No Pneumonia
|
Pneumonia (P)
|
Severe
|
Very Severe
|
Only Cough and cold
|
Respiratory rate – high
>60 : in < 2mnths
>50 : in 2 – 12 mnths
>40 : in 12 – 60 mnths
|
P + Chest indrawing
|
Severe + Cyanosis
|
T/t – Symptomatic
|
Cotrimoxazole
|
IV or IM Penicillin
|
IV Chloramphenicol
|
In Child, they are mostly Viral - RSV (MC)
other:
Parainfluenzae
Influenzae
Adenovirus
Chest X-Ray - B/L diffuse interstitial infiltrates.
| Bacterial Pneumonia - Causes (Age wise) | ||
In
< 2 months
|
3
months – 3 years
|
>3
years
|
Klebsiella ( MC )
E.Coli
Staph. Aureus
|
Pneumococci and Staph
H.Influenzae ( Because of vaccination
, its not MC now )
|
Pneumococcus and Staph.
|
Drug of choice and MCQ points :
1. Community Acquired Neonatal Pneumonia : DOC - Ampicillin + Gentamycin
2. Hospital Acquired Neonatal Pneumonia : DOC - Cefotaxime + Amikacin
3. Staph aureus : DOC - Cloxacillin { MRSA : DOC - Vancomycin }
- Can have empyema ( Staph is MC cause of empyema in child )
- Pneumatocele ( other cause - Kerosene oil poisoning )
4. Atypical Pneumonia
- Symptoms : Dry hacking cough
- Pathology : Interstitial (like Viral)
- Organism : Chlamydia , Mycoplasma
- Rare in child < 4 years
- DOC : Macrolides - Erythro , Azithro
- No cell wall in organism - thus Ceftriazone (acts on cell wall) not effective.
MedicoNotebook - Founder : DrShiviMudgal , Co-Founder : DrAyushGoel
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