Question
A three-year-old child has been coughing for over a month without improvement. The cough began on October 4th. On October 10th, the child was diagnosed with bronchitis after a routine blood test at the hospital. After three consecutive days of intravenous drip treatment, the symptoms slightly improved. The child continued to take medication including Cloya dry suspension, Huanxin powder, and hydrochloride ceterizine syrup, which improved the common cold symptoms but still coughed in the morning. By the end of October, there was no improvement in the coughing symptoms, so the child went to the doctor again and underwent a blood test, which still diagnosed bronchitis. The doctor prescribed Erythromycin granules, Acetylmethacylin dry suspension, and silver cordyceps common cold powder applied to the navel. After three days of continued use, the cough did not improve and instead, clear nasal discharge and worsened common cold symptoms appeared. The child’s doctor is requested to provide further treatment suggestions.
Answer
Based on the provided examination results, it is considered that the bronchial infection may be caused by both viruses and bacteria. The mycoplasma test was negative, indicating that the infection may have been ongoing for a longer period. It is suggested to conduct sputum culture and drug sensitivity tests to determine the sensitive antibiotic and to undergo 7 to 10 days of anti-infection treatment. It is recommended to administer intravenously. Additionally, encourage drinking plenty of water and remain calm; there is no need to worry excessively.