How to treat bronchial pneumonia in a 4-month 20-day-old male infant

Patient's question:

10 days ago had a dry cough, 38.2°C. Took ibuprofen pink liquid medicine. Temperature is normal, still dry cough. 7 days ago had diarrhea, tested positive for enteritis. Allergy to penicillin after skin test. IV drip for 3 days showed slight improvement. 2 days ago had severe cough with phlegm and diarrhea. Stool test was normal. Now diagnosed with bronchopneumonia. What tests should be done? How should it be treated?

Doctor's answer:

In your case, it may be pneumonia, and antiviral treatment is the most important part of pneumonia treatment. The treatment of bacterial pneumonia includes empirical treatment and targeted pathogen treatment. The former is mainly based on the epidemiological data of pneumonia pathogens in this region and unit to select antibacterial drugs that may cover the pathogens. The latter is based on the culture and drug sensitivity test results of respiratory or lung tissue samples to select antibacterial drugs that are sensitive in vitro. In addition, antibacterial drugs and routes of administration should be selected based on the patient's age, whether there are underlying diseases, whether there is aspiration, whether the patient is in a general ward or an intensive care unit, the length of hospital stay, and the severity of pneumonia.

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