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That nightmarish mycoplasma pneumonia

author:I'm Dr Xiaoyu

In the past few days, mycoplasma pneumonia has been on the hot search.

According to media reports, hospitals in many parts of the country are crowded with patients infected with Mycoplasma pneumoniae, especially children.

That nightmarish mycoplasma pneumonia

Many parents are very new to Mycoplasma pneumoniae, and some even think that a new infectious disease has arrived.

In fact, Mycoplasma pneumoniae is a very common and common infectious disease, and many people have been infected.

My own child was infected with Mycoplasma pneumoniae, and that experience is still a nightmare that I will never forget.

I often talk about the hardships of raising my eldest son in the article, the first time I became a mother, I didn't understand anything, the child was allergic to the constitution, bumps along the way, and both mother and son suffered a lot.

Infancy is vomiting milk eczema, early childhood is love to be sick, after school is inattention, slow movements, homework procrastination, and then superimposed asthma, rhinitis, buck teeth...

All this forced me into an all-round "supermother".

#1

Dr. Small fish

An unbearable past

What impressed me the most was the mycoplasma pneumonia he experienced in 2011 when he was three and a half years old.

At that time, the eldest son was in the kindergarten class, which was a well-known minor patient in the class, and he could not attend kindergarten for a few days every month, and there were always various problems.

I remember very clearly that during the May Day holiday that year, for a whole 7 days, I "worked" in the children's hospital - accompanying my children for infusions.

Because in April, I had a fever repeatedly, coughed and coughed, checked everything, and finally found that it was Mycoplasma pneumoniae.

That nightmarish mycoplasma pneumonia

In 2011, his 3-and-a-half-year-old son contracted Mycoplasma pneumoniae

The child is infected with Mycoplasma pneumoniae, and how tormented the parents are, who really knows.

I saw that many parents on the Internet this year said that "children have almost no effect after taking azithromycin", as if they had found a distant soulmate.

The spell of eating for three days, stopping for four days, eating for four days, and then began to play it in my head again.

During that time, the medicine was fed on time according to the alarm clock every day, for fear that a few minutes later, the bacteria would be resistant.

However, Rao is so rigorous and attentive, and Mao is not useful. In fact, it has long been resistant!

It is said that throughout the Asia-Pacific region, azithromycin resistance rates are relatively high.

A paper shows that the resistance rate of mycoplasma pneumonia to macrolide antibacterial drugs (such as azithromycin) in a hospital in Fengxian District, Shanghai increased from 3.2% in 2008 to 30.5% in 2018[1].

On May Day of that year, my child had to go to the children's hospital for hospitalization due to mycoplasma pneumonia.

That nightmarish mycoplasma pneumonia

In 2011, his eldest son was hospitalized with mycoplasma pneumonia

The kind of despair that the child kept having a fever, coughing all the time, and never getting better, made me unforgettable for the rest of my life.

Therefore, when he grew up, what homework is done slowly, the composition cannot be completed, the Olympiad will not be done, and other troubles, for me, it is simply as light as a feather.

Because I remembered the vow I made when he was a child: I just want him to be healthy.

After telling his own story of blood and tears, let's talk about mycoplasma pneumonia.

#2

Dr. Small fish

What is Mycoplasma pneumoniae?

Mycoplasma pneumoniae is the smallest microorganism between bacteria and viruses known to survive on its own.

Mycoplasma pneumoniae has no cell wall structure, like bacteria without a "coat".

That nightmarish mycoplasma pneumonia

Infected with Mycoplasma pneumoniae, the symptoms are similar to colds, severe fever, severe dry cough, but not all will develop pneumonia.

Research data show that about 10%~40% of children with respiratory infections caused by Mycoplasma pneumoniae will develop pneumonia.

Therefore, if the child has a high fever repeatedly (fever for more than 3 days) and a severe cough, it is best to go to the hospital in time.

#3

Dr. Small fish

Why did Mycoplasma pneumoniae suddenly erupt?

First of all, Mycoplasma pneumoniae infection itself has a large and small age.

Some clinicians call mycoplasma pneumonia "Olympic disease", which means that the epidemic characteristics of Mycoplasma pneumoniae infection in a 4-year cycle are more obvious.

The findings of the United Kingdom and South Korea also prove that such cycles do exist. [2] [3]

The last epidemic peak of Mycoplasma pneumoniae infection in China was probably in 2017 [4]

Originally, around 2021, there should be a wave of Mycoplasma pneumoniae epidemic.

However, due to the coronavirus pandemic, strict social isolation and extensive respiratory protection measures prevented the epidemic of Mycoplasma pneumoniae.

This year, after the lifting of the new crown epidemic, with the full liberalization of society and the restoration of social distancing, various respiratory infectious diseases have also begun to become active, including Mycoplasma pneumoniae.

#4

Dr. Small fish

How to prevent Mycoplasma pneumoniae infection?

There is currently no vaccine to prevent Mycoplasma pneumoniae infection.

The prevention of Mycoplasma pneumoniae infection is the same as the prevention of all respiratory infectious diseases.

Recall how to prevent COVID infection.

1. Avoid crowded and poorly ventilated public places

2. Wear a mask in crowded places

3. Pay attention to hand hygiene. Wash your hands frequently and bring a quick hand sanitizer with you

4. Strengthen nutrition, eat well, sleep well, exercise more, and improve resistance

5. If you have fever and severe symptoms, seek medical attention in time.

Finally, do you want to get a flu shot?

Both children and the elderly are advised to get the flu vaccine because the biggest effect of the flu vaccine is to prevent severe disease. Shenzhen provides free influenza vaccination for primary and secondary school students, should it be vaccinated?

bibliography

[1] DU Jinlong,FENG Yan,LI Hengtao. Clinical value and analysis of MP resistance in detection by real-time PCR combined with probe[J].Laboratory Medicine,2020,35(06):535-539.)

[2] https://pubmed.ncbi.nlm.nih.gov/26909073/

[3]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4481037/

Wang Yacui, Wu Xirong, Liu Fang, Yin Qingqin, Li Jieqiong, Wang Yonghong, Quan Shuting, Tian Xue, Xu Baoping, Shen Adong.Epidemiological characteristics and drug resistance of Mycoplasma pneumoniae infection in hospitalized children in Beijing from 2016 to 2019[J].Chinese Journal of Practical Pediatrics,2022,37(14):1082-1085.DOI:10.3760/cma.j.cn101070-20210926-01159.