What is the best medicine for mycoplasma infection?
Recently, mycoplasma infection has become one of the hotly discussed health topics on the Internet. With the high incidence of respiratory diseases in autumn and winter, the number of mycoplasma infection cases has increased significantly, and many parents and patients are concerned about how to effectively treat it. This article will combine the hot discussions and medical advice on the Internet in the past 10 days to provide you with a detailed analysis of the best medication regimen for mycoplasma infection.
1. Overview of Mycoplasma Infection

Mycoplasma is a microorganism between bacteria and viruses that mainly causes respiratory infections such as mycoplasma pneumonia. Its symptoms include cough, fever, sore throat, etc. It is easily confused with the common cold, but the course is longer and requires targeted treatment.
| Symptoms | Common symptoms |
|---|---|
| cough | Mainly dry cough, aggravated at night |
| Fever | Medium to low fever (37.5-39℃) |
| Others | Headache, fatigue, sore throat |
2. Treatment drugs for mycoplasma infection
Mycoplasma does not have a cell wall, so penicillins and cephalosporins are ineffective. The following are the clinically recommended drugs of choice:
| drug class | Representative medicine | Applicable people | Course of treatment |
|---|---|---|---|
| macrolides | Azithromycin, erythromycin | Children's first choice | 3-5 days (azithromycin) |
| Tetracyclines | doxycycline | Children and adults ≥8 years old | 7-10 days |
| Fluoroquinolones | Levofloxacin | Adults only | 7-10 days |
3. Medication precautions
1.drug resistance issues: The domestic azithromycin resistance rate is high (about 60%-90%). If the drug is ineffective within 72 hours, a follow-up visit is required to adjust the plan.
2.Medication for special populations: Tetracyclines and fluoroquinolones are prohibited for pregnant women; levofloxacin should be used with caution in children (it may affect bone development).
3.combination therapy: Severe patients may need combined glucocorticoids (such as methylprednisolone) or immunomodulators.
4. Adjuvant treatment suggestions
| Auxiliary measures | Specific methods |
|---|---|
| Symptomatic treatment | Antipyretic (ibuprofen), cough medicine (dextromethorphan) |
| home care | Drink more water and keep the air moist |
| Prevent the spread | Wear a mask and wash your hands frequently |
5. Recent hot topics of discussion
1."Azithromycin Take 3 Stops 4" Therapy: This program can reduce gastrointestinal side effects, but doctors’ advice must be strictly followed.
2.Chinese medicine auxiliary treatment: Chinese patent medicines such as Lianhua Qingwen and Jinzhen Oral Liquid are often used as auxiliary drugs in clinical practice.
3.Vaccination: There is currently no mycoplasma vaccine, and prevention focuses on enhancing immunity.
Summary: Mycoplasma infection requires personalized medication based on age, drug resistance and other factors. Macrolides are still the first choice for children, and tetracyclines or fluoroquinolones may be considered for adults. If symptoms persist or worsen, you should seek medical advice promptly to adjust the treatment plan to avoid self-medication that may lead to aggravation of drug resistance.
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