Recurrent or Persistent Pneumonia
Recurrent or Persistent Pneumonia
Recurrent or Persistent Pneumonia
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Approach to the child with<br />
recurrent pneumonia<br />
• Step one<br />
– careful hist<strong>or</strong>y<br />
– clinical evaluation<br />
• Step two<br />
– localize disease<br />
• clinical examination<br />
• CXR<br />
– exclude common causes<br />
• TB w<strong>or</strong>k-up<br />
• f<strong>or</strong>eign body aspiration<br />
• asthma<br />
• HIV<br />
• Step three<br />
– diagnose & treat if possible -<br />
if not<br />
– refer f<strong>or</strong> specialist w<strong>or</strong>k-up&<br />
treatment<br />
• f<strong>or</strong> localized disease<br />
– RT<br />
– bronchoscopy most likely<br />
to be done<br />
• f<strong>or</strong> widespread illness<br />
– further specialist w<strong>or</strong>k-up<br />
depending on situation
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