Winter is a good season for respiratory diseases in children. What should be done if a child unfortunately develops pneumonia? First of all, we should clarify the severity of the child’s pneumonia. If the child has obvious shortness of breath, dyspnea, hypoxic manifestations (such as cyanosis of the lips and mouth), lung imaging suggesting multi-lobe involvement, extra-pulmonary manifestations such as lethargy, lethargy, convulsions, edema, oliguria, decreased blood pressure, etc., even if only 1-2 of them are met, it suggests that the child may have severe pneumonia and needs to be hospitalized to avoid sudden The child should be hospitalized to avoid sudden deterioration of the disease, leading to critical conditions such as multiple organ insufficiency. On the other hand, if the child is in good condition, it is a general pneumonia that can be treated with medication on its own and is usually cured. How should we choose the medication for treatment? What are the empirical treatment recommendations for community-acquired pneumonia (CAP) in children from China, Japan, and the American Respiratory Group? For CAP in children with unclear etiology, it is recommended to choose β-lactam antibiotics (cephalosporin, amoxicillin, etc.) combined with macrolide antibiotics (azithromycin, erythromycin, etomycin, clarithromycin, etc.) for treatment, and antiviral drugs such as oseltamivir, zanamivir, and paramivir if viral pneumonia is suspected, with appropriate adjustment of medication if clear etiologic evidence is obtained later. Why is this choice made? Because in children with CAP, about 20-60% of the pathogenesis is difficult to clarify, and the incidence of mixed infections is also relatively high, about 40%, so in terms of empirical therapeutic drug selection should take into account the different pathogens, β-lactam + macrolide antibiotic combination, not only can cover the common pathogenic bacteria, for atypical pneumonia pathogens (mycoplasma, chlamydia, etc.), can also take into account, relatively is a more This is a relatively comprehensive choice. This is not only an option for oral medication, but it is also a recommended treatment option for severe pneumonia. So, if your child is unfortunate enough to have pneumonia, you may want to try this treatment, I believe it will be effective.