The value of clinical features in differentiating between viral, pneumococcal and atypical bacterial pneumonia in children

Acta Paediatrica
M KorppiMario Canciani

Abstract

To evaluate the value of clinical features in differentiating between viral, pneumococcal and atypical bacterial pneumonia in children. A retrospective analysis of clinical signs and symptoms, supplemented with chest radiograph and serum procalcitonin data, in 101 children with community-acquired pneumonia. Viral and bacterial aetiology was studied prospectively by antibody assays, and pneumococcal infection was found in 18, atypical bacterial infection in 28 and viral infection alone in 22 cases. Chest radiographs and serum procalcitonin were studied in all cases. Data on clinical signs and symptoms were retrospectively collected from the medical cards of the patients. Among symptoms, cough was present in 89% and fever (>37.5 degrees C) in 88% of the cases. Among physical signs, crackles were present in 49% and decreased breath sounds in 58%. No significant associations were found between any of the clinical signs or symptoms and the aetiology of pneumonia. In multivariate analyses, age over 5 years and serum procalcitonin over 1.0 ng/mL were the only independent predictors of bacterial aetiology, but no finding was able to screen between pneumococcal and atypical bacterial aetiology of infection. No clinical or radiological c...Continue Reading

References

Oct 12, 1991·Lancet·M HarariJ de Campo
Feb 1, 1992·The Pediatric Infectious Disease Journal·E K MulhollandS Gove
Jan 1, 1988·Annals of Emergency Medicine·L K Grossman, S E Caplan
Jul 1, 1986·Annals of Emergency Medicine·D D ZukinT E Herman
May 1, 1995·The Pediatric Infectious Disease Journal·M Korppi
Jan 1, 1995·The Pediatric Infectious Disease Journal·Y DaiF Tong
Feb 1, 1996·Annals of Medicine·O KiekaraS Soimakallio
Oct 26, 1999·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·P ToikkaO Ruuskanen
Jan 12, 2000·Archives of Disease in Childhood·M PalafoxH Martínez
Jan 18, 2002·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Carrie L ByingtonMatthew H Samore
Apr 30, 2002·Thorax·R VirkkiO Ruuskanen
Nov 20, 2002·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Susanna EspositoNicola Principi
Apr 30, 2003·Scandinavian Journal of Primary Health Care·Taina JuvénJussi Mertsola
Sep 5, 2003·The Lancet Infectious Diseases·Sunil SazawalUNKNOWN Pneumonia Case Management Trials Group
Nov 26, 2005·Scandinavian Journal of Infectious Diseases·Massimiliano DonMario Canciani
Apr 29, 2006·The Pediatric Infectious Disease Journal·Massimiliano DonMatti Korppi
Mar 17, 2007·Scandinavian Journal of Infectious Diseases·Massimiliano DonMario Canciani
Sep 25, 2007·Acta Paediatrica·Elina LahtiOlli Ruuskanen

❮ Previous
Next ❯

Citations

Nov 17, 2011·Journal of Paediatrics and Child Health·Cameron C GrantElizabeth M Robinson
Jul 31, 2010·Italian Journal of Pediatrics·Massimiliano DonMatti Korppi
Dec 17, 2009·Mediators of Inflammation·Hanssa Summah, Jie-Ming Qu
Sep 30, 2014·The Journal of Infection·Rebecca Wallihan, Octavio Ramilo
May 5, 2010·Scandinavian Journal of Infectious Diseases·Cristiana M Nascimento-CarvalhoDominique Gendrel
Oct 6, 2015·Clinica Chimica Acta; International Journal of Clinical Chemistry·Bivona GiuliaCiaccio Marcello
Dec 1, 2012·Journal of the Pediatric Infectious Diseases Society·Derek J Williams, Samir S Shah
Dec 11, 2013·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·M VerstraeteC Gras-Le Guen
Nov 13, 2012·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·A CarsinJ-C Dubus
Aug 7, 2013·Emergency Medicine Clinics of North America·Paul Ishimine
Mar 14, 2013·Pediatric Clinics of North America·Pui-Ying Iroh Tam
Apr 11, 2012·Emergency Medicine Clinics of North America·Joseph Choi, Gary L Lee
Nov 29, 2011·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·A Andrés MartínG Pérez Pérez
Aug 2, 2011·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·R BourayouI Koné-Paut
Dec 22, 2010·Paediatric Respiratory Reviews·Andrew PrayleAlan Smyth
Jul 25, 2009·The Lancet Infectious Diseases·David R Murdoch, Stephen T Chambers
Nov 1, 2008·Pediatric Annals·Charles R Woods
Jun 25, 2010·Acta Paediatrica·Massimiliano DonMatti Korppi
Dec 18, 2013·Acta Paediatrica·Elena ChiappiniMaurizio de Martino
Dec 18, 2013·Acta Paediatrica. Supplement·M de Martino, E Chiappini
Dec 5, 2009·Pediatric Pulmonology·Massimiliano DonMatti Korppi
Jan 25, 2011·Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy·Anıl TapısızÜlker Doğru
Sep 24, 2014·Archives of Disease in Childhood·Julia E Clark
Jul 5, 2016·Journal of the American College of Radiology : JACR·UNKNOWN Expert Panel on Pediatric ImagingBrian D Coley
Feb 22, 2017·International Journal of Molecular Sciences·Nicola Principi, Susanna Esposito
Jun 9, 2018·Expert Review of Respiratory Medicine·Nicola Principi, Susanna Esposito
Nov 6, 2018·Nursing Children and Young People·Hannah MorganSiba Prosad Paul
Jul 30, 2008·Expert Review of Anti-infective Therapy·Kyung-Yil Lee
Aug 23, 2018·Korean journal of pediatrics·Ji Eun JeongJung Yeon Shim
Mar 5, 2019·Global Pediatric Health·Sankaran KrishnanAllen J Dozor
Mar 11, 2017·European Journal of Pediatrics·Are Stuwitz BergBritt Nakstad
Aug 10, 2020·IUBMB Life·Rasoul MirzaeiSajad Karampoor
Nov 17, 2020·Journal of Clinical Ultrasound : JCU·Deepawali MallaLalendra Upreti
Jun 15, 2020·Archivos de bronconeumología·Anselmo Andrés-MartínAntonio Moreno Galdó

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bacterial Pneumonia (ASM)

Bacterial pneumonia is a prevalent and costly infection that is a significant cause of morbidity and mortality in patients of all ages. Here is the latest research.

Bacterial Pneumonia

Bacterial pneumonia is a prevalent and costly infection that is a significant cause of morbidity and mortality in patients of all ages. Here is the latest research.

Related Papers

Pediatrics
American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis
Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
J S BradleyPediatric Infectious Diseases Society and the Infectious Diseases Society of America
Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases
M MasiáA Martin-Hidalgo
© 2022 Meta ULC. All rights reserved