What medicines can cure pneumonia in children?

Pediatric pneumonia is a common clinical disease that is prone to occur in all seasons, but more often in winter and spring. If the treatment is not thorough, it is easy to recur and affect the child's development. The clinical manifestations of pediatric pneumonia are fever, cough, and dyspnea. There are also cases where there is no fever but severe cough and wheezing. The main cause of the disease is that children like to eat sweet, salty, fried and other foods, which causes food stagnation and internal heat, phlegm and heat, and occasional cold wind that makes the lung qi stagnate. The two are mutually causal and cause pneumonia.

The application of anti-infective drugs is based on age, severity of the disease, previous medication history, and reference to drug sensitivity tests to select appropriate anti-infective drugs.

1. Choice of antibiotics

a. Gram-positive cocci infection of the lungs: For pneumococcal pneumonia, penicillin is still the first choice. Generally, a large dose of penicillin is used intravenously. For those who are allergic to penicillin, erythromycin is used instead. For staphylococcal pneumonia, first use enzyme-resistant (β-lactamase) drugs, such as new penicillin II, cephalosporin I or third-generation cephalosporin intravenously. The course of treatment is 3-6 weeks. If the drug is stopped too early, it is easy to relapse. Fluphenazine penicillin and metronidazole are effective for anaerobic pneumonia.

b. Gram-negative bacillus infection of the lungs can generally be treated with ampicillin or aminoglycoside antibiotics. Pseudomonas aeruginosa pneumonia can be treated with Fudaxin, Junbizhi, etc.

c. Erythromycin is often used to treat mycoplasma pneumonia, and the appropriate course of treatment is 2 weeks.

d. For pneumonia with unclear bacteria, broad-spectrum antibiotics should be selected according to the condition, and combined with other drugs (one of which should be more gram-negative). Once the bacteria are identified, the corresponding sensitive antibiotics can be replaced as appropriate. For severe pneumonia, antibiotic treatment should be mainly intravenous injection or intravenous drip.

2. Application of antiviral drugs

Interferon: 100,000 U for children under 5 years old, 1/day intramuscular injection; 200,000 U for children over 5 years old, 1/day, intramuscular injection, 2-3 days as a course of treatment. Interferon nasal drops (10,000 U/ml, 1-2 drops per nostril, 15-30 times a time, 3-4 times/day after the fever subsides) and ultrasonic atomization inhalation are also used.

Ultrasonic nebulization of triazole ribavirin is the main route of administration. The dosage is: 10 mg for children under 2 years old, 20-30 mg for children over 2 years old, dissolved in 30 ml of distilled water and nebulized until it is completed, twice a day for 5-7 consecutive days. You can also use 0.5% solution as nasal drops every 1-2 hours.