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Flu cases push up Children's emergency room visits

Posted by Elizabeth Cooney October 29, 2009 05:14 PM

Emergency doctors at Children's Hospital Boston began seeing an increase in what they think are swine flu cases over the weekend, Dr. Anne Stack, clinical chief of emergency medicine, said yesterday.

About 25 to 30 children a day are coming to the hospital with the hallmarks of flu -- fever, cough, sore throat, congestion, and headaches -- pushing the total number of emergency patients 40 percent higher than usual for this time of year. Doctors are not testing patients for flu, but they see the uptick in visits as a sign of the spreading H1N1 virus.

"Normally this time in October we see 170 kids a day, but on Monday, we saw 240," Stack said. "We are assuming everything that looks like flu is probably H1N1."

The cases appear to be as mild or milder than seasonal flu, she said. Unless children have underlying health problems or appear to have complications, they don't need to come to a hospital, she said.

If the child has difficulty breathing, is dehydrated -- can't urinate for six to eight hours or can't drink -- has a change in mental status or has a rash with a high fever, then coming to the emergency room is appropriate. Otherwise, children can safely be treated at home with Tylenol, fluids, and rest, she said.

If a child under 2 has flu symptoms, parents should call their pediatrician because children this young are considered at higher risk, according to guidelines from the US Centers for Disease Control and Prevention. If children of any age have the flu and feel better only to get sick again, parents should call their pediatrician in case the child is developing a potentially serious bacterial infection.

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Elizabeth Cooney is a former health reporter for the Worcester Telegram & Gazette, where she also was a business reporter and an editor. Earlier in her career, she edited medical books and journals at Little, Brown, and worked for Boston magazine.

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