Recurrent pneumonia in children: A reasoned diagnostic approach and a single centre experience

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Abstract

Recurrent pneumonia (RP), i.e., at least two episodes of pneumonia in one year or three episodes ever with intercritical radiographic clearing of densities, occurs in 7.7%–9% of children with community-acquired pneumonia. In RP, the challenge is to discriminate between children with self-limiting or minor problems, that do not require a diagnostic work-up, and those with an underlying disease. The aim of the current review is to discuss a reasoned diagnostic approach to RP in childhood. Particular emphasis has been placed on which children should undergo a diagnostic work-up and which tests should be performed. A pediatric case series is also presented, in order to document a single centre experience of RP. A management algorithm for the approach to children with RP, based on the evidence from a literature review, is proposed. Like all algorithms, it is not meant to replace clinical judgment, but it should drive physicians to adopt a systematic approach to pediatric RP and provide a useful guide to the clinician.

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APA

Montella, S., Corcione, A., & Santamaria, F. (2017, February 1). Recurrent pneumonia in children: A reasoned diagnostic approach and a single centre experience. International Journal of Molecular Sciences. MDPI AG. https://doi.org/10.3390/ijms18020296

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