Severe pneumonia in children: Causes, diagnosis, and treatment

Evan J. Anderson*, Tina Q. Tan

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Vaccines have substantially reduced the incidence of pediatric pneumonias caused by Haemophilus influenzae type b and certain serotypes of Streptococcus pneumoniae. However, other organisms are being identified more frequently, including methicillin-resistant Staphylococcus aureus (MRSA) and serotypes of S pneumoniae that are not covered by the pneumococcal vaccine. Although chest radiographs are still a basic component of the assessment of pneumonia, CT scans are increasingly being used to differentiate effusion from empyema and consolidation and to evaluate for pleural fluid loculations, lung abscesses, and lung necrosis. β-Lactams, particularly extended-spectrum cephalosporins, remain an important cornerstone of the treatment of complicated pneumonia. In areas where community-acquired MRSA is a concern, empirical coverage for this pathogen should be considered in patients with a severe or necrotizing pneumonia.

Original languageEnglish (US)
Pages (from-to)85-92
Number of pages8
JournalJournal of Respiratory Diseases
Volume29
Issue number2
StatePublished - Feb 2008

Keywords

  • MRSA
  • Pediatrics
  • Pneumonia
  • Staphylococcus aureus
  • Streptococcus pneumoniae

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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