Diagnostic features of community-acquired pneumonia in children: what's new?
Aim To critically summarise the available data on diagnosis of CAP in children, focusing on the newest findings and on the need for new studies. Methods Eighty studies on the diagnosis of paediatric community‐acquired pneumonia were scrutinised. Results We found no significant associations between t...
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| Veröffentlicht in: | Acta Paediatrica 2013-12, Vol.102 (s465), p.17-24 |
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| container_issue | s465 |
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| container_title | Acta Paediatrica |
| container_volume | 102 |
| creator | Chiappini, Elena Venturini, Elisabetta Galli, Luisa Novelli, Vas de Martino, Maurizio |
| description | Aim
To critically summarise the available data on diagnosis of CAP in children, focusing on the newest findings and on the need for new studies.
Methods
Eighty studies on the diagnosis of paediatric community‐acquired pneumonia were scrutinised.
Results
We found no significant associations between the signs or symptoms and aetiology of pneumonia and concluded that chest radiographs remain controversial and real‐time polymerase chain reaction appears more sensitive than blood cultures.
Conclusion
Antibiotic overuse could make it difficult to differentiate viral and bacterial causes. Molecular methods provide promising tools for diagnosing infection by atypical bacteria, but are expensive and should be used selectively. |
| doi_str_mv | 10.1111/apa.12502 |
| format | Article |
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To critically summarise the available data on diagnosis of CAP in children, focusing on the newest findings and on the need for new studies.
Methods
Eighty studies on the diagnosis of paediatric community‐acquired pneumonia were scrutinised.
Results
We found no significant associations between the signs or symptoms and aetiology of pneumonia and concluded that chest radiographs remain controversial and real‐time polymerase chain reaction appears more sensitive than blood cultures.
Conclusion
Antibiotic overuse could make it difficult to differentiate viral and bacterial causes. Molecular methods provide promising tools for diagnosing infection by atypical bacteria, but are expensive and should be used selectively.</description><identifier>ISSN: 0803-5253</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.12502</identifier><identifier>PMID: 24330269</identifier><language>eng</language><publisher>Norway: Blackwell Publishing Ltd</publisher><subject>Adolescent ; CAP ; Child ; Child, Preschool ; Children ; Community-Acquired Infections - diagnosis ; Community-Acquired Infections - microbiology ; Community-acquired pneumonia ; Diagnosis ; Humans ; Infant ; Lung - diagnostic imaging ; Pneumonia ; Pneumonia - diagnosis ; Pneumonia - microbiology ; Polymerase Chain Reaction ; Radiography</subject><ispartof>Acta Paediatrica, 2013-12, Vol.102 (s465), p.17-24</ispartof><rights>2013 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd</rights><rights>2013 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.</rights><rights>Copyright ©2013 Foundation Acta Pædiatrica</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3912-8138ffa3101b09fef92e16e064da311bf686198d696f0aea1133c8960f10ff0f3</citedby><cites>FETCH-LOGICAL-c3912-8138ffa3101b09fef92e16e064da311bf686198d696f0aea1133c8960f10ff0f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fapa.12502$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fapa.12502$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24330269$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chiappini, Elena</creatorcontrib><creatorcontrib>Venturini, Elisabetta</creatorcontrib><creatorcontrib>Galli, Luisa</creatorcontrib><creatorcontrib>Novelli, Vas</creatorcontrib><creatorcontrib>de Martino, Maurizio</creatorcontrib><title>Diagnostic features of community-acquired pneumonia in children: what's new?</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>Aim
To critically summarise the available data on diagnosis of CAP in children, focusing on the newest findings and on the need for new studies.
Methods
Eighty studies on the diagnosis of paediatric community‐acquired pneumonia were scrutinised.
Results
We found no significant associations between the signs or symptoms and aetiology of pneumonia and concluded that chest radiographs remain controversial and real‐time polymerase chain reaction appears more sensitive than blood cultures.
