Is neonatal pneumonia vomiting severe?

Written by Gao Shan Na
Neonatology
Updated on September 01, 2024
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Some common symptoms of neonatal pneumonia include: frothy sputum, shortness of breath, cough, fever, and the three-concave sign. If the bacterial pathogen of this lung infection also affects the gastrointestinal tract, there may also be symptoms of vomiting and diarrhea. When severe pneumonia causes cyanosis and lack of oxygen in the child, accompanied by frequent vomiting and diarrhea, leading to dehydration, this type of pneumonia is quite severe and it is essential to seek timely medical treatment at a hospital.

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Written by Zhang Xian Hua
Pediatrics
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Obvious symptoms of neonatal pneumonia

The clinical manifestations of neonatal pneumonia vary greatly and can usually be divided into three scenarios. The first scenario involves congenital pneumonia, which generally occurs within 24 hours after birth due to intrauterine infection. There is often a history of asphyxia, and after birth, the symptoms can include significant shortness of breath, moaning, cyanosis, and even respiratory distress. The baby may also exhibit unstable body temperature and poor responsiveness. The second scenario is pneumonia acquired during the delivery process. Typically, the clinical symptoms appear later, arising several days or weeks post-birth. It is usually characterized by reduced appetite, coughing, and varying degrees of fever. The third scenario is pneumonia acquired after birth, where onset is relatively sudden. Symptoms may include fever or hypothermia, frothy spit, phlegm, and in some cases, coughing. Generally, the responsiveness is relatively poor in these cases. Due to the large variety of clinical symptoms resulting from different types of infections at different stages, it is crucial to carefully distinguish between them and seek timely medical examination and treatment at a hospital.

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Written by Yang Feng
Pulmonology
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Newborn pneumonia symptoms

Neonatal pneumonia is primarily aspiration pneumonia, which differs from the symptoms of pneumonia in adults. Neonates do not exhibit signs such as coughing or expectoration. Instead, they often show symptoms of anorexia, vomiting, gasping, and fever. During physical examination, wet rales can be heard through auscultation. Once pneumonia is diagnosed, the first step is to clear the newborn's respiratory tract to maintain its patency. At the same time, selecting appropriate antimicrobial drugs to actively control the infection can lead to recovery. (Please use medication under the guidance of a 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.

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Written by Gao Shan Na
Neonatology
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How many days does a newborn need to be hospitalized for pneumonia?

Neonatal pneumonia is a common disease in newborns and the most common form of infection and a significant cause of death. It can occur during childbirth or after birth and is caused by various pathogens such as bacteria, viruses, protozoa, and fungi. In fact, pneumonia can be mild or severe. The usual treatment duration for mild pneumonia is 7-10 days. In severe cases, if there are complications like respiratory failure, heart failure, or damage to other vital organs, then the treatment duration will definitely be longer.

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Written by Hu Qi Feng
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How to treat neonatal pneumonia?

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.