How to treat recurrent fever in 2-year-old children with respiratory infections

Recurrent fever of respiratory tract infections in 2-year-old children, which can be seen in acute upper respiratory tract infections and lower respiratory tract infections, should be treated according to the cause, such as bronchopneumonia caused by Mycoplasma pneumoniae infection, which requires anti-infective treatment with azithromycin.

1. Acute upper respiratory tract infection: such as acute purulent tonsillitis, clinical recurrent fever may occur, can be accompanied by sore throat, tonsil enlargement can be seen on physical examination, purulent discharge can be seen, and the infection index can be improved.

2. Lower respiratory tract infection: such as bronchopneumonia caused by Mycoplasma pneumoniae infection, the above symptoms can appear clinically, often accompanied by cough, improve chest X-ray examination and Mycoplasma pneumoniae antibody test, sputum culture, respiratory virus nucleic acid PCR, etc. can assist in diagnosis, if it is bacterial infection, piperacillin can be given to anti-infection, if mycoplasma infection is considered, azithromycin can be given to anti-infection.

Viral infections are mainly symptomatic supportive treatment, which can be treated with oxygen, ambroxol nebulization, sputum suction, etc., such as influenza A virus infection, oseltamivir can be given as prescribed by the doctor to fight infection, and ibuprofen or acetaminophen can be used to reduce fever reasonably if there is fever.

3. Others: such as congenital bronchial stenosis, repeated respiratory tract infections may occur clinically, manifested as fever and other symptoms, bronchoscopic lavage examination can be improved, and lavage treatment can be carried out at the same time.

The above drugs need to be used under the guidance of a physician, and if a 2-year-old child has a recurrent fever with respiratory tract infection, it is recommended to actively seek medical attention and be evaluated and treated by a specialist.