How should treatment be carried out for repeated infection of Mycoplasma pneumoniae?

Patient's question:

7 years old, frequently coughs, has been diagnosed with mycoplasma pneumonia multiple times through urine tests, only hospitalized in July for this, now in January, chest X-ray after coughing shows bronchopneumonia, urine test results show weakly positive + - Mycoplasma pneumoniae antibody IgG, Mycoplasma pneumoniae antibody...

Doctor's answer:

In the current treatment of mycoplasma pneumonia or other infections caused by mycoplasma or chlamydia, the clinical diagnosis still requires the use of macrolide antibiotics. This includes drugs like azithromycin. You mentioned that your child has already been treated with azithromycin from an exported product. Perhaps the purity of azithromycin medications in foreign countries is lower than in China, which is why the effect is better. The current situation is not as you described, with no resistance. The key is that treatment takes time. Currently, in addition to using domestically produced azithromycin, you can also add a cephalosporin antibiotic for combination therapy. This might yield better results. Of course, coughing is quite severe. You can take Otsuka cough syrup orally. Regarding immunity, it's important to exercise regularly and maintain a proper nutritional balance.

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