Question
A newborn was hospitalized on October 13 due to pneumonia and was discharged with signs of wheezing in the lungs, nasal discharge, and rapid breathing. Born on September 28, the umbilical cord has not dropped off yet, and green stools were observed yesterday, which turned yellow today. The current treatment includes antibiotics and corticosteroids. The mother had a fever four days after giving birth and occasionally coughs. Is it appropriate for the child to receive hepatitis B vaccine at the one-month mark?
Answer
The treatment period for neonatal pneumonia is typically 10 to 14 days, but this baby was discharged after only seven days of treatment, possibly not fully recovered. Pneumonia not fully treated may lead to worsening of the condition. It is recommended to continue treatment until all symptoms disappear. If pneumonia is not fully recovered, it is not appropriate to receive the hepatitis B vaccine. The hepatitis B vaccine can be administered later, with the current most important thing being to ensure that the pneumonia is completely cured. The umbilical cord not dropping off may be normal, but if it does not naturally drop off within a certain timeframe, it should be discussed with a doctor to rule out any potential health issues. Green stools may be due to normal changes in the digestive system or temporary changes in food intake, but if any abnormalities are noticed, it should be promptly discussed with a pediatrician.