UK's 最高の，を越す doctors 問題／発行する new Strep A 指導／手引 for parents after 警告 不明瞭な advice on symptoms in kids has left NHS in '炉心溶融'

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Britain's most 上級の doctors have today 問題／発行するd fresh 指導／手引 on the symptoms of Strep A and the steps worried parents should take after 警告 that 現在の advice isn't （疑いを）晴らす enough.

NHS services have been left in '炉心溶融' from the bug 突発／発生, with GP 外科s, A&Es and 111 call centres 圧倒するd by a wave of parents panicking that their child may be 感染させるd.

Professor Kamila Hawthorne, 議長，司会を務める of the 王室の College of General Practitioners (RCGP), said 'we want to see good public health messaging across the UK'.???

The RCGP, working with two other 王室の colleges, said it was important to make it '（疑いを）晴らす to parents when they should 捜し出す help' ― 同様に as when 'they don't need to'.?

Fifteen children in the UK have died so far this winter from the usually-穏やかな 感染, which can 誘発する／引き起こす life-脅すing 複雑化s in 極端に rare 事例／患者s. 当局 say the （死傷者）数, although low, is 異常に high for this time of year.?

Fresh 指導／手引, published by the RCGP, the 王室の College of Paediatrics and Child Health and the 王室の College of 緊急 薬／医学, is 目的（とする）d at 'worried parents and healthcare professionals'.

It points to data from the UK Health 安全 機関, which shows that Strep A 感染s are on the rise and are 'higher than we would typically see at this time of year'. 厳しい 複雑化s from Strep A 感染s are two-and-a-half times higher の中で children compared to a previous 'bad' season.

Strep A bacteria, carried by a fifth of people at any given time, usually 誘発する／引き起こす no or 穏やかな symptoms and is 'very treatable', the 指導／手引 says.

The bug can 誘発する／引き起こす a 範囲 of 穏やかな of 感染s, 含むing impetigo, strep throat and scarlet fever.?

The colleges 勧めるd parents to be on the 警戒／見張り for 早期に scarlet fever symptoms ― 含むing a sore throat, 頭痛, fever, nausea and vomiting.

Within 12 to 48 hours, a red sandpaper-like 無分別な develops on the chest and stomach, before '速く spreading' to other parts of the 団体／死体. Youngsters usually also have red cheeks and a 有望な red tongue.

In very rare Strep A 事例／患者s, the bacteria can spread to the bloodstream and 誘発する／引き起こす an illness called invasive Group A Strep (iGAS).

UKHSA 人物／姿／数字s show 659 事例／患者s of iGAS have been （悪事，秘密などを）発見するd in England this season, 60 of which have been 致命的な.?

Nearly 170 of the 事例／患者s have been の中で under-14s, 13 of whom have died. Another two children have died in むちの跡s and Northern Ireland.

The colleges said the 'rising number of 感染s have understandably 原因（となる）d 苦悩 の中で parents'. But it 警告するd that there are lots of winter ウイルスs that 原因（となる） sore throats, 冷淡なs and coughs, which '一般に 解決する without medi cal 介入'.

However, it advised parents to 信用 their own judgment if their child seems unwell.

The doctors, along with the UKHSA, advised parents to call NHS 111 or their GP if their child is becoming more ill, eating いっそう少なく than usual, shows 調印するs of dehydration or is very tired or irritable.

Parents should call 999 or go to A&E if their child is struggling to breathe, their 肌, tongue or lips are blue or they are struggling to stay awake.

It also 問題／発行するd 指導／手引 for NHS staff to 'think Group Strep A' まっただ中に the rise in 事例／患者s.

Doctors should have a 'high 索引 of 疑惑' の中で those with a possible 感染 because '誘発する' 治療 can make a '重要な difference'.

The colleges 勧めるd medics to 通知する the UKHSA of any scarlet fever or iGAS 事例／患者s so its teams can '容易にする 即座の public health 活動／戦闘s 含むing 接触する tracing'.

