4th Pediatric Infectious Diseases Conference
 
 
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Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
PNEUMONIAS IN CHILDREN
Pneumonias in Children
Pneumonia Sequelae and Prognosis
Sequelae and Prognosis
Dr Ira Shah
M.D, DCH(Gold Medalist), FCPS, DNB

Sequelae:

  • Most children with uncomplicated pneumonia recover without sequelae. Persistent effusions and empyemas are the most common serious complications of bacterial pneumonia.
  • Pulmonary abscess
  • Respiratory distress
  • Sepsis
  • Pneumatoceles especially with staphylococcal infections
  • In children who have recurrent or chronic symptoms, further testing including skin testing to identify fungal pathogens, sweat chloride estimation to identify Cystic fibrosis, titers against rare organisms, and bronchoscopy may be required.

Prevention:
Several vaccines exist that may prevent certain types of pneumonia.

  • Pneumococcal vaccine should be given to children with asplenia or sickle cell disease or have undergone splenectomy. A new conjugated pneumococcal vaccine has been developed and is recommended as a part of the routine childhood immunization schedule.
  • Conjugated Haemophilus influenzae type B vaccine is recommended as a part of the routine childhood immunization schedule and has reduced the incidence of infections caused by this organism.
  • Varicella vaccine is especially recommended in children who are immunocompromised or adults who are unprotected.
  • Influenza vaccines usually are given only to chronically ill children.

Prognosis:

  • The prognosis for most forms of pneumonia is excellent.
  • Most cases of viral pneumonia resolve without treatment; common bacterial pathogens and atypical organisms respond to antimicrobial therapy.
  • The prognosis for varicella pneumonia is somewhat more guarded.
  • Staphylococcal pneumonia, although rare, can be very serious despite treatment.
  • Immunocompromised children, those with underlying lung disease, and neonates are at high risk for severe sequelae.
  • Some forms of viral pneumonia, particularly adenoviral disease, tend to cause bronchiolitis obliterans and hyperlucent lung syndrome.

Also See Article On "PNEUMONIA" For More Information
See Expertise Views For Questions On"Pneumonias"
See Frequently Asked Questions On"Pneumonia"

Last created on 23-02-2001
Last updated on 24-05-2007





 
 
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