NEWS · 04/11/2024

Sino-Singapore Health丨What measures should be taken if a child suffers from bronchopneumonia- Expert response

During a recent press conference held by the National Health Commission on October 22, experts discussed the relationship between seasonal changes and health, specifically addressing concerns related to children’s respiratory illnesses during this time of year. A reporter raised a critical question about whether the incidence of bronchiolitis pneumonia in children increases during the frost fall season and what parents can do to identify and prevent such infections. The inquiry also covered the necessary steps to take if a child is confirmed to be infected.

Dr. Wang Quan, a chief physician at Beijing Children’s Hospital, responded by noting that autumn and winter are peak seasons for respiratory infections in children, with a particular rise in bronchiolitis pneumonia cases. This type of pneumonia is one of the more common forms seen in children and tends to affect younger age groups, particularly those under the age of three.

Dr. Wang described the symptoms associated with bronchiolitis pneumonia, which can vary in severity. Common indicators include fever—typically moderate to high—and frequent coughing. Initially, the cough is often dry, but it can evolve into a productive cough with phlegm. Other signs of the condition may include rapid breathing, lethargy, cyanosis around the mouth, and wheezing, which could suggest respiratory distress. Parents should also be cautious of signs like nasal flaring or retractions during breathing. In some cases, children may even experience gastrointestinal symptoms like diarrhea.

It’s crucial for parents to remain vigilant, especially for infants—particularly those under three months old—who may show atypical symptoms when affected by bronchiolitis pneumonia. These infants might not present with fever or might only have a low-grade fever, and cough might be absent. Instead, they may exhibit rapid or labored breathing, increased sleepiness, irritability, difficulty breastfeeding, or even be at risk of aspiration or vomiting.

If parents suspect their child has developed bronchiolitis pneumonia, Dr. Wang strongly advises seeking medical attention promptly. This is especially critical for premature infants and children with underlying health conditions, as they have a higher risk of severe illness. Upon arrival at a medical facility, doctors may conduct imaging tests of the lungs, and some children might require hospitalization.

For those managing care at home, Dr. Wang stressed the importance of adhering strictly to medical advice regarding medications. Parents should not arbitrarily stop medication or alter dosages and should correctly administer any antipyretic medications as instructed.

He also recommended against the routine use of cough suppressants in young children. However, if a child’s coughing is excessive and disrupts their daily life, parents can consider cough medicine under a doctor’s guidance. Additionally, techniques such as nebulization and back patting can assist in helping children expel mucus. Emphasizing a balanced diet, regular exercise, and maintaining a stable daily routine are also vital components of care during this season.

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