肺炎(年制）.pdfVIP

Pediatrics Childhood pneumonia Zhi-min Chen 陈志敏 Dept. Pediatric Pulmonology Email: zmchen@zju.edu.cn Pediatrics Childhood Pneumonia Importance of childhood pneumonia Four to five million annual deaths being reported in children younger than 5 yrs, Ranking among the most frequent causes of both mortality and morbidity, especially in developing countries. China had the highest number Bull WHO,2008;86(5):408 Definition Pneumonia ¤ inflammation of the lung tissue ¤ with the common features of fever, cough, dyspnea, tachypnea and fine moist rales on auscultation. 　 Classification Pneumonia can be classified by presumed or proven etiology Bacterial, Viral…or noninfectious by source Community-acquired pneumonia(CAP) Hospital-acquired pneumonia(HAP) or Nasocomial pneumopnia(NP) Classification Definition: CAP pneumonia occurring ≤48 hr of hospital admission ( untreated and immunocompetent) HAP pneumonia occurring 48 hr after hospital admission (with risk factors for MDR bacteria) Classification Pneumonia can also be classified by Duration as acute(1m), prolonged(1~3m) or chronic(3m) Severity as mild or severe Pathology as lobar, bronchopneumonia or interstitial pneumonia Childhood Pneumonia Etiology Common pathogens of pneumonia Bacterium Pneumoniae streptococcus E. coli, streptococcus Haemophilus influenza Mora