During the first year of life, illnesses in babies are frequent and sometimes dangerous. It is very important to consult with pediatricians when we have doubts about the baby's condition. In the first months of life (less than 3 months) infections can be serious, so if the baby has a fever, they should be consulted in a hospital, where they will generally have a blood and urine test.
The most common infections during the baby's first year are:
1. Respiratory infections (upper tract colds, pneumonia, bronchiolitis).
Respiratory infectionscan affect the highways (upper airway catarrh), in which case it is a common but mild disease. The child is uncomfortable due to nasal congestion and cough, may eat a little less, and usually improves with nasal washes and humidity.
If it affects thelower respiratory tract the disease is more serious. It can be a bronchiolitis (involvement of the bronchioles) that sometimes requires hospital admission and specific treatment. It can also be pneumonia, which if they are of bacterial etiology, require antibiotic treatment (oral or intravenous in case they require admission).
Otitis is one of the most frequent infections. It is a generally bacterial infection, sometimes as a complication of an upper airway catarrh, and depending on age, it may evolve well without antibiotics or require antibiotics. In the first year of life, they must be treated with an antibiotic. They are usually very annoying and painful, the baby wakes up crying at night and does not want to eat because his ear hurts when swallowing.
Gastroenteritis is also very common, generally of viral origin, which does not require specific treatment, but it does need to bevery consistent with oral hydration. The baby must drink enough liquid (oral rehydration serum) to avoid dehydration. The baby may have vomiting, diarrhea, or both.
4. Urine infections
Urine infections should be ruled out in a baby under one or two years old with a fever without a clear focus. A urine test strip will be made to give us an idea of whether or not you have an infection and a urine culture will be collected before starting the antibiotic treatment. On some occasions, depending on the age of the child and according to their general condition, they require hospital admission.
5. Skin infections
Theskin and soft tissue infections they usually require antibiotic treatment (oral or topical depending on the case), and sometimes also hospitalization. Some infections with skin involvement, such as exanthematic diseases (chickenpox, measles, rubella, sudden rash, infectious urticaria ...) are of viral origin and do not usually require antibiotic treatment except in specific cases of superinfection or complications.
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