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KMID : 1161220240670020080
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Clinical and Experimental Pediatrics
2024 Volume.67 No. 2 p.80 ~ p.89
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Community-acquired pneumonia in children: updated perspectives on its etiology, diagnosis, and treatment
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Yun Ki-Wook
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Abstract
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Pneumonia is a common pediatric infectious disease that is familiar to pediatricians and a major cause of hospitalization worldwide. Recent well-designed epidemiologicstudies in developed countries indicated that respiratory viruses are detected in 30%?70%, atypical bacteria in 7%?17%, and pyogenic bacteria in 2%?8% of children hospitalized with community-acquired pneumonia (CAP).
The etiological distribution of CAP varies widely by child age and the epidemiological season of the respiratory pathogen. Moreover, diagnostic tests, particularly for thedetection of Streptococcus pneumoniae and Mycoplasma pneumoniae, the 2 major bacterial pathogens involved in pediatric CAP, have several limitations.
Therefore, management and empirical antimicrobial therapy for children with CAP should be applied in a stepwise manner based on recent epidemiological, etiological, and microbiological evidence.
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KEYWORD
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Community-acquired pneumonia, Child, Etiology, Diagnosis, Treatment
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