Elena Chiappini 1 , Elisabetta Venturini , Luisa Galli , Vas Novelli , Maurizio de Martino Show Affiliations »
Abstract
AIM: To critically summarise the available data on diagnosis of CAP in children, focusing on the newest findings and on the need for new studies. METHODS: Eighty studies on the diagnosis of paediatric community-acquired pneumonia were scrutinised. RESULTS: We found no significant associations between the signs or symptoms and aetiology of pneumonia and concluded that chest radiographs remain controversial and real-time polymerase chain reaction appears more sensitive than blood cultures. CONCLUSION: Antibiotic overuse could make it difficult to differentiate viral and bacterial causes. Molecular methods provide promising tools for diagnosing infection by atypical bacteria, but are expensive and should be used selectively. ©2013 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
AIM: To critically summarise the available data on diagnosis of CAP in children , focusing on the newest findings and on the need for new studies. METHODS: Eighty studies on the diagnosis of paediatric community-acquired pneumonia were scrutinised. RESULTS: We found no significant associations between the signs or symptoms and aetiology of pneumonia and concluded that chest radiographs remain controversial and real-time polymerase chain reaction appears more sensitive than blood cultures. CONCLUSION: Antibiotic overuse could make it difficult to differentiate viral and bacterial causes. Molecular methods provide promising tools for diagnosing infection by atypical bacteria, but are expensive and should be used selectively. ©2013 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
Entities: Disease
Species
Keywords:
CAP; Children; Community-acquired pneumonia; Diagnosis
Mesh： See more »
Year: 2013
PMID： 24330269 DOI： 10.1111/apa.12502
Source DB: PubMed Journal: Acta Paediatr ISSN： 0803-5253 Impact factor: 2.299