PO: for pediatrician Patrick Culianez, “there is no such thing as a medication to struggle the bronchiolitis virus”

PO: for pediatrician Patrick Culianez, “there is no such thing as a medication to struggle the bronchiolitis virus”

Pediatrician at Elne, Dr. Patrick Culianez deciphers this illness for which, to this point, eight kids are hospitalized in Perpignan in a 25-bed pediatric ward, which is full.

Dr Patrick Culianez, what are the warning indicators of bronchiolitis?

These are these of nasopharyngitis, runny nostril, cough, presumably somewhat fever, and after just a few days the respiratory indicators worsen. Whistles seem.

The illness, an RSV virus (respiratory syncytial virus), is mostly banal besides in untimely infants, infants beneath three months, kids that suffer from different pathologies.

Do you verify that the variety of younger sufferers has now reached unprecedented figures for the final ten years, as introduced by Santé Publique France?

Sure, we now have lots of them and it is sensible. We pay for the damaged pots of the Covid 2020 and 2021 years throughout which the kids have been confined, they didn’t exit, didn’t rub shoulders and subsequently didn’t have immunity. We add the monumental lifting of barrier gestures and we arrive at an epidemic state of affairs. Particularly since bronchiolitis is extraordinarily contagious.

What are the prevailing remedies?

Bronchiolitis is like Covid. It is clear and clear, there is no such thing as a drug that acts on this virus. Some medical doctors give cortisone nevertheless it would not work, others prescribe bronchodilators which do not work anymore and even cough suppressants or antibiotics which must be averted above all as a result of they worsen the instances. In any other case, in hospital, the one efficient remedy is oxygen.

A vaccine may very well be licensed as early as subsequent 12 months in France

So how do you relieve a child bronchiolitis?

The one resolution is to unclog his nasal cavities very nicely, to unclog his nostril, to hydrate it nicely and to let him cough to evacuate. Then, we give him somewhat paracetamol in case of temperature, we break up his meals, we ventilate his room, we take away pollution equivalent to cigarette smoke, and we let him sleep on his again.

Is respiratory physiotherapy efficient?

Research by the Haute Autorité de Santé confirmed just a few years in the past that it was ineffective. Me, I do not agree and I prescribe it when needed. The physiotherapist is clever, he’ll take the SAT (the oxygen degree within the blood), blow the kid’s nostril, clear his nostril, drain if needed, give recommendation to the mother and father and observe the evolution of the illness. We hit the physios when we now have to depend on their expertise.

Bronchiolitis is increasingly more frequent in spring, autumn and winter, what may be accomplished to cease its unfold?

Return to barrier gestures as a result of it’s a very contagious an infection which causes a median of 2000 hospitalizations per 12 months, which might final from three to fifteen days, take a extreme type and result in the congestion of hospital pediatric wards. At the moment, hope lies in a vaccine which isn’t but out there in France however may very well be licensed subsequent 12 months. That may be an enormous step ahead.


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