Can an eight-month-old infant with diarrhea be treated with antibiotics?

Patient's question:

Hello, my baby is eight months old, a boy. He has had diarrhea for more than twenty days! The results of the hospital stool test showed: everything else was empty, only WBC was: 1-4. The number of bowel movements has decreased from four to five times a day to three times a day. Because I was afraid that the anti-inflammatory medicine would cause further imbalance in his intestinal flora, I did not use it.

Doctor's answer:

Toxic colitis has no specific treatment. The mainstays of therapy are dietary management and supportive care, and antibiotics are not required. Acute enteritis caused by non-invasive bacteria is often self-limiting and can be cured with supportive therapy alone. Some believe that the use of antibiotics has no significant effect on the course of the disease and may easily lead to the development of drug-resistant strains, prolonging the carrier state. However, antibiotics are still recommended for newborns, infants, weakened children with low immune function, and severe cases. Invasive bacterial enteritis generally requires antibiotic treatment. Clinically used antibiotics can be selected based on the condition, and those with the necessary resources can adjust them according to the results of bacterial sensitivity tests.

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