When the baby has symptoms such as coughing, fever, runny nose, parents will first think of it - the child has a cold!
Once the child has a fever, especially a high fever, most parents will take their children to the hospital directly.
At this time, the plot often develops as follows:
[Clinic]
Doctor, my child has a cold and has a fever.
Please check for blood.
Doctor, this is a monogram. Do you think it is bacterial or viral?
[Prescription medicine]
Take this? This is an antibiotic, do you have to take it?
[Go home]
Baidu - Search for " blood conventional How to judge bacterial infection"
mother group - Dear friends, help me see if this is a bacterial infection?
Parents' ability to interpret test tests is almost 60% more doctors.
In fact, the common upper respiratory tract infection of , , is commonly known as colds, is mostly caused by viruses. Through routine blood tests, cannot directly and accurately explain whether it is a bacterial or viral infection, and it is even less likely to see which virus is caused by the infection.
So, is there a check that can be simple, fast, pain-free, and accurate?
has it!
"check the nasal snot", quickly and accurately find the cause
In Cui Yutao Yucai Pediatric Clinic, when encountering children with respiratory symptoms (running nose, nasal congestion, cough, fever, etc.), we also recommend that take the child's secretions through a nasopharyngeal swab for testing, so as to quickly, non-invasively, and directly obtain the examination results.
This kind of examination method is called the "respiratory five" and is often nicknamed "snot check" by parents.
pediatrician uses such a long cotton swab to penetrate the child's nasal cavity or pharyngeal area, dip the child's nasal or pharyngeal secretions, and then send it to the laboratory for testing.
Doctors will first make a preliminary judgment on the child's condition through clinical examination of , and then decide whether to take nasal secretions or pharyngeal secretions for examination. The two "cotton swabs" that are required to be used for examination are slightly different, and the parts where the secretions are taken are also different.
For suspected influenza virus and respiratory syncytial virus infection, nasal secretions were taken through the nasal cavity for testing;
(photo is a simulation scenario for examination sampling)
For suspected mycoplasma pneumoniae and respiratory adenovirus infection, pharyngeal secretions were taken through the pharyngeal secretions were tested.
(photo is a simulation scenario for examination sampling)
The entire operation process takes only 2 seconds, no blood draw and no pain. However, the process of exploring the cotton swab may make the child uncomfortable, such as shaking his head, twisting his body, crying, etc., but it will not affect the examination results. Parents can rest assured.
After the inspection, how do you read the inspection report?
The laboratory department takes about 30 minutes to conduct the laboratory test and issue the report. The laboratory report is as follows:
As shown above, the "Five Respiratory Organs" can test the following 5 types of antigens:
- Mycoplasma pneumoniae antigen (MP)
- Respiratory Syncytial Virus Antigen (RSV)
- Respiratory Adenovirus Antigen (AdV)
- Influenza A virus antigen (Flu A)
- influenza B virus antigen (Flu B)
Among them, "negative" means the child is not currently infected, and "positive" means the infection. You need to follow the pediatrician's instructions for treatment or take care of correctly at home to avoid worsening of the condition.
Why are these antigens tested?
Dr. Mu Yu, director of the Laboratory Department of Cui Yutao Yu Academy Pediatric Clinic, explained:
The five antigen tests have covered the common, most of the pathogens that can be accurately detected by reagents and cause upper respiratory tract infection. The examination results can provide a more accurate judgment basis for doctors' clinical treatment, help doctors to treat more symptomatically, and help parents better understand the cause of the disease, so that children can recover health faster.
Of course, it is also possible that the child’s test results show that all 5 test results are “negative”. Does this mean that the test was in vain?
is not. The results of
show that the child's disease excludes influenza, respiratory syncytial virus, adenovirus and Mycoplasma pneumoniae. Pediatricians need to consider the cause of the child from other aspects, whether to continue other examinations, and then formulate treatment plans, which is also positive for the child.
From the diagnosis principle of "use less medicine, no medicine"
There are a large number of parents who may think, "then it is better to give the medicine to their children first, anyway, it may not be possible to find it out after checking." In fact, this is a misunderstanding of pediatric medical care.
The physical functions of infants and young children and children are not yet complete. Pediatricians will treat children based on the principle of "use less medicine and no medicine", so it is very important to find the cause of the disease in .
In addition, after clarifying the cause, the doctor can make a correct judgment on the next development trend of the disease and take timely intervention measures to avoid the child's condition worsening, recurring or other complications.
In fact, for self-healing diseases, just need to take correct home care and wait patiently for the child to recover by himself. Taking medications is not particularly positive for the child's disease recovery, except for giving parents psychological comfort.
After the drug enters the child's gastrointestinal tract, it will interfere with the normal intestinal flora. This is why many children may experience symptoms such as diarrhea, constipation, digestive discomfort, and slow growth after taking medicine.
For common symptoms such as runny nose, nasal congestion, cough, etc. in respiratory diseases, it can be relieved by nasal spray, nasal drops, atomized inhalation, steam bath, etc., and oral medication is not necessary.
