What does it mean to be positive for Mycoplasma pneumoniae in children? What is the preferred antibiotic for mycoplasma pneumonia in children?

Mycoplasma pneumonia in children is a type of pneumonia in children, which refers to a respiratory disease caused by infection with Mycoplasma pneumoniae. The disease is mainly transmitted through respiratory droplets and other ways of infection, mycoplasma enters the human body by inducing immune damage and releasing toxic substances to cause lung damage, the disease can be confirmed by physical examination, imaging examination and etiological examination, among which the serological examination in the etiological examination is of great significance to confirm the diagnosis of mycoplasma infection. So about the significance of Mycoplasma pneumoniae positivity in children and the preferred types of antibiotics for Mycoplasma pneumonia in children and other related questions, I ask Zhong Jubin, chief physician of the Affiliated Hospital of Guangdong Medical University, to answer for us.

What does it mean to be positive for Mycoplasma pneumoniae in children?

A positive test for Mycoplasma pneumoniae in children indicates a high likelihood of mycoplasma pneumonia. Antibody-positivity for Mycoplasma pneumoniae pneumonia in children is divided into qualitative and quantitative. If the quantitative amount is generally more than 1:160, it is necessary to pay close attention to whether you have mycoplasma pneumonia, if after two tests, the measured value of mycoplasma antibodies still continues to increase, or there are signs in the chest, it means that you are now infected; If the lung signs are good and there is no change on chest x-ray, it is possible that there is a previous infection, and the diagnosis should be based on symptoms, signs, and examination results.

What is the preferred antibiotic for mycoplasma pneumonia in children?

The antibiotic of choice for pediatric mycoplasma pneumonia is azithromycin. The treatment of pediatric mycoplasma pneumonia with antibiotics is generally divided into three types: first, macrolides; 2. Quinolones; 3. Tetracyclines, due to the special reasons of children, tetracyclines and quinolones will have an impact on children's physical development, and macrolides are mostly used, and macrolides are most commonly used azithromycin, erythromycin and roxithromycin, but azithromycin is preferred.

The main clinical symptoms of mycoplasma pneumonia in children are persistent severe cough, fever, headache, sore throat, substernal pain, anorexia, listlessness and other manifestations, the treatment of this disease includes general treatment and drug treatment, and the prognosis is generally good after active treatment, but if it is not treated in time, the disease continues to develop, and may cause serious complications such as pleural effusion, pneumothorax, atelectasis, and even dyspnea, which is life-threatening.