Prediction of delayed recovery from pediatric community-acquired pneumonia


Näytä suppeat kuvailutiedot Don, Massimiliano - Valent, Francesca - Canciani, Mario - Korppi, Matti - 2012-06-17T20:16:25Z 2012-06-16 09:24:28 - 2012-06-17T20:16:25Z 2010 -
dc.identifier.issn 1824-7288 -
dc.description BioMed Central Open access -
dc.description.abstract Background If children with community-acquired pneumonia (CAP) do not recover within 48 hours after starting antibiotic therapy, complications are possible and a checkup must be ensured. Aim of the present study was to evaluate the improvement of pediatric CAP, within 48 hours after starting therapy, in relation to age, etiology, clinical/laboratory characteristics and selected antibiotics. Methods Ninety-four children were treated for radiologically confirmed CAP, 64 by oral amoxicillin, 23 by intravenous ampicillin and 7 by other antibiotics. The etiology of CAP was studied by serology, data on more than 20 clinical characteristics were collected retrospectively, and antibiotics were selected on clinical grounds. Results After starting of antibiotics, the mean duration of fever was higher in children ≥5 than <2 or 2-4 years of age (p = 0.003). Fever continued >48 hours in 4 (4.3%) children and 2 additional children had empyema. Clinical, radiological and laboratory characteristics and serological findings were not significantly associated with the duration of fever. Fever continued >24 hours in 1 (4.8%) child treated with ampicillin and in 2 (8%) inpatients compared with 19 (28.8%) children treated with amoxicillin (p = 0.007) and 23 (33%) outpatients (p = 0.0012), respectively. Conclusions Respiratory rate and erythrocyte sedimentation rates were associated with rapid decrease of fever. Anyway, none of the reported characteristics was able to predict treatment failures or delayed fever decrease in children suffering from CAP. -
dc.language.iso en -
dc.title Prediction of delayed recovery from pediatric community-acquired pneumonia -
dc.type fi=Artikkeli aikakauslehdessä | en=Journal article| -
dc.identifier.urn urn:nbn:uta-3-511 -
dc.identifier.doi 10.1186/1824-7288-36-51 -
dc.type.version fi=Kustantajan versio | en=Publisher's version| -
dc.subject.okm fi=Naisten- ja lastentaudit | en=Gynaecology and paediatrics| -
dc.journal.title Italian Journal of Pediatrics -
dc.journal.volume 36 -
dc.journal.number 51 -
dc.journal.volumepagerange 1-7 -
dc.oldstats 85 -

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