What should be done about aspiration pneumonia in premature newborns?

Patient's question:

The child was born 1 month premature and has been in the hospital for 14 days with symptoms of coughing, hiccups, and spitting bubbles. The doctor suspects aspiration pneumonia. After 6 days of admission, yesterday it seemed that the child's condition had worsened compared to when they were admitted. There is nasal discharge, and their breathing sounds are louder than before. How is it that after 6 days of hospitalization, the symptoms haven't improved but instead worsened?

Doctor's answer:

From the situation you described, it seems likely that the child's premature birth has left them physically weak, and the severity of the illness has contributed to this. For your situation, if the condition shows signs of improvement, it may be advisable to transfer to a higher-level hospital for treatment. Additionally, the patient should develop a regular sleep and lifestyle routine, adhere to treatment, maintain a light diet, and engage in aerobic exercise to boost their immunity and reduce the risk of illness.

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