How to distinguish the signs of the flu from a banal viral infection, ask your doctor several days after your illness to call an emergency pediatrician as soon as the temperature rises, who is at risk for influenza and which antiviral drugs protect you from the flu. Eka Kipiani , Head of Quality Management Service at Ambulatory Pediatrician, spoke to the visiting doctor about these topics .
What are some of the alarming symptoms that indicate that we may be dealing with an alarming flu virus whose aggressive strain is now widespread?
What are the signs that make us think we are dealing with seasonal flu? The main thing about H1N1 is that it is a sudden start and definitely high temperature. It starts with a decrease, severe headache, pain in the eyes, joints and muscles, these are the main and most characteristic features that do not typically occur with banal cold or other respiratory symptoms that occur throughout the year. All of this may be accompanied by severe intoxication, vomiting, diarrhea, drowsiness or, on the contrary, increased excitement. These are the primary signs that we may have the flu virus. It is noteworthy that atypical cases may occur in medicine.
A toddler may not be able to relieve pain and diminution, so what can we do at this time? Also, what do you mean by the rapid development of events, what time period are you talking about?
Let me start with the spreading period, the incubation period of the influenza virus is not 2-3 days, but longer. During the incubation period, neither the parent nor the doctor can understand whether the influenza virus can be detected. This is why the flu is characterized by very high contagiousness.
Although the pain may not be able to deliver the child, it will certainly be a severe pain, as if touching it will not leave anything to relieve. Fever, especially in young children, remains a major symptom. There may also be a mild development that also characterizes this virus. Therefore, the recommendation is that from the very first day of high temperature monitoring, the child should be under the supervision of a physician, not in the hospital . When we monitor the dynamics and no positive dynamics are observed after three days, this already suggests the need for additional studies and this process is no longer subject to home treatment.
When should we call an emergency?
From the very first time that the symptoms I talked about above occur, it’s a sign that you should call a pediatrician. It is imperative that we protect ourselves against reinfection, the danger of which is of course in clinics. Add to this a stressful environment for both the child and the parent. And stress always leads us to an immunodeficiency problem. The pediatrician today has not only the services to get a doctor home and to pay you, but also to have a quick flu test. He answers us in 15 minutes and is a non-invasive method, that is to say, research on the nasal mucosa. In addition, there is a novelty of vaccinations that you can take without leaving home, under the supervision of a doctor, at home. These are services that can prevent inpatient treatment, additional viruses and a stressful environment. Most importantly,
What is the Symptom Between the Main Flu and the Virus?
The main difference is the dynamics. In the case of the usual banal virus, the baby’s condition improves dramatically within three days, with only one wave of fever being observed. Influenza lasts from 5 to 7 days, lasting up to 9 days, after a solid 5-day fever as if the baby has recovered and a second wave is coming. The duration of the illness is very important. At any age when the patient does not recover after 72 hours, this means that we have the flu virus. If at the beginning we say you get a lot of fluids, eat well, stay comfortable at home, you won’t be restful after 3 days, we need a study to determine if we have any complications, and the flu is characterized by complications.
Which is the most common complication of influenza virus?
Influenza is a virus that mistaken for the upper respiratory tract, it is characterized by tropism in the lower respiratory tract and therefore it is characterized as a complication of pneumonia. What calms us down is that the flu is not a lightning form. Of the deplorable results that came to us, none of them developed on the first and second days, in all cases either delayed hospitalization or concomitant diseases.
Can H1N1 be administered at home if it is lightweight and does the treatment scheme that is typical of viruses work in this case?
In 1% of cases, the flu virus is complicated, which means healthy, non-chronic people. In 99% of cases this virus is present without complications. It does not need immediate, specific treatment when it comes to a physician-recommended patient with symptomatic treatment at home. Symptomatic treatment involves a lot of fluid, balanced nutrition, and removing the discomfort that a particular patient has.
