Diagnosis of community-acquired pneumonia in children : South African Thoracic Society guidelines (part 2)
Background. Accurate diagnosis and attribution of the aetiology of pneumonia are important for measuring the burden of disease, implementing appropriate treatment strategies and developing more effective interventions.Objectives. To produce revised guidelines for the diagnosis of pneumonia in South...
Saved in:
Published in | South African medical journal Vol. 110; no. 7; pp. 588 - 593 |
---|---|
Main Authors | , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
South African Medical Association NPC
01.07.2020
|
Online Access | Get full text |
Cover
Loading…
Abstract | Background. Accurate diagnosis and attribution of the aetiology of pneumonia are important for measuring the burden of disease, implementing appropriate treatment strategies and developing more effective interventions.Objectives. To produce revised guidelines for the diagnosis of pneumonia in South African (SA) children, encompassing clinical, radiological and aetiological methods.Methods. An expert group was established to review diagnostic evidence and make recommendations for a revised SA guideline. Published evidence was reviewed and graded using the British Thoracic Society grading system.Results. Diagnosis of pneumonia should be considered in a child with acute cough, fast breathing or difficulty breathing. Revised World Health Organization guidelines classify such children into: (i) severe pneumonia; (ii) pneumonia (tachypoea or lower chest indrawing); or (iii) no pneumonia. Malnourished or immunocompromised children with lower chest indrawing should be managed as cases of severe pneumonia. Pulse oximetry should be done, with hospital referral for oxygen saturation Conclusions. Advances in clinical, radiological and aetiological methods have improved the diagnosis of childhood pneumonia. |
---|---|
AbstractList | Background. Accurate diagnosis and attribution of the aetiology of pneumonia are important for measuring the burden of disease, implementing appropriate treatment strategies and developing more effective interventions.Objectives. To produce revised guidelines for the diagnosis of pneumonia in South African (SA) children, encompassing clinical, radiological and aetiological methods.Methods. An expert group was established to review diagnostic evidence and make recommendations for a revised SA guideline. Published evidence was reviewed and graded using the British Thoracic Society grading system.Results. Diagnosis of pneumonia should be considered in a child with acute cough, fast breathing or difficulty breathing. Revised World Health Organization guidelines classify such children into: (i) severe pneumonia; (ii) pneumonia (tachypoea or lower chest indrawing); or (iii) no pneumonia. Malnourished or immunocompromised children with lower chest indrawing should be managed as cases of severe pneumonia. Pulse oximetry should be done, with hospital referral for oxygen saturation Conclusions. Advances in clinical, radiological and aetiological methods have improved the diagnosis of childhood pneumonia. |
Author | Avenant, T. Zar, H.J. Argent, A.C. Cohen, C. Madhi, S.A. Reubenson, G. Andronikou, S. Green, R.J. Pillay, A. Masekela, R. Itzikowitz, G. Jeena, P. Nicol, M.P. Moore, D.P. |
Author_xml | – sequence: 1 givenname: R. surname: Masekela fullname: Masekela, R. – sequence: 2 givenname: S.A. surname: Madhi fullname: Madhi, S.A. – sequence: 3 givenname: R.J. surname: Green fullname: Green, R.J. – sequence: 4 givenname: M.P. surname: Nicol fullname: Nicol, M.P. – sequence: 5 givenname: A. surname: Pillay fullname: Pillay, A. – sequence: 6 givenname: G. surname: Itzikowitz fullname: Itzikowitz, G. – sequence: 7 givenname: G. surname: Reubenson fullname: Reubenson, G. – sequence: 8 givenname: P. surname: Jeena fullname: Jeena, P. – sequence: 9 givenname: S. surname: Andronikou fullname: Andronikou, S. – sequence: 10 givenname: H.J. surname: Zar fullname: Zar, H.J. – sequence: 11 givenname: D.P. surname: Moore fullname: Moore, D.P. – sequence: 12 givenname: C. surname: Cohen fullname: Cohen, C. – sequence: 13 givenname: A.C. surname: Argent fullname: Argent, A.C. – sequence: 14 givenname: T. surname: Avenant fullname: Avenant, T. |
