The number of children who get sick is increasing. “Less antibodies after the lockdown” – Chronicle

The number of children who get sick is increasing. “Less antibodies after the lockdown” – Chronicle
The number of children who get sick is increasing. “Less antibodies after the lockdown” – Chronicle

“The children had little exposure to infections during the months of the lockdown, and this made their immune systems more vulnerable. This explains why, in addition to Covid, we see so many cases of respiratory syncytial virus. arrival of the flu, we will find ourselves in a similar situation “. So Susanna Esposito, full professor at the University of Parma, head of the national technical table for infectious diseases of the Italian Society of Pediatrics, on the sidelines of a lecture at the presidency of the Senate. Let’s take a cue from the news launched by the Meyer hospital in Florence, a molecular swab capable of detecting …

“The children had little exposure to infections during the months of the lockdown, and this made their immune systems more vulnerable. This explains why, in addition to Covid, we see so many cases of respiratory syncytial virus. It is likely that, with the arrival of the flu, we will find ourselves in a similar situation. “So Susanna Esposito, full professor at the University of Parma, head of the national infectious diseases technical table of the Italian Society of Pediatrics, on the sidelines of a lecture at the presidency of the Senate. Let’s take a cue from the news launched by the Meyer hospital in Florence, a molecular swab capable of simultaneously detecting the presence of the Coronavirus (Sars-Cov2) and the respiratory syncytial virus (RSV).

WHY DO CHILDREN GET SICK?

Children used to be outdoors, to develop antibodies, and now we are seeing an increase in cases. “This syncytial virus – explains the pediatrician – is responsible for the epidemic of bronchiolitis, which in some cases lead to pneumonia. The novelties are essentially two: the first is the seasonal advance. Once these syndromes, with more marked respiratory distress than at Covid, they began to manifest themselves in December, and this year they arrived at the end of October “. “The other new fact is that we see pneumonia with respiratory failure even in children of 3 or 4 years old, things that were not usually seen before, when the symptoms were milder.”

WHAT TO DO TO CARE?

“It is necessary that, once the disease is diagnosed, the sick child stays at home, followed by the pediatrician, and that the most serious cases are hospitalized. Last year everyone respected the hygiene rules, the inclusion in kindergarten took place with all the caution, now parents seem less attentive, they take their children out even if they are cold, this contributes to the spread of infections in families and schools “.

CAN WE RETURN TO THE OPEN AIR?

In short, we bring them back to the open air to play, these children, yes or no? “Yes, when they’re fine. But when they’re sick, with respiratory signs, with or without fever, they don’t have to spread the infection around.”

ARE TESTS AND SWABS IMPORTANT?

“The tests to make a differential diagnosis by distinguishing between Covid, influenza and syncytial are normally there. The novelty we are talking about these days is the development of a unique tampon capable of discriminating”.

Can a family pediatrician make a differential diagnosis in the area? “It can evaluate the symptoms, which are different, and adopt an epidemiological criterion. Rsv bronchiolitis leads to hospitalization because the child does not eat, needs oxygen, unlike Covid which has high fever, gastrointestinal symptoms, cardiac symptoms, and a usually milder respiratory “.

WHICH VIRUSES ARE RUNNING?

Right now the RSV (syncytial) virus is in first place, as a case study. Strange to say, but Covid is only second. In third place in the ranking of infectious diseases in pediatric age, now, is the flu. So does syncytial affect more than Covid? “Absolutely yes – replies Professor Esposito – but Covid should not be underestimated, there are epidemics in the classrooms”.

ANTICOVID AND FLU VACCINE

“Pfizer’s anti-Covid vaccine is fundamental in the age group 5-11 years. Vaccines protect the population – concludes Professor Esposito – they help reduce viral circulation. Influenza vaccination is also recommended”.

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