Affiliation:
1. National Medical Research Center for Children’s Health
Abstract
Pneumonia in children remains one of the most serious diseases. Despite intensive study, the diagnosis and treatment still present a variety of problems. The article is aimed to identify these problems and show the ways of their solution.One of the criteria for the diagnosis of pneumonia is pulmonary infiltrate on the X-ray image. Community-acquired pneumonia is often caused by Pneumococci and mycoplasma; respiratory viruses, influenza usually serve as contributing factors for bacterial infection. The high level of hyperand underdiagnosis of community-acquired pneumonia is associated with its similarity with ARVI; the registration of general violations (signs of the severity of the disease) improves the quality of diagnosis. The clinical and radiological picture helps to distinguish pneumococcal pneumonia from pneumonia caused by mycoplasma. To improve the diagnosis of community-acquired pneumonia, it is necessary to study inflammation markers during the first examination of the patient, which is impossible in the conditions of home care. Due to the growth of resistance of pneumococci to macrolides a community-acquired pneumonia of pneumococcal (and unclear) etiology requires the use of amoxicillin in high doses and macrolides (in case of atypical pneumonia). Gentle therapy of destructive pneumonia, steroids for metapneumonic pleurisy allow avoiding invasive interventions and help to repair lung tissue.
Publisher
The National Academy of Pediatric Science and Innovation
Subject
Pediatrics, Perinatology and Child Health
Reference41 articles.
1. Dombrovskaja U.F., Stydenikin M.Ja., Rachinski S.V. et al. Classification of clinical forms of nonspecific broncho-pulmonаry disease in children (A draft). Pediatriya 1973; 9: 3–7. (in Russ.)
2. Harris M., Clark J., Coote N., Fletcher P., Harnden A., McKean M. et al. British Thoracic Society guidelines for the management of community acquired pneumonia in children: pdate 2011. Thorax 2011; 66 (Suppl 2): 1–23. DOI: 10.1136/thoraxjnl-2011-200598
3. Antibiotherapie par voie generale en pratique courante au cours des infections respiratoires basses de l’adulte et de l’enfant. Agence Française de Sécurité Sanitaire des Produits de Santé. Med Mal Infect 2005; 35(12): 635–694. DOI: 10.1016/j.medmal.2005.11.004.
4. Bradley J.S., Byington C., Shah S.S. Alverson B., Carter E.R., Harrison C. et al. The management of community-acquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clin Infect Dis 2011; 53(7): e25–76. DOI: 10.1093/cid/cir531
5. Kozlov R.S., Krechikova O.I., Mironov K.O. Results of CAP and AOM incidence studies in Russian bellow 5 children (PAPIRUS). The role of S. pneumoniae and H. influenzae in their etiology. Klinicheskaya mikrobiologiya i antimikrobnaya khimioterapiya 2013; 15(4): 1–13. (in Russ.)
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