Community acquired pneumonia in children

Haq Iram J, Battersby Alexandra C, Eastham Katherine, McKean Michael. Community acquired pneumonia in children BMJ 2017; 356 :j686

Review provides update on management of community acquired pneumonia (CAP) in otherwise healthy children and summarises recommendations from British Thoracic Society. The review notes that:

  • Introduction of the pneumococcal conjugate vaccine has significantly reduced rates of community acquired pneumonia (CAP) in the developed world
  • Clinical assessment requires careful evaluation of clinical features, severity, and evidence of complications
  • Children with mild to moderate symptoms can be managed in the community
  • Recommended empirical first line treatment is oral amoxicillin. Intravenous antibiotics are indicated in children who cannot tolerate oral medicines or have septicaemia or complications
  • Patients should be reviewed 48 hours after starting treatment to monitor response and for evidence of complications
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