Recurrent Pneumonia in Children: A Reasoned Diagnostic Approach and a Single Centre Experience

International Journal of Molecular Sciences

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