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Quick reference medical handouts used by Pediatric offices


My 5 year old son has been hospitalized 7 times with pneumonia. He just got out of the hospital last week after a 10 day stay. They tried rocefin, ceftin, and biaxin but he kept getting worse. They finally gave him levaquin and he got better. I know that levaquin has not been approved for children but they told me it was safe for children. Has my son built an immunity against the rocefin, ceftin, and biaxin? Since my young son has had pneumonia so many times is it possible that his lungs could have any kind of permanent damage? He also has severe asthma.
    
Thanks for your question.

First, our bodies do not build up resistance to antibiotics, the bacteria do. This is an important point. If you son develops an infection from a non-resistant organism, an antibiotic that previously did not work may do the job.

In our experience, most children labeled with recurrent pneumonia do not have bacterial pneumonia but viral induced asthma. Aggressive treatment of the asthma usually eliminates the recurrent "infections

If your child truly has had recurrent bacterial pneumonia (documented by x-rays, etc.) then the possible causes could include either an immune deficiency, cystic fibrosis, immobile/dysfunctional cilia (the small hairs in our respiratory tract that act as brooms to keep the airway clear) or an undiagnosed foreign body in the lungs. For recurrent bacterial pneumonia, we would suggest you talk to your pediatrician about a possible consultation with a lung (pulmonary) specialist.

Concerning your last question, the use of levaquin, according to the experts we spoke with, the data is still out on this class of antibiotics for use in children.

 

As a reminder, this information should not be relied on as medical advice and is not intended to replace the advice of your child’s pediatrician. Please read our full disclaimer.

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