This document summarizes guidelines for the diagnosis and management of pediatric community-acquired pneumonia (PCAP). It outlines risk factors for PCAP and clinical signs associated with bacterial vs. viral etiologies. Guidelines are provided for classifying patients based on risk, determining need for admission, appropriate diagnostic tests and empiric antibiotic therapy. Considerations for treatment failure and switching or adding therapy are also discussed.

1. PEDIATRIC COMMUNITY ACQUIRED PNEUMONIA http://crisbertcualteros.page.tl

15. RISK CLASSIFICATION FOR PNEUMONIA-RELATED MORTALITY <11 mo. <11 mo. >11 mo. >11 mo. age unable unable able able Ability to feed severe moderate mild none Presence of dehydration Not possible Not possible possible possible Ability to ff-up no no yes Yes Compliant care giver Present present present none co-morbid illness PCAP D High risk PCAP C Moderate risk PCAP B Low risk PCAP A Minimal risk VARIABLES

16. Supraclavicular/intercostal/subcostal present Intercostal/subcostal Present present none none none Signs of resp failure a.Retraction b. Head bobbing c. Cyanosis d. Grunting >70/min >50/min >35/min >60/min >50/min >35/min >50/min >40/min >30/min >50/min >40/min >30/min resp rate 2-12mo. 1-5 yrs. >5 yrs. PCAP D High risk PCAP C Moderate risk PCAP B Low risk PCAP A Minimal risk VARIABLES

17. Admit to ICU Admit to regular ward OPD OPD Action plan present present none none Complications Present Lethargic,stuporous/comtose None irritable None awake None awake Signs of resp failure e. apnea f. sensorium PCAP D High risk PCAP C Moderate risk PCAP B Low risk PCAP A Minimal risk VARIABLES