How to deal with infant bronchitis

Patient's question:

Detailed medical condition and consultation purpose: The child makes snoring sounds while nursing, and it seems like there is phlegm in their throat. Breathing is normal while sleeping. When awake and at rest, breathing is normal, but during play, there are snoring sounds as if there is phlegm in the throat.
Duration of the current illness: Since the child was discharged, it has been more than 60 days.
Medical history: The child was hospitalized for 10 days due to bronchitis at 38 days old. Before admission, there was no runny nose, no snoring sounds in the throat, no coughing, and normal body temperature. During the admission examination (X-ray), it is possible that the child sweated a lot due to being over-wrapped and the examination room was too cold. After the examination, the child

Doctor's answer:

Hello: According to the situation you described, it still falls under the symptoms of tracheitis. Key Points of Treatment
1. For infants with high fever and systemic toxic symptoms, regardless of whether white blood cell count is elevated, blood culture should be sent for once, and sputum culture should be attempted.
2. Symptomatic and supportive therapy should be the main approach. Increase air humidity and maintain fluid intake. Intravenous infusion of maintenance fluids can be used as needed.
3. Oxygenation is the primary measure. The oxygen flow rate should be 1–3 L/min (nasal cannula method) or >3–5 L/min (mask method). Monitor changes in respiratory rate and heart rate before and after oxygenation, and adjust the oxygen flow rate as appropriate.
4. Antibiotics
- For mild cases, antiviral oral liquid or intramuscular ribavirin should be used as a principle, or erythromycin derivatives can also be taken orally.
- For infants under 6 months and more severe cases, penicillin or erythromycin derivatives are the first choice. If fluid supplementation is needed, intravenous administration can be used.
5. Corticosteroids
- For severe infants with severe dyspnea, hypoxia, and widespread dense pulmonary signs, short-term intravenous infusion of hydrocortisone or dexamethasone, or oral prednisone, can be used.