2023-11-24 17:01:28
The last resistance to the bronchiolitis epidemic only lasted a short week. After a break during the school holidays, she wasted no time in resuming her progress in France. As proof, the Paca region has just been placed in an epidemic phase. “From now on, all metropolitan regions are concerned except Corsica“, announcement Public Health France in its latest weekly bulletin. “This week, nationally, emergency room visits for bronchiolitis in children under 2 years old increased by more than 35% in one week. Among the 4,662 children under 2 years old who went to the emergency room for bronchiolitis, 4,178 (90%) were under 1 year old.“Another indication, 1,423 (30.5%) children were hospitalized, of which 1,331 (94%) were aged less than one year.”In town, the number of acts SOS Medecins among those under 2 years old is also increasing with 772 acts, a variation of more than 50% in one week,” notes the agency.
A situation confirmed by Aurélie Morand, head of Pediatric Emergencies at Public Assistance – Marseille Hospitals. If even a week ago, it counted on the two Marseille sites, Nord hospital and Timone-Enfants, “around ten young patients per day due to bronchiolitis in the emergency room“, the numbers have more than tripled.”We are in an exponential curve. To date, 16 children (13 Thursday November 23) are hospitalized for bronchiolitis compared to 5 last week. Three are in critical care. In addition to bronchiolitis, the number of visits to the emergency room per day has clearly increased. 180 children received on all sites of the North Hospital and Timone-Children’s Hospital, we record between 100 and 130 visits to each site now. This increase is very usual. Concerning winter epidemics, there is always a gap of around three weeks between the north and the south of the country. The epidemic was expected to catch up with the region. On the other hand, except last year, the curve of bronchiolitis cases always reaches its peak between the end of December and the beginning of January. specifies the manager.
Symptoms to watch out for
A viral pathology mainly due to the respiratory syncytial virus (RSV), bronchiolitis most often begins with a common cold which precedes the onset of a cough 2 to 3 days. “This is the first wheezing episode in a child under one year old, explains Professor Morand. The symptoms begin with a picture of nasopharyngitis with a runny nose and somewhat congested bronchi.“Generally benign, it sometimes leads to more or less serious complications.”If the child does not eat normally, that is to say he eats less than half of his usual food rations, if he drinks less than half of his bottles or the mother has feeling that he is not emptying the breast well when he is breastfed, you should be concerned because this has an impact on breathing. If the child digs in the ribs and breathes quickly: this is a sign that he is struggling with his respiratory distress. Finally, if he has episodes of blue lips, if he is very soft, very unresponsive or very pale, these are all severity criteria which indicate hospitalization to benefit from respiratory assistance.specifies the pediatrician.
A new preventive treatment authorized
If last year, bronchiolitis sent thousands of babies to hospital, it now benefits from a vaccine, Beyfortus, developed by the Sanofi laboratory. Initially offered to all babies born since February, it was restricted to maternity wards due to high demand. This weekend, the Minister of Health Aurélien Rousseau announced in a newspaper interview The world, the order of 50,000 new doses. After the deployment of this new monoclonal antibody, a new vaccine against bronchiolitis is announced for the coming months. Developed this time by the Pfizer laboratory, the Abrysvo vaccine is aimed at pregnant women and will protect the newborn from birth to 6 months.
Every winter, one in three babies is affected by this disease.
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