Is it always necessary to use Tamiflu in the influenza virus and can it be used in the ordinary course of the virus when it is difficult to lower high temperatures?
No! Tamiflu, an antiviral drug that works on a confirmed influenza virus, recommended by the World Health Organization. It is fortunate that we have this medicine in our hands that we know is working together and working on the flu virus, which has been proven by research. It has its display and is most effective within 48 hours of the onset of the disease, it stops the virus from replicating. It is proven that the duration of illness and the risk of complications are reduced. Only the physician should decide to include this medication in the treatment of influenza virus.
What concomitant diseases can be the cause of complications of influenza virus?
Flu complication is in absolute correlation with concomitant diseases. In this case, the severe consequences are caused not only by the flu, but by the acute illnesses that are exacerbated by the flu, which can be of any age group. Infants may have congenital or acquired defects. Most common in adults are cardiovascular disease, transmitted infarction, impaired blood flow to the brain, diabetes, cancer, asthma, recurrent bronchitis, and any immunodeficiency disease. This is a risk group defined by the World Health Organization and these people need to be immunized. It should be remembered that if a patient has any type of chronic disease, he or she already belongs to the risk group, regardless of system, course, setting, etc.
Where is the greatest danger of getting the flu?
Seasonal influenza is circulating in many countries around the world, in developed European countries, America and we are no exception. It is characterized by high contagiousness, contagious by air, and by the touch of the subject affected by the infected person. The incubation period, two days, may be quite painless, but be a hub for infecting those around you. Positive dynamics have been dominated by the holidays for the last time, with the first two weeks of January always falling short in statistics. This is taking place against the backdrop of ease of social gathering.
Prevention may mean that you should avoid indoors because there is a high risk of disease in such areas.
We see a lot of advertisements for medicines that increase immunity and protect against the flu virus. In your experience, is there a way to protect yourself against the flu virus and how can it be eliminated?
It is a mental problem to believe too much in advertising, in the pharmaceutical company, and among our neighbors. For a child to have good immunity, there are no medicines, complex vitamins or other remedies for this. Nowadays, in no country in the world is there a drug that we give to a baby and it does not get sick anymore. Parenting education has already increased today, and you should definitely explain why your child needs this medication.
Does it have the effect of influenza vaccination in January when one wave of influenza virus has passed?
The perfect time to get the flu vaccine is October, November, this is the time to prepare for seasonal viruses. Once vaccinated does not mean that we have immunity all our lives, a new vaccine is released every year, and after six months it loses effectiveness. Two weeks after the vaccine, immunity begins to develop and our body is already ready to accept it, or if it gets into the body to fight the virus. We should know that this is not a 100% vaccine, it is effective in 60-70% of cases when it completely gives us immunity or protects us from the complications that characterize this influenza virus.
Now, vaccination still makes sense, because after two weeks we still have the chance to fight the flu. The World Health Organization is not recommending that everyone should be vaccinated. The recommendation is very strictly written and covers children under 18, pregnant women, people over 65, people with chronic diseases and those who are in constant contact with the environment, doctors, journalists, etc. There has been a shortage of vaccine for some time, but the emergency pediatrician already has the vaccine reserves and can be avoided without leaving home. It is advisable to engage in social activity two weeks after vaccination, but if not, you should make sure that the empty room in the school and kindergarten is vacant once every 45 minutes. Also, it should be processed at least twice a day in a wet manner.
Is vaccination recommended for children who have already experienced seasonal flu?
In the case of a laboratory or clinically proven diagnosis, if the child has been infected with the H1N1 virus, he or she has immunity for one year. Like adults. They need to make sure that next year they are prepared to meet a new wave. Immunization “Acer and Protect” This is the first to prevent it, the second is the protection of hygiene rules, and everyone should be at home before healing. In adults, after 48 hours of restless sleep, and in children, complete recovery after 10-12 days. If you let your child into the social environment without fully recovering, you are putting this in front of both your child and others.