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Liese, J; Abele-Horn, M; Beer, M; Forster, J; Heininger, U; Nadal, D; Rose, M; Scholz, H; .
Diagnosis and treatment of pneumonia in childhood.
MONATSSCHR KINDERHEILK. 2013; 161(8): 703-712. Doi: 10.1007/s00112-013-2883-x
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Co-authors Med Uni Graz: Beer Meinrad
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Abstract:: Pneumonia is one of the most frequent infectious diseases among children and is still associated with a high mortality in developing countries. The most frequent bacterial pathogen causing community-acquired pneumonia (CAP) is Streptococcus pneumoniae with a large variety of different serotypes. Viral pathogens and most importantly respiratory syncytial virus (RSV) are responsible for up to 50 % of cases of pneumonia in children under 5 years of age. In children over 5 years old Mycoplasma pneumoniae and Chlamydia spp. are becoming increasingly more important. The diagnosis of pneumonia can primarily be made by clinical criteria and radiographs are only indicated in severe complicated diseases. In clinically stable children without respiratory insufficiency outpatient treatment is possible. In uncomplicated CAP the antibiotic treatment of choice is oral amoxicillin or intravenous ampicillin for at least 7 days. In older children with suspected atypical pneumonia due to Mycoplasma pneumoniae and Chlamydia spp. macrolides should be used as primary treatment. The overall prognosis of pneumonia in developed countries is very good. Now and in the future the burden of pneumonia will be further decreased by safe vaccines which are effective at least against some of the most common pathogens.
Find related publications in this database (Keywords): Pneumonia; Streptococcus pneumoniae; Mycoplasma pneumoniae; Radiography; Antibiotic treatment