Do children with colds need to take cephalosporins?

Written by Yan Xin Liang
Pediatrics
Updated on January 25, 2025
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Pediatric colds can be divided into viral colds and bacterial infections that cause upper respiratory tract symptoms. Generally speaking, 90% of cases are commonly viral colds. Viral colds are mainly treated symptomatically. Appropriate antiviral medications can be used, and antipyretics can be given during fevers. Also, drinking plenty of warm water and using some Chinese patent medicines for clearing heat and detoxifying can be sufficient. However, if the viral infection lasts a long time, it can easily lead to a secondary bacterial infection. In such cases, antibiotics can be used. Initially, oral penicillin antibiotics should be chosen, and cephalosporin antibiotics can also be selected for anti-infection treatment. If considering bacterial infection causing upper respiratory tract infection, such as acute tonsillitis caused by streptococcus infection, oral penicillin or cephalosporin antibiotics for anti-infection treatment can be used. Therefore, it is essential to choose medications based on the specific situation. (Medication should be used under the guidance of a doctor.)

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Written by Yan Xin Liang
Pediatrics
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How many days will it take for a child to recover from a cold?

How long it takes for a child to recover from a cold depends on the specific circumstances. If it's just a minor cold, like a common viral cold with symptoms such as a runny nose and sneezing, the symptoms can generally be controlled within about 3 to 5 days. However, if the child's cold symptoms are more severe, including high fever, coughing, and a runny nose, it could take longer, possibly 5 to 7 days or more. This is because some colds can lead to bronchitis or even develop into pneumonia. It is difficult to specify an exact duration in such cases. For instance, bronchitis generally requires about 5 to 7 days of treatment to control the symptoms. If pneumonia is involved, the recovery might take even longer, around 7 to 10 days or up to 2 weeks. Therefore, an assessment based on the child's specific condition is needed to estimate how long it might take to recover. A typical mild cold can usually have its symptoms controlled within about 3 to 5 days.

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Written by Yao Li Qin
Pediatrics
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What should I do if a child has a cold and fever?

Children's colds and fevers are caused by viral or bacterial infections, with the vast majority being viral infections. First, we need to ensure that the child is well-hydrated and also manage the symptoms. When the body temperature exceeds 38.5 degrees Celsius, administer antipyretic medication to the child, such as ibuprofen suspension or acetaminophen. The interval between doses of these medications should be at least six hours. Additionally, give the child cold relief granules to alleviate the symptoms of the cold. When the body temperature is below 38.5 degrees Celsius, physical cooling methods can be applied, such as using fever-reducing patches, taking lukewarm baths, or wiping the forehead, neck, armpits, and groin—areas where large blood vessels are located—with a warm towel. Throughout the process, it is very important to keep the child hydrated. If the child's cold and fever persist, a complete blood count should be performed to check for a bacterial infection. If a bacterial infection is present, treatment with antibiotics should be administered under the guidance of a hospital doctor, based on the child’s condition. Controlling the infection is essential for reducing the fever and bringing the child's temperature down, ultimately helping the child return to normal.

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Written by Feng Hai Tao
Pediatrics
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What fruits are good for children to eat when they have a cold?

During a cold, babies generally have reduced appetite. At this time, it is appropriate to supplement some fruits for the baby, which can enhance the baby's appetite, aid in digestion, and provide a significant amount of vitamin C and calories. It can also enhance the baby's resistance and immunity, promoting recovery from the illness. For example, eating more apples, pears, bananas, grapefruits, oranges, and other fruits that are rich in vitamin C and are bright in color and sweet in taste, which are favored by babies. However, during the process of feeding fruits to a baby, it is essential to adopt a method of eating small meals frequently. Try to avoid giving the baby raw, cold food and do not overfeed as it might lead to poor digestion. Furthermore, it is best not to feed the baby foods that are likely to cause allergies, as this can affect the baby's digestive absorption functions.

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Written by Zeng Hai Jiang
Pediatrics
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Can a cold in children cause encephalitis?

Colds in children can potentially lead to encephalitis, and are generally referred to as upper respiratory tract infections in children. The pathogens can be bacteria, viruses, etc., typically manifesting as fever, runny nose, sneezing, coughing, sore throat, and more. Sometimes, gastroenteric colds can also manifest as nausea, vomiting, abdominal pain, diarrhea, etc. Because children have relatively lower immunity, if the infecting pathogen is highly toxic and aggressive, it can potentially cross the blood-brain barrier and enter the brain tissue, causing encephalitis. When encephalitis occurs in children, symptoms such as fever, seizures, and coma can appear, and neurological signs may be observed upon examination.

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Written by Yan Xin Liang
Pediatrics
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How to treat children's colds, coughs, and phlegm

When children catch a cold and cough with phlegm, the first consideration should be whether there is bronchitis. If the cough is severe, expectorant and cough suppressing medications can be administered orally, such as traditional Chinese medicine or Western medicine, for example, ambroxol. Additionally, bronchitis might be accompanied by a bacterial infection, in which case anti-inflammatory drugs like cephalosporins or penicillin can be prescribed. Nebulizer treatment can also be used, which helps in thinning the mucus and suppressing cough. Furthermore, it might be necessary to conduct a routine blood test to assess the child's condition.