Pneumonia – Pediatric More Than 3 Months

We have lots of lower respiratory infections in this region. Children who otherwise appear well and have relatively normal vital signs may have large infiltrates on the CXR. We tend to obtain CXRs for all children with a chief complaint of fever and cough and treat if indicated.

We have 10x the Strep Pneumonia rate of infection, as the rest of the state – so we take additional precautions in our newborns with fever. We have 50x the RSV Bronchiolitis incidence – as the rest of the world. Breastfeeding has been the only positive thing to decrease a child’s risk at this time. We do give Synagis to our high-risk pre-termers or cardiac complicated children. Look at our pneumonia guideline for recommendations for work up and treatment.

Resources/References

• Pediatric Community Acquired Pneumonia powerpoint presentation by YKHC Pediatricians
• Ambroggio et al. Guideline Adoption for Community-Acquired Pneumonia in the Outpatient Setting. Pediatrics. Oct 2018, 142 (4) e20180331; DOI: 10.1542/peds.2018-0331
• L., Bellia, C., Di Gangi, M., Lo Sasso, B., Calvaruso, L., Bivona, G., et al. (2016). Utility of serum procalcitonin and C-reactive protein in severity assessment of community acquired pneumonia in children. Clinical Biochemistry, 49(1-2), 47-50.
• ANMC Pediatric (≥3mo) Ambulatory Community Acquired Pneumonia (CAP) Treatment Guideline
• ANMC Pediatric (>3mo) Inpatient Community Acquired Pneumonia (CAP) Treatment Guideline
• ANMC Pediatric (1 month to 17 years) Parapneumonic Effusion/Empyema Management Guideline
• Seattle Children's Hospital Community-Acquired Pneumonia Pathway
• Pneumonia (Adult) YKHC Clinical Guideline
• Pneumonia (Pediatric > 3 months) YKHC Clinical Guideline

YKHC Clinical Guidelines
Common/Unique Medical Diagnoses