Why does bacterial pneumonia recur in children?

Bacterial pneumonia is relatively common in children. If it is not treated properly or properly conditioned, it may lead to repeated attacks, which often causes the child to have a persistent fever, severe cough, and even some complications. At this time, parents should not be anxious and make trouble, but must take regular treatment and strengthen good conditioning in daily life. Let's take a look at this aspect.

In fact, pneumonia itself is not a recurrent disease like asthma, and most patients will not have recurrences. However, pneumonia is a lower respiratory tract infection disease, which is a big blow to the resistance and physical condition of children, especially infants and young children. The gradual recovery of resistance and the absorption of lung lesions require a process. The treatment may only take a few days, but the repair of the airway mucosa and the absorption of lung lesions require at least two weeks. In severe mycoplasma pneumonia, the repair of lung lesions may take months.

Pneumonia treatment should be classified, parents should not rush to make things more complicated

"Many parents do not cooperate with treatment and are overly concerned about the radiation risks of chest X-rays. Some parents disagree with patients who must use targeted antibiotics (such as mycoplasma pneumonia, pneumococcal pneumonia, etc.), believing that antibiotics have serious side effects. As for viral pneumonia, doctors do not advocate the use of antibiotics for children, but some parents insist on giving them antibiotics."

Pneumonia can be classified according to its etiology into viral pneumonia, bacterial pneumonia, mycoplasma pneumonia and pneumonia caused by other rare pathogens (such as Legionella pneumonia, fungal pneumonia or Chlamydia pneumonia, etc.).

Viral pneumonia covers a wide range of diseases and has many viral pathogens, including some dangerous viruses. Adenovirus pneumonia is a typical example. In viral pneumonia, the disease progresses rapidly, the symptoms are severe, the treatment is difficult, and the mortality rate is relatively high. For this type of pneumonia, the white blood cell index in routine blood examination is always low, and repeated virus testing is required on the patient's respiratory secretions and serum. In addition to antiviral treatment, supportive treatment, physical therapy (ultrasonic nebulization), sometimes even a ventilator is required.

The typical representative of bacterial pneumonia is pneumococcal pneumonia, which has a high incidence rate. Like Staphylococcus aureus pneumonia, it causes severe damage to the lungs and is prone to progress to pulmonary consolidation or even lung abscess. It also has clinical manifestations such as high fever and requires active anti-infection treatment with antibiotics. The course of the disease is relatively long and the treatment course is long.

Mycoplasma pneumonia is also a relatively common type of pneumonia, and its clinical manifestations are often fever, even high fever, dry cough, low white blood cell count in the blood, and significantly increased C-reactive protein. Mycoplasma antibody testing needs to be repeated at different stages of the disease. Treatment of mycoplasma pneumonia requires macrolide antibiotics, such as azithromycin or erythromycin. With the occurrence of cross-infection (such as nosocomial cross-infection and community cross-infection), viral pneumonia may also be combined with bacterial pneumonia and develop into mixed pathogen pneumonia.

"Doctors need to confirm what type of pneumonia a child has before they can treat it symptomatically. This is why blood draws and fluid culture tests are always required during treatment."

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