Clinical efficacy comparison of Doxycycline versus Azithromycin combined with Methylprednisolone in the treatment of macrolide-unresponsive Mycoplasma pneumoniae pneumonia in children

For pediatric cases of MUMPP, doxycycline yields superior efficacy over the combination regimen of azithromycin plus methylprednisolone in improving radiological findings at discharge, shortening hospital stays, reducing the rate of refractory disease, and lowering the incidence of post-discharge recurrent infection or disease exacerbation.