Factors Associated With Pneumonia Severity in Children: A Systematic Review

Preston Dean, Todd Adam Florin

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Community-acquired pneumonia in children is associated with significant morbidity and mortality; however, data are limited in predicting which children will have negative outcomes, including clinical deterioration, severe disease, or development of complications. The Pediatric Infectious Diseases Society/Infectious Diseases Society of America (PIDS/IDSA) pediatric pneumonia guideline includes criteria that were modified from adult criteria and define pneumonia severity to assist with resource allocation and site-of-care decision-making. However, the PIDS/IDSA criteria have not been formally developed or validated in children. Definitions for mild, moderate, and severe pneumonia also vary across the literature, further complicating the development of standardized severity criteria. This systematic review summarizes (1) the current state of the evidence for defining and predicting pneumonia severity in children as well as (2) emerging evidence focused on risk stratification of children with pneumonia.

Original languageEnglish (US)
Pages (from-to)323-334
Number of pages12
JournalJournal of the Pediatric Infectious Diseases Society
Volume7
Issue number4
DOIs
StatePublished - Dec 3 2018

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ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Infectious Diseases

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