4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
A 2 month old baby came with complaints of occasional cough abdominal nasal discharge. Elder sibling was treated for LRTI with parenteral antibiotics. the baby was well looking and feeding well,not febrile.As they refused inv: empirically started on amoxycillin.They returned after 2 weeks with history of cough not subsiding.Baby still not febrile, active, no signs of pneumonia. Counts normal for age, CRP-6, ESR-4.cxr Normal..Baby was started on azithromycin. Does she require parenteral antibiotics. How to relieve cough?
Answer
No there is no need for parenteral antibiotics. Since the child has predominantly cough, is only 2 months old and there is a history of respiratory infection in the family, one should rule out pertussis or pertussoid like cough (due to adenovirus, influenza virus and other viruses). If the cough is dry then cough suppressant in form of dextromethorphan may be required to control the cough.
 
 
 
Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
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