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Loose Stools, Pus Cells Present, Mucus Present. Lactogen Fed. Salmonella SP. Cefixime Sufficient?
Dear Dr. AAAA,
My baby started having loose stools from the 7th day of his birth. He was initially lactogen-fed and was also fed mother’s milk from 4th day of birth. As he passed more than 15 stools per day, we took him to a pediatric doctor. Routine examination of stool was suggested, nothing was detected. On 14th day of his birth again stool R/E and culture were conducted. Pus cell and mucus were present on RE, no growth on culture of stool. The frequency of loose stools was still 8-10 times per day. We took the baby to another experienced pediatric doctor, who asked to repeat the examination 3 days back. We got the report of stool RE which says stool loose, color-yellow, Mucus present, pus cells 5-7 hpf. Today we got the report of stool culture/sensitivity: Salmonella sp. Growth seen after 24 hrs of incubation at 37 degree temp. The salmonella is resistant to Amicacin and Amoxycillin, but is sensitive to ofloxacin, ciprofloxacin, ceftraxone and cefixime. Today the baby is of 1.5 month, 3.3 kg (same as birth weight). Which medicine and at what dose for how many days should I give him?
Thank you for your response.
AA
My baby started having loose stools from the 7th day of his birth. He was initially lactogen-fed and was also fed mother’s milk from 4th day of birth. As he passed more than 15 stools per day, we took him to a pediatric doctor. Routine examination of stool was suggested, nothing was detected. On 14th day of his birth again stool R/E and culture were conducted. Pus cell and mucus were present on RE, no growth on culture of stool. The frequency of loose stools was still 8-10 times per day. We took the baby to another experienced pediatric doctor, who asked to repeat the examination 3 days back. We got the report of stool RE which says stool loose, color-yellow, Mucus present, pus cells 5-7 hpf. Today we got the report of stool culture/sensitivity: Salmonella sp. Growth seen after 24 hrs of incubation at 37 degree temp. The salmonella is resistant to Amicacin and Amoxycillin, but is sensitive to ofloxacin, ciprofloxacin, ceftraxone and cefixime. Today the baby is of 1.5 month, 3.3 kg (same as birth weight). Which medicine and at what dose for how many days should I give him?
Thank you for your response.
AA
Fri, 3 May 2013
Hi,
Thanks for writing to health care magic.
It is very rare that salmonella is grown in the stool sample of a one month old.
Why was your baby not breast fed?
A baby should be exclusively breast fed till 6 months of age. Breast feeding is important as this contains the right things required for the baby in right proportions at the right time. It is ideal for brain growth. Breast milk prevents various infections like loose motions, respiratory infections, etc.
So give exclusive breast feeding for your baby till 6 months and continue to breast feed your baby till 2 years of age.
Now antibiotic should be started as advised by your doctor depending on the sensitivity report if he is convinced with the report.
Continue to ask further queries as required.
Hope this helps.
Take care.
Thanks for writing to health care magic.
It is very rare that salmonella is grown in the stool sample of a one month old.
Why was your baby not breast fed?
A baby should be exclusively breast fed till 6 months of age. Breast feeding is important as this contains the right things required for the baby in right proportions at the right time. It is ideal for brain growth. Breast milk prevents various infections like loose motions, respiratory infections, etc.
So give exclusive breast feeding for your baby till 6 months and continue to breast feed your baby till 2 years of age.
Now antibiotic should be started as advised by your doctor depending on the sensitivity report if he is convinced with the report.
Continue to ask further queries as required.
Hope this helps.
Take care.
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