Patient's question:
Big baby, three weeks ago coughed with phlegm. The doctor prescribed Oral Liquid for Pneumonia and Oral Liquid for Pudilan. After taking it for a week, they then took Cloxacillin for another week. There were no obvious symptoms, so they thought it was better. Recently, they noticed a whistling sound in the throat. A chest X-ray at the hospital confirmed bronchopneumonia. The doctor recommended intravenous fluids for 7-10 days, but considering the child is very mischievous and doesn’t take medicine well, and there are no obvious symptoms (no high fever, no cough, good spirits, and good appetite), they first prescribed Erythromycin Ethylsuccinate and Cefaclor to take at home. Now, after taking them for 4 days, they started coughing suddenly since this morning. When they went to the doctor, they were advised to take Erythromycin Ethylsuccinate, Cefixime, and Shouzao Powder together. They should take it for half a month and then recheck.Previous treatment and effectiveness: Oral Liquid for Pneumonia and Oral Liquid for Pudilan (taken for a week), Cloxacillin (taken for a week), Erythromycin Ethylsuccinate and Cefaclor (taken for 4 days).
What kind of assistance is needed: Hello, how appropriate is this medication? Is it necessary to receive intravenous fluids? How much Cefixime is appropriate? How can I tell if it’s getting better?
Doctor's answer:
According to the diagnosis of your baby's chest X-ray, it is bronchopneumonia. However, from the perspective of the condition, the symptoms are still mild, and medication or intravenous fluids are generally not recommended in this case. Erythromycin and cefixime are two antibiotics with different properties, and there is a contraindication between them. For a 7-month-old child, there is a potential risk of harm to the liver and kidneys, and it is not recommended to use them together.It is recommended to have your baby undergo a blood test. If the blood test results are not elevated, it is not advisable to use a large amount of antibiotics. The dosage of cefixime for children is 1.5-3 mg/kg, taken twice daily. After one week or when symptoms subside, it is recommended to re-examine the chest X-ray and blood test.