0 Pneumonia in Child

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No Pneumonia

Pneumonia (P)
Severe
Very Severe

Only Cough and cold

Respiratory rate – high
>60 : in < 2mnths
>50 : in 2 – 12 mnths
>40 : in 12 – 60 mnths


P + Chest indrawing

Severe + Cyanosis
T/t – Symptomatic

Cotrimoxazole
IV or IM Penicillin
IV Chloramphenicol



In Child, they are mostly Viral - RSV (MC)

other:
Parainfluenzae
Influenzae
Adenovirus

Chest X-Ray - B/L diffuse interstitial infiltrates.


Bacterial Pneumonia - Causes (Age wise)
In < 2 months

3 months – 3 years
>3 years

Klebsiella ( MC )
E.Coli
Staph. Aureus

Pneumococci and Staph
H.Influenzae ( Because of vaccination , its not MC now )


Pneumococcus and Staph.

 Drug of choice and MCQ points : 

1. Community Acquired Neonatal Pneumonia : DOC - Ampicillin + Gentamycin

2. Hospital Acquired Neonatal Pneumonia : DOC - Cefotaxime + Amikacin

3. Staph aureus : DOC - Cloxacillin { MRSA : DOC - Vancomycin }
  • Can have empyema ( Staph is MC cause of empyema in child )
  • Pneumatocele ( other cause - Kerosene oil poisoning )

4. Atypical Pneumonia
  • Symptoms : Dry hacking cough
  • Pathology : Interstitial (like Viral)
  • Organism : Chlamydia , Mycoplasma
  • Rare in child < 4 years
  • DOC : Macrolides - Erythro , Azithro
  • No cell wall in organism - thus Ceftriazone (acts on cell wall) not effective.




MedicoNotebook - Founder : DrShiviMudgal , Co-Founder : DrAyushGoel

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