Question
A 10-month-old baby experienced symptoms of fever, chills, and a bluish complexion on the evening of December 6th, following the administration of the Japanese Encephalitis vaccine. Treatment with traditional Chinese medicine for four days was ineffective. Subsequently, the baby was diagnosed with bronchitis and received intravenous injections of vidarabine and Lijianxin, which improved the symptoms but still suffered from coughing, runny nose, and phlegm in the throat. The symptoms have persisted for 17 days, and the baby is currently taking traditional Chinese medicine and 0.125g of Hiclo. The expert is asked about the next steps in managing the condition.
Answer
Recommendations for treating baby bronchitis include: One, for older infants with early dry cough and no fever, treatment should primarily involve traditional Chinese medicine, Chinese patent medicine, and symptomatic therapy. Two, for children with severe symptoms, fever, or those with secondary infections from upper respiratory infections, the first-line medication should be SMZc0 or drugs such as penicillin or erythromycin, followed by ampicillin or ceftriaxone. For children over 5 years old, erythromycin is the preferred choice. Avoid unnecessary combination use of two antibiotics. Three, for children with abundant phlegm, ensure adequate fluid intake and avoid using simple cough suppressants. Commonly used medications include: (a) Baby Cough Mixture (MT), 1ml/kg per dose, three times a day. (b) Brown Mixture, 1ml/age per dose, three times a day. (c) Cotrine, 1/2 to 1 tablet per dose, twice or thrice a day. When using Cotrine, due to its content of antihistamines, avoid concurrent use with Phenylephrine or other sedatives.