What to do if mycoplasma pneumonia is positive in children

The disease of Mycoplasma pneumoniae in children is quite prevalent among children. Generally, children are prone to pneumonia if they are not careful after catching a cold. Therefore, parents need to be vigilant about the symptom of Mycoplasma pneumoniae in children. This disease still needs to be treated. Let’s take a look at what to do if Mycoplasma pneumoniae is positive in children. I hope you can understand it.

Treatment of Mycoplasma pneumoniae infection in children

For mild Mycoplasma pneumoniae infection, relevant drugs can be taken orally, including erythromycin and new-generation macrolides such as azithromycin, clarithromycin and roxithromycin.

Intravenous administration is often chosen in pediatric clinical practice in my country, and there is an overuse of intravenous azithromycin preparations. The 2005 edition of the "Pharmacopoeia of the People's Republic of China" clearly states in the clinical medication instructions: For children with CAP aged less than 6 months, the efficacy and safety of azithromycin have not yet been established and it should be used with caution. Intravenous azithromycin may cause severe allergic shock. Severe MP infection can be treated with intravenous medication during the acute phase of the disease, but it should still be switched to gastrointestinal medication in a timely manner and sequential therapy should be adopted. Intravenous infusion of erythromycin and azithromycin has adverse reactions such as gastrointestinal discomfort. In pediatric clinical practice, there is a practice of adding drugs such as vitamin B6, vitamin K1, sodium bicarbonate, 654-2, etc., but there is no evidence to support the effectiveness of this empirical medication. The addition of drugs may change the blood pH value and affect the efficacy of erythromycin and azithromycin. The activity of these drugs is enhanced under alkaline conditions.

The course of treatment for mycoplasma infection varies depending on the site of the lesion. Mild upper respiratory tract infections usually last 10 to 14 days. It should be noted that mycoplasma may continue to exist in the respiratory secretions of some children for several months after treatment, causing recurrence and dissemination. The recommended course of treatment for Mycoplasma pneumonia is 2-3 weeks for mild cases and 4 weeks for severe cases. In some cases, it may be longer, depending on the specific condition.

Children's bodies are very fragile, and most children cannot withstand the pain of illness. Therefore, for children, disease prevention is more important than disease treatment. After treatment and recovery of children with Mycoplasma pneumoniae, it is important to pay more attention to the children's physical condition, let them exercise regularly, and improve their physical fitness so that they can resist the disease.