The 地図／計画する shows the 率 of iGAS per 100,000 people in England between September 12 and December 4. 率s were highest in Yorkshire (1.8) and the South East (1.4)

The UKHSA has logged 6,601 事例／患者s of scarlet fever ― which is 原因（となる）d by Strep A ― between September 12 and December 4 (green line). For comparison, just 2,538 事例／患者s had been 報告（する）／憶測d by this point in 2017/18 (thin blue line), which was considered a 'bad' season

Between September 12 and December 4, the UKHSA was 通知するd of?659 iGAS 事例／患者s (grey line). 率s are 現在／一般に higher than the previous five winters

What are the symptoms of Strep A? How does it spread? And is it the same as scarlet fever? Everything you need to know about the 殺し屋 bug 広範囲にわたる Britain?

What is Strep A?

Group A Streptococcus (Group A Strep or Strep A) bacteria can 原因（となる） many different 感染s.

The bacteria are 一般的に 設立する in the throat and on the 肌, and some people have no symptoms.

感染s 原因（となる）d by Strep A 範囲 from minor illnesses to serious and deadly 病気s.

They 含む the 肌 感染 impetigo, scarlet fever and strep throat.

While the 広大な 大多数 of 感染s are 比較して 穏やかな, いつかs the bacteria 原因（となる） an illness called invasive Group A Streptococcal 病気.

What is invasive Group A Streptococcal 病気?

Invasive Group A Strep 病気 is いつかs a life-脅すing 感染 in which the bacteria have 侵略するd parts of the 団体／死体, such as the 血, 深い muscle or 肺s.

Two of the most 厳しい, but rare, forms of invasive 病気 are necrotising fasciitis and streptococcal 有毒な shock syndrome.

Necrotising fasciitis is also known as the 'flesh-eating 病気' and can occur if a 負傷させる gets 感染させるd.

Streptococcal 有毒な shock syndrome is a 速く 進歩ing 感染 原因（となる）ing low 血 圧力/shock and 損失 to 組織／臓器s such as the 腎臓s, 肝臓 and 肺s.

This type of 有毒な shock has a high death 率.

READ MAILONLINE'S FULL Q&A ON STREP A.?

宣伝

It 警告するd that 需要・要求する for penicillin and amoxicillin ? two 抗生物質s used to 扱う／治療する Strep A 感染s ? have 急に上がるd.

• FIFTEEN children under 15 have now died from 殺し屋 Strep A 複雑化 this winter as health 長，指導者s say knock-on 影響s of Covid lockdowns may be to 非難する for 異常に big 突発／発生?

Doctors may need to 定める／命ずる tablets or 要約する／（宇宙ロケットの）カプセルs instead of liquid forms of the 麻薬s and advise how these should be given to children, the 指導／手引 明言する／公表するs.

Parents and pharmacists have told of difficulties 接近ing 抗生物質s in 最近の days at 地元の hospitals and 化学者／薬剤師s.

大臣s and health 長，指導者s 主張する there is no 国家の 不足 of the 麻薬s but 収容する／認める there may be some areas that 一時的に 苦しむ 供給（する） problems.

The 長，率いるs of the three colleges?― Dr Camilla Kingdon (RCPCH),?Dr Adrian Boyle (RCEM) and?Professor Kamila Hawthorne (RCGP)?― 問題／発行するd a 共同の 声明 to parents.

They said: 'During any winter period 冷淡なs, flus and bugs are 普及した.?

'But with the 最近の 増加する in Strep A 事例／患者s, it's no wonder that parents are very worried.?

'We would like to 安心させる parents and carers that this 明確な／細部 感染 is both ありふれた and treatable.?

'In fact, the 大多数 of children will 回復する on their own without the need for 抗生物質s.'

They 追加するd: 'The UKHSA are 監視するing the 状況／情勢 closely and healthcare professionals are now on high 警報 for any 可能性のある 事例／患者s of S trep A and scarlet fever.?

'As always, if parents are worried about their child's health, we would 勧める that they 捜し出す 医療の 援助 from a pharmacist, their GP or by calling 111 as a first port of call.'

