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IDSA/PIDS announce guidelines for treating pneumonia in children
Date:8/31/2011

tance, the guidelines recommend infants 3 to 6 months old with suspected bacterial pneumonia are likely to benefit from hospitalization, even if the pneumonia isn't confirmed by blood tests. Blood testing in children often isn't accurate, so physicians need to pay close attention to symptoms, and, if unsure, err on the side of treating, said Dr. Bradley.

Following are some other recommendations included in the guidelines:

  • Because infants 6 months and younger cannot get the flu shot or nasal spray, their parents and caregivers should be sure to get the vaccine.
  • When antibiotics are necessary, amoxicillin should be first-line therapy for bacterial pneumonia, because it is safe and effective. Many doctors prescribe more powerful antibiotics, which are unnecessary and can kill off good bacteria in the body.
  • Although pneumonia from methicillin-resistant Staphylococcus aureus (MRSA) is uncommon, it can cause severe illness, so physicians need to consider it if a child doesn't improve after first-line antibiotic therapy.

For each of the 92 specific recommendations, the guidelines denote the strength of the recommendation as well as the quality of evidence for each. The guidelines note the lack of solid evidence in some areas often due to the ethical challenges of studying children and call for research in specific areas.

"We're hopeful that in following these guidelines, physicians and hospitals will collect data and the results can be compared," said Dr. Bradley. "We envision this as the first of many revisions of guidelines to come."

The 13-member guidelines panel was comprised of experts from around the country, including lung, emergency department, hospital medicine and critical care specialists, office-based pediatricians, pediatric surgeons and CDC epidemiologists. They reviewed hundreds of scientific studies, papers and presentations in preparation for writing the guidelines. In addition to Dr. Brad
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Contact: Ashley Mattys
amattys@pcipr.com
312-558-1770
Infectious Diseases Society of America
Source:Eurekalert

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