Question
The child, 6 and a half years old, has been diagnosed with bronchial pneumonia and has undergone 9 days of intravenous treatment, including 6 days of ceftriaxone and Hefenping, and 3 days of aztreonam and Reduning. The cough symptoms persist, sometimes with severe attacks, coughing 1-2 times upon waking up, and the condition has not improved. The child weighs 28 kilograms, and the mycoplasma test is negative. How should the next course of treatment be? Should azithromycin continue to be used?
Answer
The treatment for the child’s bronchial pneumonia has been ineffective, which may be due to resistance to cephalosporin antibiotics. Consider continuing with a few more days of azithromycin, supplemented by nebulization therapy for better results. Nebulization therapy can include ipratropium bromide, vitamin K1, and trypsin among other medications. Additionally, taking Saigen and fresh bamboo decoction may help alleviate the cough symptoms. These suggestions are for reference only and hope they are helpful to you. Wishing your child a swift recovery!