BookMark | eNotUM1OwzAYi9CQ2AavgHKEQ0u-NGkbLmga42ca4rBxrtIkXTN1aWlSpL09neBk2ZYs2zM0ca0zCN0CiTMQ6cN28bGOKaEk_gEgNouBCZFfoCklWR5xSPgETQnlaSR4xq7QzPsDGTkX6RQdnq3cu9Zbj9sKq_Z4HJwNp0iq78H2RuPOmeHYOiuxdVjVttG9cfgRb9sh1HhR9VZJh3d120tl1Sgra8IJ7werTWOd8fiuk33A9P4aXVay8ebmH-fo62W1W75Fm8_X9-ViE3kKECLGMs6MkkwCpznXokqEICoXOk24SJKy5BWhoEnGNIz7cwqVMjrNOK3AEJXM0dNfrpflWCAUXppuKIs6hM4XtW6KWjrdmOLsAeGUFKv1sgDDqvNxwJJfy6ZnOg |
ContentType | Journal Article |
DBID | AEIZH JRA |
DOI | 10.7196/SAMJ.2020.v110i7.14998 |
DatabaseName | Sabinet:Open Access Sabinet Open Access Journals |
DatabaseTitleList | |
Database_xml | – sequence: 1 dbid: JRA name: Sabinet Open Access Journals url: http://www.journals.co.za/content/collection/open-access sourceTypes: Publisher |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 2078-5135 |
EndPage | 593 |
ExternalDocumentID | https://hdl.handle.net/10520/EJC-1e4f499814 |
GroupedDBID | --- -OY 123 1RG 4JU 53G 5RE 5VS 6SC AAFWJ AAWTL ADBBV AEIZH AENEX ALMA_UNASSIGNED_HOLDINGS APOWU AZFZN BAWUL BCNDV DIK EBD EBS EJD EMOBN F5P FRP GROUPED_DOAJ GX1 IAO IHR IHW INH INR ITC JRA KWQ L7B MK0 OK1 P2P RFP RNS SCVUT SV3 SWNBY TR2 W2D |
ID | FETCH-LOGICAL-s211t-44754eca4a15285d9f3990c89d635933bb5f021d074d1196821fced6752f1e0c3 |
IEDL.DBID | JRA |
ISSN | 0256-9574 |
IngestDate | Sun Aug 18 06:09:59 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 7 |
Language | English |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-s211t-44754eca4a15285d9f3990c89d635933bb5f021d074d1196821fced6752f1e0c3 |
OpenAccessLink | https://hdl.handle.net/10520/EJC-1e4f499814 |
PageCount | 6 |
ParticipantIDs | sabinet_saepub_https_hdl_handle_net_10520_EJC_1e4f499814 |
PublicationCentury | 2000 |
PublicationDate | 20200701 |
PublicationDateYYYYMMDD | 2020-07-01 |
PublicationDate_xml | – month: 07 year: 2020 text: 20200701 day: 01 |
PublicationDecade | 2020 |
PublicationTitle | South African medical journal |
PublicationYear | 2020 |
Publisher | South African Medical Association NPC |
Publisher_xml | – name: South African Medical Association NPC |
SSID | ssj0025596 ssib045324610 ssib022775494 ssib005229541 |
Score | 2.2924542 |
Snippet | Background. Accurate diagnosis and attribution of the aetiology of pneumonia are important for measuring the burden of disease, implementing appropriate... |
SourceID | sabinet |
SourceType | Publisher |
StartPage | 588 |
Title | Diagnosis of community-acquired pneumonia in children : South African Thoracic Society guidelines (part 2) |
URI | https://hdl.handle.net/10520/EJC-1e4f499814 |
Volume | 110 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV09T8MwELVQkRAL4lN8Vh4YYDCNv5qErSqUqlIZoJW6RbFjQxjSiqRI_HvOTiBIbCxZIiuR38nvnXz3DqHLQPeVYYElHPQtEUYpolQaESFpBmrBSu273qeP_fFcTBZy0fhsl3_9Bagr0-jdT4aEGmFBnUduaPUmkHro3XCfBm0wucHULbcz5rzd2mATkjvrtOAnGwMp7S8ygfNJLENRtw-HEJG958F0AqkjC24-gB3zEI4T-DIoZOd6C7_1i4FGu2inkY54UGO9hzZMsY-2ps3l-AF6u6vL5vISLy3WdedH9UlS7ap9TYZXhVlD1OUpzgv83cWNb7Efo4friUEFnr1CVOhc46agE7-snRWWK4_HVyuINMyuD9F8dD8bjkkzSoGUkOFVxNn6CaNTkQJfRzKLLQiTQEdxBoIj5lwpaYHtMxAUGYUtiBi12mSQTTBLTaD5EeoUy8IcI8wV5UprJaNYCKDYlCmtrLKwlqex4icoarYpKVPX2Oc7h8oEkE1qZBP3ziObALJJi-zp_5eeoW0HWF1Ie4461fvaXIBcqFTXp9nwfFjQrg-ZL3Aque8 |
link.rule.ids | 315,786,790,870,27957,27958,39277 |
linkProvider | Sabinet Online Ltd. |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Diagnosis+of+community-acquired+pneumonia+in+children+%3A+South+African+Thoracic+Society+guidelines+%28part+2%29&rft.jtitle=South+African+medical+journal&rft.au=Masekela%2C+R.&rft.au=Madhi%2C+S.A.&rft.au=Green%2C+R.J.&rft.au=Nicol%2C+M.P.&rft.date=2020-07-01&rft.pub=South+African+Medical+Association+NPC&rft.issn=0256-9574&rft.eissn=2078-5135&rft.volume=110&rft.issue=7&rft.spage=588&rft.epage=593&rft_id=info:doi/10.7196%2FSAMJ.2020.v110i7.14998&rft.externalDocID=https%3A%2F%2Fhdl.handle.net%2F10520%2FEJC-1e4f499814 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0256-9574&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0256-9574&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0256-9574&client=summon |