Pneumonia in a child Flashcards
1
Q
What organism causes more pneumonia in neonates vs infants?
A
GBS in neonates
Viral RSV in infants
2
Q
What causes pneumonia in older children?
A
S.pneumoniae
3
Q
Raised inflammatory marker and lobar consolidation on CXR ?
A
S.pneumoniae is most likely causative agent
4
Q
On examination of pneumonia?
A
Coarse crackles
5
Q
When to refer or admit to hospital?
A
Persistent <92% on air
grunting
RR >60.min
Cyanosis
Temperature 38+ in a child <3 months
6
Q
How to manage pneumonia in the hospital?
A
Controlled supplemental oxygen if O2 is <92%
7
Q
First line ABX for management at home?
A
Amoxiliin 5 days
Clarithromycin if allergic
8
Q
1st line management for atypical e.g. mycoplasia pneumonia?
A
Macrolide e.g. erythromycin
9
Q
High severity pneumonia associated with influenza management?
A
Co-amoxiclav
