International Journal of Molecular Sciences | |
Recurrent Pneumonia in Children: A Reasoned Diagnostic Approach and a Single Centre Experience | |
Silvia Montella1  Francesca Santamaria1  Adele Corcione1  | |
[1] Department of Translational Medical Sciences, Federico II University, Via Pansini 5, 80131 Naples, Italy; | |
关键词: community-acquired pneumonia; lower respiratory tract infections; recurrent pneumonia; diagnosis; children; | |
DOI : 10.3390/ijms18020296 | |
来源: DOAJ |
【 摘 要 】
Recurrent pneumonia (RP), i.e., at least two episodes of pneumonia in one year or three episodes ever with intercritical radiographic clearing of densities, occurs in 7.7%–9% of children with community-acquired pneumonia. In RP, the challenge is to discriminate between children with self-limiting or minor problems, that do not require a diagnostic work-up, and those with an underlying disease. The aim of the current review is to discuss a reasoned diagnostic approach to RP in childhood. Particular emphasis has been placed on which children should undergo a diagnostic work-up and which tests should be performed. A pediatric case series is also presented, in order to document a single centre experience of RP. A management algorithm for the approach to children with RP, based on the evidence from a literature review, is proposed. Like all algorithms, it is not meant to replace clinical judgment, but it should drive physicians to adopt a systematic approach to pediatric RP and provide a useful guide to the clinician.
【 授权许可】
Unknown