3.6 Management of PB in children
All the patients had been administrated with at least one type of
antibiotics before admission. 269 subjects were prescribed anti-MP
antibiotics empirically, among which 197 (73.3%) were treated with
Macrolides, 52 (19.3%) with Doxycycline, 20 (7.4%) with Quinolones.
Combination of antibiotics, including anti-MP and anti-bacteria or
anti-influenza virus were applied to 261 (97%) subjects. 257 (95.5%)
cases received oral or intravenous glucocorticoid, 55 (20.4%) received
intravenous immunoglobulin (IVIG), 48 (17.8%) were admitted to
intensive care unit(ICU) and 35 (13%) received mechanical ventilation.
The multiple group exhibited a higher proportion of glucocorticoid and
IVIG therapy compared to the single group (98.4% vs 92.4%, 27.2% vs
14.6%, respectively, P<0.05). FOB and BAL was used to remove
mucus plug and BCs. All the patients were discharged without mortality.
(Table 5)