ArticleArchives of disease in childhood2007
Children with pneumonia: how do they present and how are they managed?
Article in Archives of disease in childhood, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.
- The management of community-acquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2011Guideline
- Lung ultrasound and procalcitonin, improving antibiotic management and avoiding radiation exposure in pediatric critical patients with bacterial pneumonia: a randomized clinical trial.European journal of medical research · 2024Trial
- Trial
- [Pneumonia in childhood and adolescence].Radiologie (Heidelberg, Germany) · 2025Review
- Association of Radiology Findings with Etiology of Community Acquired Pneumonia among Children.The Journal of pediatrics · 2023Article
- Validation of the British Thoracic Society Severity Criteria for Pediatric Community-acquired Pneumonia.The Pediatric infectious disease journal · 2019Article
- Community-Acquired Pneumonia in Children: the Challenges of Microbiological Diagnosis.Journal of clinical microbiology · 2018Review
- C-reactive protein and radiographic findings of lower respiratory tract infection in infants.World journal of radiology · 2017Article
- Article
- Procalcitonin for Diagnostics and Treatment Decisions in Pediatric Lower Respiratory Tract Infections.Frontiers in pediatrics · 2017Article
- Are parents of children hospitalized with severe community-acquired pneumonia more satisfied with care when physicians allow them to share decisions on the antibiotic route?Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Admission chest radiographs predict illness severity for children hospitalized with pneumonia.Journal of hospital medicine · 2014Article
- Changing clinical practice: management of paediatric community-acquired pneumonia.Journal of evaluation in clinical practice · 2014Article
- Article
- Approach to common bacterial infections: community-acquired pneumonia.Pediatric clinics of North America · 2013Review
- When and how do GPs record vital signs in children with acute infections? A cross-sectional study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe the spectrum of clinical features and management of community acquired pneumonia in the UK.
designProspectively recorded clinical details for all children with possible pneumonia and chest x ray (CXR) changes in 13 hospitals in the North of England between 2001 and 2002.
results89% of 711 children presenting to hospital with pneumonia were admitted; 96% received antibiotics, 70% intravenously. 20% had lobar CXR changes, 3% empyema and 4% required intensive care. Respiratory rate (RR), hypoxia and dyspnoea all correlated with each other and prompted appropriate interventions. Admission in children, not infants, was independently associated with RR, oxygen saturation, lobar CXR changes and pyrexia. Neither C-reactive protein, lobar CXR changes or pyrexia were associated with severity. Children over 1 year old with perihilar CXR changes more often had severe disease (p = 0.001). Initial intravenous antibiotics were associated with lobar CXR changes in infants and children and with dyspnoea, pyrexia and pleural effusion in children. The presence of pleural effusion increased duration of antibiotic treatment (p<0.001). Cefuroxime was the most often used intravenous antibiotic in 61%. Oral antibiotics included a penicillin in 258 (46%), a macrolide in 192 (34%) and a cephalosporin in 117 (21%). Infants stayed significantly longer (p<0.001) as did children with severe disease (p<0.01), effusions (p = 0.005) or lobar CXR changes (p< or =0.001).
conclusionsThere is a high rate of intravenous antibiotic administration in hospital admissions for pneumonia. Despite lobar CXR changes not being independently associated with severe disease, initial lobar CXR changes and clinical assessment in children independently influenced management decisions, including admission and route of antibiotics.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.