Dealing with childhood pneumonia in developing countries: how can we make a difference?

Bronquiolitis y neumonía

“…Varios autores describen como clínica sugestiva de neumonía la presencia de tos, dificultad respiratoria, respiración ruidosa, fiebre, problemas con la alimentación, ansiedad e impedimento para el descanso [13][14][15] . En la exploración física aparecen signos clínicos tales como taquipnea, tiraje, auscultación pulmonar patológica (crepitantes, hipoventilación) asociada o no a quejido 1,10,[13][14][15] .…”

“…En la exploración física aparecen signos clínicos tales como taquipnea, tiraje, auscultación pulmonar patológica (crepitantes, hipoventilación) asociada o no a quejido 1,10,[13][14][15] . Es importante señalar que, en ausencia de fiebre, a pesar de la presencia de signos de dificultad respiratoria, es muy improbable la presencia de esta patología esos estadios el infiltrado no está pobremente desarrollado 17 .…”

Gordon Brown’s agenda for the NHS

“…Many viral lower respiratory tract infections present with tachypnoea and chest recessions, and it may be difficult to distinguish them from bacterial infections on clinical criteria alone. 10 Although recent studies do not indicate a good correlation between radiological results and clinically defined pneumonia, 11 the use of portable pulse oximetry may help triage children for hospital admission and additional treatment, such as oxygen and injectable antibiotics. 12 This approach needs to be validated in studies of appropriate diagnostic tools, including newer molecular methods that enable viral and bacterial infections (or combinations of the two) to be identified.…”

Surgical management for complications of pediatric lung injury

“…Bacterial pneumonia occurs at an estimated rate of 30-40 per 100,000 children in the United States and Europe 1 and affects 150 million children worldwide annually. 2 Pneumonia may progress to parapneumonic effusions in up to 53% of cases 3 and can ultimately lead to bronchiectasis, pulmonary abscess, pneumatocele, or empyema; conditions that often require operative treatment. Trauma, congenital abnormalities, and iatrogenic injuries can result in recurrent pneumothoraces, chylothoraces, or bronchopleural fistulae.…”