How to treat mycoplasma pneumonia

  1.Is erythromycin and azithromycin the only drugs used in the treatment of children with mycoplasma pneumonia, and can other antibiotics be used?  At present, children mainly apply the above two drugs (both belong to macrolides), other antibiotics sensitive to mycoplasma are used for children with relatively large side effects, and are generally not used.  2.What should I do if I am allergic to the antibiotics I choose or if the pathogen is resistant to them?  Mycoplasma pneumonia is usually treated with azithromycin or erythromycin, which are rarely allergic, or rarely allergic at the same time, but if it is clear that there is a resistant mycoplasma, then only quinolones can be used.  3.What are the side effects of antibiotics for children? How to avoid them?  Generally common adverse reactions include: gastrointestinal reactions (vomiting, diarrhea), skin rash, liver and kidney damage, leukopenia. Drink more water and urinate more during the medication to promote the metabolism of drugs to help reduce adverse reactions.  4. How should I choose whether to take medicine or infusion?  This needs to be combined with the child’s medical history, condition and imaging light weight comprehensive judgment.  5.Does the infusion have to be done in a large hospital or can it be done in a community hospital?  Mild cases can be treated in the community, while severe cases need to be treated in a large hospital.  6.Do I need to use antibiotics continuously? How long do I need to use them?  This cannot be generalized. The course of treatment for common pneumonia is usually 7-14 days, and 1-3 courses of azithromycin.  7.If my child does not have a fever and cough, can I stop the medication?  Besides looking at the child’s temperature and respiratory symptoms, it is also necessary to look at the extent of the lesion and its absorption on imaging (chest X-ray/chest CT).  8.When there is asthma or rhinitis, can it be combined with allergy or asthma medication, and is there any conflict with antibiotics?  Generally speaking, there is no conflict.  9.What are the conditions that require glucocorticoid treatment?  Generally, severe mycoplasma pneumonia requires hormone therapy (prolonged hyperthermia, heavy intrapulmonary lesions, high inflammatory index).