Aún habrá que esperar para la vaccine contra la bronchiolitis

Begoña Fernández |

Madrid (EFE).- There is no effective pharmacological treatment, nor will it take a short time before the explosion of bronchiolitis that is collapsing in the pediatric emergency room, but it is expected that vaccines will be approved in two or three years for minors and pregnant women, which are not un tratamiento en sí sino una medida para preventer la enfermedad.

As explained in an interview with EFE, the spokesperson of the Spanish Pediatric Emergency Society (SEUP), David Andina, who considers that preventive measures such as vaccines confer immunity to pregnant mothers and children as well as monoclonal antibodies of the unique administration , que actualmente se reserva para niños con patologías de base con administración mensual.

Andina, que es pediatra de urgencias en un hospital de la Comunidad de Madrid, insists en que la bronchiolitis no tiene tratamiento como otras infeccións respiratoryas y subraya que lo que se hace en urgencias es «cribar qué niños necesitan ingresso por tengan difficulidad respiratorya, les cueste comer o el oxygene esté muy bajo, en ese caso quedan hospitalizados y se les pone unas gafas nasales».

«Más allá de esto, no tenemos nada» affirma este pediatra que apunta a las medidas de prevention de lavado de manos, higiene de superficies y mascarilla, especially para los cuidadores parentes.

Andina comments that the explosion of cases that she is living is “unusual”, the bronchiolitis associated with the Respiratory Syncytial Virus (VRS) that has been advanced by a few weeks and has derived an alarming increase in the number of children in urgent care and intensive care units ( UCI) «much más alto del que estamos acostumbrados».

De seguir este ritmo until Christmas, the situation will be dramatic

Andina explained that what is most concerning to the pediatricians is that they do not know when the peak of the curve will arrive, as soon as the covid comes, and advises that if the rate of income continues as it has been in the past few weeks, the situation before Christmas is so long. urgencias como en las uci puede «volverse dramatica».

“It is impossible that this is the rhythm of the supply system”, says this pediatrician who remembers that some hospitals in Aragon, Catalonia and the Community of Madrid already have contingency plans because it is impossible to deal with the situation with the usual endowments.

In estos plans de contingency, Andina advierte de que se trèran que habilitar camas uci fuera de las unidades de intensivos y habilitar espacios que usuallymente no están reservados para la assistance a niños, como son areas en zonas de adultos de los servicios de ergencia.

Además considera que para atender esta explozion de casos habrá que paralizar actividad turígica no urgente de menores.

The pandemic changed the epidemiology of many viruses, including VRS

Bronchiolitis por VRS es una enfermedad typical of the minors of two years as the most serious cases fall in the children with less than three months and the neonates that are most often admitted to the emergency room and in the uci, during days and included semanas.

The pandemic has changed the epidemiology of many viruses, the VRS that during two years circulated much less has made that there are more children susceptible to infection, including the elderly.

También se cree que las mothers of these children that during gestation no tuvenon contacto con el virus, tampoco tuvenon anticuerpos con los que proteger a sus hijos en el cimiento.

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