It comes after Professor Hawthorne yesterday 勧めるd health 長，指導者s to 問題／発行するs clearer 指導／手引 to parents over what they should do if they think their child has Strep A.?

She said GP 外科s were 存在 deluged by worried parents and struggling to 対処する on 最高の，を越す of 存在するing 患者 需要・要求する.?

Professor Hawthorne told the BBC: 'We do not want to discourage 患者s who are worried about their children to 捜し出す 医療の attention, 特に given the 現在の circumstances.

'But we do want to see good public health messaging across the UK, making it （疑いを）晴らす to parents when they should 捜し出す help and the different care 選択s 利用できる to them?― 同様に as when they don't need to 捜し出す 医療の attention.'

She also called for 'overspill' services ― which could 選ぶ up extra 需要・要求する まっただ中に the 突発／発生 ― to 緩和する 圧力s on general practice.

• The unusual Strep A symptom EVERY parent 'should look for': Four-year-old girl whose fight against bug tugged at nation's heartstrings 苦しむd 苦痛 in one part of 団体／死体 before 存在 素早い行動d to hospital?

The 殺到する in 事例／患者s and resulting 恐れるs has left the NHS in '炉心溶融', with parents of sick children 押し寄せる／沼地ing GP practices, A&E 部隊 s and 111 call centres.??

Camila Rose 燃やすs (pictured), from Bolton in Greater Manchester, was 認める to hospital 11 days ago and doctors 確認するd she was had the usually-穏やかな bacterial 感染

Now, the 'special little' four-year-old is in the fight for her life. Mr 燃やすs said he's told her how much everyone loves her, and said everyone is hoping for a 奇蹟

This is on 最高の，を越す of normal winter 圧力s ― which sees extra 需要・要求する 予定 to the 冷淡な 天候 and flu every year?― and more 患者s needing NHS care 予定 to spikes in flu and RSV.

The Grange University Hospital in Gwent, South East むちの跡s, saw 90 children on Monday night, with some 直面するing 10-hour waits, the Mirror 報告（する）／憶測d.

Dr Robert Stafford, an A&E 顧問 at the hospital, told the newspaper: 'We know there are a lot of parents and carers who are anxious about Strep A. But I would 勧める people to stay 静める.'?

一方／合間, the 王室の Belfast Hospital for Sick Children yesterday 発表するd that it 延期するd all 決まりきった仕事 手続きs 予定 to '重要な 圧力s' from the bacterial 感染 突発／発生.

It said more than 200 youngster …に出席するd its 緊急 department on Tuesday alone.?

The hospital ― which 扱う／治療するd five-year-old Stella-Lilly McCorkindale, from Northern Ireland, who died from Strep A this week?― said ear, nose and throat 手続きs are の中で those 存在 押し進めるd 支援する.

It comes after the UK Health 安全 機関 this week （機の）カム under 解雇する／砲火／射撃 for telling parents to keep their child off school and call their doctor if they 嫌疑者，容疑者／疑うd Strep A.

But the 指導／手引 also pointed to a sore throat and 頭痛 as symptoms?― to 病気s that are linked to dozens of 穏やかな and 非，不，無-感染性の 条件s.

Professor David Livermore, a microbiologist at the University of East Anglia, told MailOnline: 'A child with a strep A 感染 certainly should be kept home and given 抗生物質s.

'The problem with the 政府's advice is that the 広大な／多数の／重要な 大多数 of children with a sore throat will have a ウイルス, not strep A. And they've 行方不明になるd やめる enough school already.'

Professor Paul Hunter, an epidemiologist at the University of East Anglia, told MailOnline that the new advice could see children unnecessarily have time off school.

Pupils will 行方不明になる classes 'for a few days' if their parents think their sore throat could be strep, he said.

一方／合間, the?夜明け 燃やすs, the grandmother of a four-year-old in hospital with Strep A, today 警告するd parents that 苦痛 in one part of the 団体／死体 could be a 調印する of the illness.

Camila Rose 燃やすs, from Bolton, was 認める to hospital nearly a fortnight ago and was left fighting for her life after developing an exceptionally rare 複雑化 to the usually-害のない bug.

