The cold cough
and loosemotions lasting for 3 weeks is significant enough for detailed evaluation.Most important clue to bacterial infection is fever
, blood or pus in stool, colics , abdominal distension or sick looks when it comes to intestinal infection.Respiratory bacterial infection are manifested by difficulty in breating or feeding diffficulty,fast breathing etc.In absence of these clinical clues ,there is no clinical indication of antibiotics.Indiscriminate use of drugs can cause gastrointestinal side effects.
The child should be given syp Azithral
10mg/kg /dose once a day,syp zinc 10 mg /day once ,enetrogermina 1 ml once a day for 3 days.