How to treat neonatal pneumonia?

Written by Hu Qi Feng
Pediatrics
Updated on September 26, 2024
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Neonatal Pneumonia Treatment: 1. Manage the respiratory tract by nebulization inhalation, postural drainage, regular turning and back patting to keep the airway clear and clean the oral and nasal secretions. 2. For those with hypoxemia, provide oxygen therapy, which may include nasal cannula oxygen delivery, masks, or head masks. Mechanical ventilation may be necessary if required. 3. Choose appropriate antibiotics; for bacterial infections, select sensitive antibiotics based on the type of bacteria, while antiviral drugs can be used to support treatment of viral infections. 4. Correct circulatory disturbances and electrolyte balance, control infusion rate to prevent heart failure and pulmonary edema, and ensure the supply of energy and nutrients. Immunoglobulin can be used as appropriate to boost immunity.

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Written by Gao Shan Na
Neonatology
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Is the mortality rate of neonatal pneumonia high?

Neonatal pneumonia typically refers to infectious pneumonia, which is a common disease in newborns and a significant cause of neonatal mortality. It can occur in utero, during the birth process, or after birth, caused by bacteria, viruses, or protozoa. Approximately two million children die from neonatal pneumonia worldwide each year. Therefore, once signs and symptoms of pulmonary infection are detected in a child, it is essential to seek timely medical treatment at a hospital.

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Written by Gao Shan Na
Neonatology
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How long is the treatment for neonatal pneumonia?

Neonatal pneumonia, commonly referred to here, is an infectious pneumonia and a prevalent disease among newborns, also a significant cause of neonatal mortality. Its causes include intrauterine infectious pneumonia, infections during the delivery process, and postnatal infections. Treatment duration varies depending on the severity of the lung infection, the toxicity of the pathogen, and individual differences in the host response. For mild infections, the general treatment duration is seven to ten days, but for severe infections, it may extend to two to three weeks or even longer, particularly with specific pathogens.

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Written by Gao Shan Na
Neonatology
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Is neonatal pneumonia serious?

Neonatal pneumonia can be mild or severe. Severe pneumonia is mainly characterized by cough, shortness of breath, significant tracheal tug signs, and some babies may have cyanosis around the lips, which indicates hypoxia. This type of pneumonia is serious and requires timely medical attention at a hospital. Common manifestations of mild pneumonia include slight shortness of breath, occasional white foam from the mouth, or some babies having phlegm sound in the throat. Chest X-rays show imaging changes in mild cases. Even with mild pneumonia, it is important to seek timely medical care and intervention to shorten the recovery time. Severe pneumonia, however, requires a longer recovery time.

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Written by Li Hu Chen
Imaging Center
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Is it good for a newborn to have a chest X-ray for pneumonia?

If a newborn exhibits symptoms such as fever or difficulty breathing, and pneumonia is suspected, it is essential to take a chest X-ray. Although the child is very young and just born, and despite the presence of certain radiation from the chest X-ray, the pros and cons must be weighed. For the sake of an accurate diagnosis and timely medication treatment, a chest X-ray is necessary. Unlike adult pneumonia, neonatal pneumonia progresses very rapidly. If the medication is not administered promptly and the diagnosis is uncertain, the condition can easily be delayed and progress too quickly. Thus, at this time, concerns about radiation should be set aside, and a chest X-ray is definitely needed. If the chest X-ray does not confirm the diagnosis, even conducting a CT scan might be necessary. It is crucial to clarify the diagnosis quickly and start treatment promptly. Because neonatal pneumonia is truly different from adult pneumonia, it progresses very rapidly and can potentially lead to severe complications like sepsis and shock, which are very dangerous. (Medication should be used under the guidance of a professional doctor.)

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Written by Zhang Xian Hua
Pediatrics
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How to Prevent and Care for Neonatal Pneumonia

Prevention and care of neonatal pneumonia mainly involve paying attention to the following points: First, pay close attention to the feeding methods to prevent the child from aspirating and causing aspiration pneumonia; Second, ensure that the baby is kept warm to prevent catching colds which could lead to secondary viral or bacterial infections, worsening the condition; Third, be vigilant about preventing cross-infection in terms of hygiene. This includes maintaining hand hygiene and ventilating rooms frequently; Fourth, follow the doctor's orders for treatment and medication, especially if the child has pneumonia and is usually hospitalized. If it is a mother-baby room, follow the doctor’s instructions to properly administer medication to the child to prevent aspiration during medication, which could worsen the condition.