Pneumonia in Kids
                             =================
þ Drugs
  0 - 3 weeks:
   Admit, Amp/Gent +/- cefotaxime
  3 weeks - 3 months:
   Macrolide +/- cefotaxime
  4 months - 4 years:
   Outpatient: hi dose Amox
   Inpatient: Viral - no Abx, Amp.
  5 - 15 years:
   Macrolide
  For above: if lobar, sepsis, effusion
   3rd or 2nd generation ceph

þ Pneumonia in Adults
  <ID-Pneum.TXT>

þ Blood cultures aren't needed in kids with pneumonia.
  [Baraff LJ. Blood culture in children with pneumonia. Ann Emerg Med
  June 1996;27:774-6.]
  [Hickey RW, Bowman MJ, Smith GA. Utility of blood cultures in
  pediatric patient found to have pneumonia in the ED. Ann Emerg Med June
  1996;27:721-5.]

þ Kids who look well and have a pulse ox that are OK don't need a CXR.
  [Baraff LJ. Blood culture in children with pneumonia. Ann Emerg Med
  June 1996;27:774-6.]

þ Etiology of Pediatric Pneumonia
 - only 10-20% chance pneumonia is bacterial in children.
   [Baraff LJ. Blood culture in children with pneumonia. Ann Emerg Med
   June 1996;27:774-6.]
 - Young Children: RSV most common (Respiratory Syncytial Virus).
 - Adolescents: Mycoplasma pneumoniae most common.
   [Claesson BA, Trollfors B, Brolin I, et al. Etiology of community
   acquired pneumonia in children based on antibody responses to bacterial
   and viral antigens. Pediatr Infect Dis J 1989;8:856-862.]

þ Hilar Adenopathy
 - infants and kids may get hilar adenopathy of significant amount even from a
   relatively mild viral pneumonia (i.e., with just peribronchial cuffing but
   no actual infiltrate).