Conclusion
Antibiotic overuse could make it difficult to differentiate viral and bacterial causes. Molecular methods provide promising tools for diagnosing infection by atypical bacteria, but are expensive and should be used selectively.</description><subject>Adolescent</subject><subject>CAP</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Community-Acquired Infections - diagnosis</subject><subject>Community-Acquired Infections - microbiology</subject><subject>Community-acquired pneumonia</subject><subject>Diagnosis</subject><subject>Humans</subject><subject>Infant</subject><subject>Lung - diagnostic imaging</subject><subject>Pneumonia</subject><subject>Pneumonia - diagnosis</subject><subject>Pneumonia - microbiology</subject><subject>Polymerase Chain Reaction</subject><subject>Radiography</subject><issn>0803-5253</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10E1P3DAQBmCrApUt9MAfQJE40B4CM3bijbmgFbR8aEX30MLR8iZjME2cXTvRdv99Qxc4VMKXkaxnXo1exvYRjnF4J2ZhjpHnwD-wEcocU875eIuNoACR5jwXO-xTjE8AXKhMfmQ7PBMCuFQjNr1w5sG3sXNlYsl0faCYtDYp26bpvevWqSmXvQtUJQtPfdN6ZxLnk_LR1VUgf5qsHk13FBNPq7M9tm1NHenzy9xlv75_-3l-lU5_XF6fT6ZpKRTytEBRWGsEAs5BWbKKE0oCmVXDJ86tLCSqopJKWjBkEIUoCyXBIlgLVuyyL5vcRWiXPcVONy6WVNfGU9tHjZlUHDOuioEe_kef2j744bpnVeCYK5CD-rpRZWhjDGT1IrjGhLVG0M8V66Fi_a_iwR68JPbzhqo3-drpAE42YOVqWr-fpCezyWtkutlwsaM_bxsm_NZyLMa5vr-91DdwNbu4v8v1TPwF4UaSuw</recordid><startdate>201312</startdate><enddate>201312</enddate><creator>Chiappini, Elena</creator><creator>Venturini, Elisabetta</creator><creator>Galli, Luisa</creator><creator>Novelli, Vas</creator><creator>de Martino, Maurizio</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope></search><sort><creationdate>201312</creationdate><title>Diagnostic features of community-acquired pneumonia in children: what's new?</title><author>Chiappini, Elena ; Venturini, Elisabetta ; Galli, Luisa ; Novelli, Vas ; de Martino, Maurizio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3912-8138ffa3101b09fef92e16e064da311bf686198d696f0aea1133c8960f10ff0f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>CAP</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Community-Acquired Infections - diagnosis</topic><topic>Community-Acquired Infections - microbiology</topic><topic>Community-acquired pneumonia</topic><topic>Diagnosis</topic><topic>Humans</topic><topic>Infant</topic><topic>Lung - diagnostic imaging</topic><topic>Pneumonia</topic><topic>Pneumonia - diagnosis</topic><topic>Pneumonia - microbiology</topic><topic>Polymerase Chain Reaction</topic><topic>Radiography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chiappini, Elena</creatorcontrib><creatorcontrib>Venturini, Elisabetta</creatorcontrib><creatorcontrib>Galli, Luisa</creatorcontrib><creatorcontrib>Novelli, Vas</creatorcontrib><creatorcontrib>de Martino, Maurizio</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chiappini, Elena</au><au>Venturini, Elisabetta</au><au>Galli, Luisa</au><au>Novelli, Vas</au><au>de Martino, Maurizio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic features of community-acquired pneumonia in children: what's new?</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2013-12</date><risdate>2013</risdate><volume>102</volume><issue>s465</issue><spage>17</spage><epage>24</epage><pages>17-24</pages><issn>0803-5253</issn><eissn>1651-2227</eissn><abstract>Aim
To critically summarise the available data on diagnosis of CAP in children, focusing on the newest findings and on the need for new studies.
Methods
Eighty studies on the diagnosis of paediatric community‐acquired pneumonia were scrutinised.
Results
We found no significant associations between the signs or symptoms and aetiology of pneumonia and concluded that chest radiographs remain controversial and real‐time polymerase chain reaction appears more sensitive than blood cultures.
Conclusion
Antibiotic overuse could make it difficult to differentiate viral and bacterial causes. Molecular methods provide promising tools for diagnosing infection by atypical bacteria, but are expensive and should be used selectively.</abstract><cop>Norway</cop><pub>Blackwell Publishing Ltd</pub><pmid>24330269</pmid><doi>10.1111/apa.12502</doi><tpages>8</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; Access via Wiley Online Library; Alma/SFX Local Collection |
| subjects | Adolescent CAP Child Child, Preschool Children Community-Acquired Infections - diagnosis Community-Acquired Infections - microbiology Community-acquired pneumonia Diagnosis Humans Infant Lung - diagnostic imaging Pneumonia Pneumonia - diagnosis Pneumonia - microbiology Polymerase Chain Reaction Radiography |
| title | Diagnostic features of community-acquired pneumonia in children: what's new? |
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