Pneumonia in older children

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Pneumonia is an inflammation at the level of the respiratory bronchioles, alveolar spaces, and/or interstitium.

Searchtool right.svg For more information see Pneumonia.

Etiology of pneumonia in older children[edit | edit source]

Clinical picture[edit | edit source]

Searchtool right.svg For more information see Bacterial pneumonia, Atypical pneumonia.

Therapy[edit | edit source]

  • Empirical antibiotic treatment of community-acquired pneumonia in older children:
    • mild pneumonia - amoxicillin p.o. (50-90 mg / kg / day in 3 doses),
    • severe pneumonia - penicillin G i.v. (100-200,000 IU / kg / day or more in 4-6 doses), in case of allergy, cephalosporin III. generation i.v can be used instead.[1]
  • symptomatic treatment:
    • expectorants, mucolytics, antitussives for irritating dry cough
    • antipyretics
    • oxygen therapy for respiratory insufficiency
    • nebulization therapy
  • regime measures:
    • adequate supply of fluids, calories, vitamins
    • respiratory rehabilitation
  • Functional lung examination is indicated 6 weeks after the pneumonia has subsided[2].

Comparison table for typical and atypical pneumonia[edit | edit source]

Basic characteristics significant physical findings poor physical findings
Agens (extracellular)

Streptococcus pneumoniae, Haemophilus influenzae Haemophilus parainfluenzae, Staphylococcus aureus, Klebsiella pneumoniae, Escherichia coli a Pseudomonas aeruginosa

(intra / paracellular)

Mycoplasma pneumoniae, Chlamydophila pneumoniae, Chlamydophila psittaci, Legionella pneumophila Coxiella burnetii, viruses - RSV, influenza, Pneumocystis carinii

Boarding sudden slow
Extrapulmonary symptoms infrequent common - headache and muscle pain, vomiting, diarrhea
Fever febrile subfebrile
Cough productive dry, irritating
Heart rate possibly tachycardia normal
The patient looks sick calm, unaffected
Physically crepitus, tubular respiration isolated rales
X-ray segmental/lobar opacities (alveolar involvement) Reticulonodulation (interstitial involvement)
Sedimentation high slightly increased
Inflammatory parameters high slightly increased
Blood count leukocytosis lymphocytosis
Therapy penicillins macrolides

References[edit | edit source]

Related articles[edit | edit source]

Citations[edit | edit source]

  1. a b LEBL, J, J JANDA a P POHUNEK. Praktická pediatrie : Obvyklé diagnostické a léčebné postupy na Pediatrické klinice v Motole. 1. vydání. Galén, 2008. 189 s. s. 28. ISBN 978-80-7262-578-9.
  2. BABÁČKOVÁ, P. Zdravotnické noviny : Pneumonie [online]. Mladá fronta a.s, ©2007. [cit. 2011-02-03]. <>.