Ms 燃やすs said Camilla ― who is still in 集中的な care?― developed a 苦痛 近づく her shoulder before becoming 本気で ill.

Her grandmother told BBC 無線で通信する 4's Today programme this morning: 'Camilla was complaining of having 苦痛 in her chest, in the 最高の，を越す left-手渡す corner, やめる 近づく to her shoulder.

'Pointed that out to the doctor, and the doctor said she has "more than likely" pulled a muscle 存在 sick and coughing.

'And I think that's what parents need to look out for?― a 執拗な 苦痛 in one part of the 団体／死体.

'Because you've been told by someone who you 信用 that it's a pulled muscle and to give her Calpol, you just 信用 that that's the 権利 thing.'

From the 'bubbly' seven-year-old whose father 猛烈に tried CPR to save, to the four-year-old who loved 調査するing: All the 犠牲者s of Strep A so far

Muhammad Ibrahim Ali

The four-year-old boy …に出席するd Oakridge School and Nursery in High Wycombe, Bucks.

He died at home from a cardiac 逮捕（する） in 中央の-November after 契約ing a Strep A 感染.

He was 定める／命ずるd 抗生物質s.

His mother Shabana Kousar told the Bucks 解放する／自由な 圧力（をかける）: 'The loss is 広大な／多数の／重要な and nothing will 取って代わる that.?

'He was very helpful around the house and やめる adventurous, he loved 調査するing and enjoyed the forest school, his best day was a Monday and said how Monday was the best day of the week.

?

Muhammad Ibrahim Ali, who …に出席するd Oakridge School and Nursery in High Wycombe, Bucks, died after 契約ing the bacterial 感染

Hannah Roap?

The 'bubbly' and 'beautiful' seven-year-old is the only child to have died from Strep A in むちの跡s so far.

Her 荒廃させるd parents told how their 'hearts had broken into a million pieces'.?

The first 調印するs of the 感染 were 穏やかな, Hanna's father Abul took his daughter to the GP after cough got worse 夜通し.?

She was 定める／命ずるd steroids and sent home, but she died いっそう少なく than 12 hours later.?

Mr Roap 解任するd how he 猛烈に tried to resuscitate his child: 'She stopped breathing at 8pm but we were not すぐに aware because she was sleeping.

'I did CPR, I tried to 生き返らせる her but it didn't work. Paramedics arrived and continued the CPR but it was too late.'???

Mr Roap said the family was 'utterly 荒廃させるd' and を待つing answers from the hospital.

The family believe she might have lived if she was 最初 given 抗生物質s.?

Hanna Roap, who …に出席するd Victoria 最初の／主要な School in Penarth, むちの跡s, died after 契約ing Strep A last month. Her family say they have been 'traumatised' by her death

Stella-Lily McCorkindale

Five-year-old Stella-Lily McCokindale is the ninth British child to have died に引き続いて a Strep A 感染, and the first in Northern Ireland.?

She died on December 5 at?王室の Belfast Hospital.

In a 尊敬の印 on social マスコミ, her father Robert said the pair had 'loved every minute' of 存在 together as they went on scooter and bike rides.

'If prays, thoughts, feelings and love could of worked she would of walked out of that hospital 持つ／拘留するing her daddy's 手渡す,' he said.??

Stella …に出席するd 黒人／ボイコット Mountain 最初の／主要な School, who said she was 'a 有望な and talented little girl' and 述べるd her death as a '悲劇の loss'.?

Five-year-old Stella-Lily McCokindale who …に出席するd?黒人／ボイコット Mountain 最初の／主要な School in Belfast died in 早期に December after 契約ing Strep A

Four of the six other deaths 含む:

• An 身元不明の six-year-old pupil who …に出席するd Ashford Church of England 最初の／主要な School in England in Surrey.
• A 最初の／主要な school pupil who …に出席するd St John's School in Ealing, west London.?
• A 12-year-old boy …に出席するing?Colfe's School in Lewisham, south east London.?
• An 身元不明の child at?Morelands 最初の／主要な School in Waterlooville.