Patient's question:
Hospitalized for several days with bronchopneumonia, I was given cefotiam hexetil injections and Xinyanping injections. The day before admission, I noticed that my child was walking on his toes and experiencing spasms in his right hand, with clenched fists that couldn't open. I was very worried and didn't know what was causing this?Doctor's answer:
First, I want to know if the child has symptoms other than heavy breathing, such as coughing, hiccups, runny nose, or vomiting milk, in addition to bronchopneumonia.Cefathiamidine is a first-generation cephalosporin, also known as penicillin 18 or cephalosporin 18, which has a strong antibacterial effect against Gram-positive cocci such as Staphylococcus aureus, Streptococcus viridans, and Streptococcus pneumoniae. The dosage for pediatric intramuscular injection is 50–100 mg/kg per day, divided into 3–4 doses.
Although the adverse reactions do not mention nausea, vomiting, or abdominal pain, the precautions state: "Individuals with a history of gastrointestinal diseases, especially those with ulcerative colitis, regional enteritis, or antibiotic-associated colitis (cephalosporins rarely cause pseudomembranous colitis) should use this medication with caution." Therefore, it is recommended to discontinue the drug.
Moreover, based on the symptom of heavy breathing alone, there is insufficient evidence to diagnose bronchopneumonia. It is advisable not to overuse antibiotics.
In the early stages of a child's cold, active preventive measures are reliable. It is recommended to provide plenty of fluids, pay attention to keeping warm (but not too hot), and seek medical attention at a better hospital if there are signs of improvement in the condition.