Fever and tachypnea strong indicators of pneumonia in children with lower respiratory tract infections

India leads the world in childhood pneumonia incidence, with 43 million new cases per year, as estimated by the World Health Organization (WHO). Pneumonia can be difficult to diagnose, especially in patients with lower respiratory complaints in settings where chest x-ray (CXR) testing is not available. Knowing the signs and symptoms that point to pneumonia in children with lower respiratory illnesses can help physicians correctly diagnose and treat pneumonia.

Key Point: India has the highest rate of childhood pneumonia in the world. A recent study found that the strongest predictors of radiographically diagnosed pneumonia in children with lower respiratory infections were the persistence of fever and tachypnea up to the second day of amoxicillin treatment.

In a recent study in Brazil, researchers performed a prospective cohort study to compare cases of nonsevere acute lower respiratory tract infection with and without radiographically diagnosed pneumonia. In total, 372 patients aged 2 months to 59 months with lower respiratory complaints were followed in the study. Each child underwent a clinical evaluation by a pediatrician and received a CXR upon admission.

Symptoms were recorded throughout the study period, and a 10-day course of...

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This entry was posted in Infectious Disease, Pediatrics, Primary Care and tagged , , , , , , , , , , . Volume: .

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