Ehrlich Haley, Boneva Dessy, Elkbuli Adel
Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA.
Department of Surgery, University of South FL, Tampa, FL, USA.
Ann Med Surg (Lond). 2020 Oct 17;60:41-43. doi: 10.1016/j.amsu.2020.10.021. eCollection 2020 Dec.
As seasons come and go throughout the year, so does the rise and fall of influenza-like illnesses. The next wave of influenza will occur as the novel coronavirus 19 (COVID-19), caused by the SARS CoV-2 virus, continues to afflict the US. Both viruses, while from different families, have similar risk factors and symptoms such as fever, cough, headache, muscle aches, and fatigue. Since both viruses carry similar patient presentations and target similar patient populations, the ability of physicians to make a clinical diagnosis of influenza without testing is impaired. Obtaining the correct diagnosis for a patient presenting with a viral illness is paramount for determining the best course of treatment, particularly since the treatment for influenza has not been shown to be effective in treating COVID-19 patients. Another diagnosis that must be kept in mind is the possibility of co-infection with both influenza and COVID-19. With COVID-19 already placing patients in the Intensive Care Unit, additional pathogens causing similar severe manifestations can worsen patient outcomes. The compounding cumbersome additions of Influenza-Like-Illnesses can further burden the already stressed healthcare system, highlights the importance of proactive measures. Increasing influenza vaccination rates is a supported proactive measure that can be promoted through social media platforms, infomercials, and short informational videos physicians can play prior to the start of a telemedicine visit. Through the implementation of education and support for vaccination, this imminent danger may be avoided, allowing healthcare providers to effectively navigate the crossroads built by incoming patients presenting with viral illnesses.
随着一年中季节的更迭,类似流感疾病的发病率也会起伏。随着严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引发的新型冠状病毒19(COVID-19)持续困扰美国,下一波流感将会出现。这两种病毒虽来自不同病毒家族,但有相似的风险因素和症状,如发热、咳嗽、头痛、肌肉酸痛和疲劳。由于这两种病毒的患者表现相似,且针对的患者群体相同,医生在不进行检测的情况下对流感进行临床诊断的能力受到了损害。对于出现病毒感染症状的患者,正确诊断对于确定最佳治疗方案至关重要,特别是因为尚未证明流感治疗方法对COVID-19患者有效。另一个必须牢记的诊断是同时感染流感和COVID-19的可能性。鉴于COVID-19已使患者进入重症监护病房,其他导致类似严重表现的病原体可能会使患者病情恶化。类似流感疾病带来的复杂麻烦会进一步加重本就不堪重负的医疗系统负担,凸显了采取积极措施的重要性。提高流感疫苗接种率是一项得到支持的积极措施,可以通过社交媒体平台、商业广告以及医生在远程医疗问诊开始前播放的简短信息视频来推广。通过开展疫苗接种教育和提供支持,这种迫在眉睫的危险或许可以避免,使医疗服务提供者能够有效地应对因出现病毒感染症状前来就诊的患者所带来的难题。