrointestinal conditions. There is no way to know if you haven’t tested it. However, there is no change in behavior, treatment. Long-term complications of some viruses require detection, and SARS-COVI is one of them.

We are starting to see an increase in the case of Kovid-19 in DF. How was this scene with the kids?

Since the beginning of May, our transmission rate has been increasing little by little. We had two vacations in April, the flexibility of wearing masks in closed spaces, the return to the party, the celebration of the children and all these contributed to the increase in the number of cases in favor of this spread. The number of infected children has doubled from this week to the previous week. The warning signal is burning for everyone.

Is there a warning sign for a potential hospital overload, including a pediatric ICU?

Yes. At the Children’s Hospital, the ICU for Kovid has not yet been deactivated. Despite the improvement in condition, other respiratory conditions did not allow this closure and the ICU was busy.

Safety and adherence to vaccines are stagnant. For pediatricians, what is this scene like?

We are also stagnant. In April, more than 8,000 cases of severe acute respiratory syndrome were reported in children under the age of 19, according to the latest epidemic bulletin from the Ministry of Health. Of these, about six thousand are under five years of age. This is an age group that does not have access to vaccines, but we need to pay attention to them.

Other viruses can
Will it be prevented with vaccine?

Influenza, administered to children aged six months to five years, during the vaccination season, is disposed of in private networks outside this age group. It is a vaccine that is a serious form of the disease and prevents it from being hospitalized or hospitalized.

How can parents help prevent the spread of this virus?

Ideally, children should be allowed to resume activities for at least 48 hours without a fever. We know that the virus spreads most during fever. In that moment, I leave my son at home, I protect my son and the children of others.

Intern under the supervision of Michelle Medieros


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