Is It Normal for My Toddler to Get Sick Often? Antibiotics and Health

Child illness

My son is currently one year and three months old, and he gets sick almost once a month, mostly with colds.
Sometimes it's more severe, requiring antibiotics, and other times it's mild, so he just takes some antihistamines.
Sometimes he has a fever, and sometimes he doesn't.
I would like to ask the doctor if it is okay for him to take these medications frequently, especially antibiotics.
Are there any negative effects on his body? I also heard that antibiotics are classified into first-line and second-line; I don't really understand this.
Where can I find more information? Is it normal for young children to get sick this often?

Youying de Huang Mama, 30~39 year old female. Ask Date: 2010/07/17

Dr. Xiao Kaiwen reply Pediatrics

A 15-month-old child is still very young and has insufficient immunity, making them more susceptible to infections from external pathogens.
Respiratory infections are primarily transmitted through droplets or airborne routes, making them highly contagious and statistically the most common illnesses in young children.
Most cold medications, when dosed correctly, are safe for children; however, antibiotics are only effective against bacterial infections and require a specific treatment duration.
Generally, colds do not require antibiotics.
If a physician prescribes them, it is important to inquire about the presence of a bacterial infection and the duration of treatment.
Do not discontinue antibiotics on your own; they should be taken as needed, with the correct dosage being safe for children.
Persistent cold-like symptoms should also raise concerns about other possibilities, such as allergic respiratory conditions, and it is advisable to consult a pediatric allergist or immunologist.
Our pharmacy department's website provides explanations about antibiotics, and for further information, you may also visit the Infectious Diseases Department website of Kaohsiung Veterans General Hospital.

Reply Date: 2010/07/17

More Info

It is quite common for toddlers to get sick frequently, especially in their first few years of life. Children, particularly those under the age of five, are still developing their immune systems, which makes them more susceptible to infections. On average, toddlers can experience 6 to 8 colds per year, and this frequency can vary based on factors such as exposure to other children, the environment, and individual health conditions.

When your child gets sick, it is essential to understand the role of antibiotics. Antibiotics are effective against bacterial infections but are not useful for viral infections, which are the most common cause of colds and flu. In fact, over-prescribing antibiotics can lead to antibiotic resistance, a significant public health concern. This happens when bacteria evolve and become resistant to the effects of medications that once killed them, making future infections harder to treat.

In your case, if your child is experiencing frequent colds and sometimes requires antibiotics, it is crucial to ensure that these medications are only used when necessary. For instance, if your child has a bacterial infection, such as acute sinusitis or an ear infection, antibiotics may be warranted. However, if the symptoms are mild and consistent with a viral infection, supportive care such as rest, fluids, and over-the-counter medications for fever and discomfort may be more appropriate.

Regarding the classification of antibiotics, they are often categorized into "first-line" and "second-line" treatments based on their effectiveness and the type of infection being treated. First-line antibiotics are typically the first choice for treating a specific infection due to their proven efficacy and safety profile. Second-line antibiotics may be used when the first-line treatment fails or when the bacteria are resistant to the first-line options. For example, amoxicillin is often considered a first-line antibiotic for certain infections in children, while others like Keflor (cefaclor) may be used as a second-line option.

As for your concern about the long-term use of medications, it is essential to consult with your pediatrician. They can provide guidance on the appropriate use of medications and monitor your child's health. If your child is frequently ill, it may be worth discussing with your doctor whether there are underlying issues affecting their immune system or if there are preventive measures you can take.

In summary, while it is normal for toddlers to get sick often, it is essential to use antibiotics judiciously and only when necessary. Regular check-ups with your pediatrician can help ensure your child is healthy and receiving appropriate care. If you have further questions about your child's health or the medications they are taking, don't hesitate to reach out to your healthcare provider for personalized advice.

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