Introduction
As the winter season approaches, the risk of respiratory infections increases, leading to potential hospitalizations. Dr. Colas Tchérakian, a pulmonologist at Foch Hospital, shares essential advice to help prevent these hospital visits. This article outlines three critical steps for healthcare professionals and patients to minimize the impact of winter illnesses.
Avoid Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
One of the primary recommendations from Dr. Tchérakian is to avoid the use of non-steroidal anti-inflammatory drugs (NSAIDs) during infections. While NSAIDs are effective in alleviating pain and inflammation, they can lead to complications such as pleuropneumonia, especially when used alongside antibiotics. This is particularly concerning in cases of streptococcal and pneumococcal infections. Therefore, it is crucial for both the public and healthcare providers to refrain from prescribing or self-medicating with NSAIDs during fever episodes in winter.
Timely Vaccination
Vaccination remains a vital tool in preventing severe respiratory infections. Dr. Tchérakian emphasizes the importance of getting vaccinated against the flu as soon as possible. The peak of infections is imminent, and vaccination offers significant protection. Research suggests that administering vaccines in the same arm as previous vaccinations can enhance antibody production. This strategy is particularly beneficial for patients who are late in receiving their vaccinations. For those vaccinated early in the season, alternating arms may improve antibody specificity.
The ideal vaccination period is between October and mid-November, allowing individuals to build immunity before the peak infection period. Patients with chronic respiratory conditions, such as COPD, should be aware that it takes approximately a month to develop protective antibody levels. Delaying vaccination increases the risk of inadequate protection during the critical winter months.
Vaccination During Mild Illness
A common misconception is that mild illnesses, such as a cold or low-grade fever, should delay vaccination. Dr. Tchérakian advises against postponing vaccinations due to these minor symptoms. Vaccination during mild illness does not reduce its effectiveness and ensures that patients are protected as soon as possible. In hospital settings, vaccinations are often administered at the end of an infection, even when patients are experiencing respiratory exacerbations or are on short-term corticosteroid treatment.
Conclusion
In summary, to prevent hospitalizations due to winter illnesses, it is crucial to avoid NSAIDs during infections, ensure timely vaccinations, and not delay vaccinations due to mild illnesses. By following these guidelines, patients can significantly reduce their risk of severe respiratory infections and the associated complications.
🔗 **Source:** https://francais.medscape.com/viewarticle/maladies-hivernales-pr%C3%A9venir-hospitalisations-3-2026a10001t4