Posted by blue from IP 188.8.131.52 on November 26, 2015 at 19:58:12:
Pediatric Pneumonia and URI in general
Though there are some clues to differentiate viral and bacterial (like conjunctivitis often points to Adenovirus, purulent sputum bacterial), I think the real clinical picture is usually not enough to determine the cause of pneumonia. It is necessary to check CXR and WBC to nail down the diagnosis. There is also a thing called secondary or superimposed bacterial
pneumonia in the cases of viral ones.
The current practice here in the the US, I mean if you go to a family practice setting, they donít perform CXR and WBC routinely, they just, according to epidemology, assume the viral and refuses give no antibiotics. I think that is not correct practice. Because many times the it delayed the treatment of real bactrial pneumonia until it is very late. Of course antibiotics
have their problems, but comparing the missing the opportunity of treating potential bacterail pneumonia early, which way we should go?
Any opinion input about this is welcome.
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