Treatment of complicated bacterial pneumonia in children
DOI:
https://doi.org/10.33448/rsd-v13i2.45091Keywords:
Therapeutics; Pediatrics; Bacterial pneumonia; Necrotizing pneumonia.Abstract
Introduction: Community-acquired pneumonia (CAP) is one of the most common infectious diseases in pediatrics, and may be related to the direct occurrence of local complications such as empyema, necrotizing pneumonia, lung abscess or pleural effusion, which are directly related to worsening of the clinical aspect and prolongation of the hospitalization period. Methodology: A narrative review of the literature was carried out in the PUBMED database, using the following keywords: “Bacterial pneumonia in children”, “Complicated Pneumonia” and “Treatment”, with the time filter for the last 5 years (2019-2023). Results: From the research carried out, 408 articles were identified, of which, after applying inclusion and exclusion criteria, 12 were selected for analysis. Discussion: The main complications are related to specific complementary exams and assertive surgical or antimicrobial therapies that seek to avoid mortality, exacerbation of other complications and reduce hospitalization time and associated morbidities. Conclusion: Knowledge about the complications of community-acquired pneumonia, particularly its course of development and its propaedeutic approach, helps to alleviate the difficulties of the clinical context and provide more security to the doctor in his/her healthcare assistance to the patient.
References
Blanco-Iglesias, E., Oñoro, G., Almodovar-Martín, J. L., García-Salido, A., De Lama Caro-Patón, G., Martínez de Azagra-Garde, A., Serrano-González, A., & Casado-Flores, J. (2020). Retrospective Study in Children With Necrotizing Pneumonia: Nine Years of Intensive Care Experience. The Pediatric Infectious Disease Journal, 39(7), 571–575. https://doi.org/10.1097/INF.0000000000002633
Carloni, I., Ricci, S., Rubino, C., Cobellis, G., Rinaldelli, G., Azzari, C., & Benedictis, F. M. (2021). Necrotizing pneumonia among Italian children in the pneumococcal conjugate vaccine era. Pediatric Pulmonology, 56(5), 1127–1135. https://doi.org/10.1002/ppul.25270
Dalponte, R. de S., Heluany, G. C. V., Michels, M., Madeira, K., & Prado, C. de E. (2020). Tratamento cirúrgico de pneumonia necrosante em crianças em um período de 10 anos. Revista Do Colégio Brasileiro de Cirurgiões, 47. https://doi.org/10.1590/0100-6991e-20202374
De Benedictis, F. M., Kerem, E., Chang, A. B., Colin, A. A., Zar, H. J., & Bush, A. (2020). Complicated pneumonia in children. The Lancet, 396(10253), 786–798. https://doi.org/10.1016/s0140-6736(20)31550-6
Díaz‐Conradi, A., Hernández, S., García‐García, J. J., Muñoz‐Almagro, C., Moraga‐Llop, F., Ciruela, P., Izquierdo, C., Campins, M., de Sevilla, M. F., González‐Peris, S., Uriona, S., Martínez‐Osorio, J., Solé‐Ribalta, A., Codina, G., Esteva, C., Planes, A. M., Soldevila, N., Salleras, L., & Domínguez, A. (2019). Complicated pneumococcal pneumonia with pleural effusion or empyema in the 13‐valent pneumococcal conjugate vaccine era. Pediatric Pulmonology, 54(5), 517–524. https://doi.org/10.1002/ppul.24279
Dorman, R. M., Vali, K., & Rothstein, D. H. (2016). Trends in treatment of infectious parapneumonic effusions in U.S. children’s hospitals, 2004–2014. Journal of Pediatric Surgery, 51(6), 885–890. https://doi.org/10.1016/j.jpedsurg.2016.02.047
Erlichman, I., Breuer, O., Shoseyov, D., Cohen-Cymberknoh, M., Koplewitz, B., Averbuch, D., Erlichman, M., Picard, E., & Kerem, E. (2016). Complicated community acquired pneumonia in childhood: Different types, clinical course, and outcome. Pediatric Pulmonology, 52(2), 247–254. https://doi.org/10.1002/ppul.23523
Esposito, S., Giulia Dal Canto, Caramia, M. D., Fainardi, V., Pisi, G., & Principi, N. (2021). Complications in community acquired pneumonia: magnitude of problem, risk factors, and management in pediatric age. Expert Review of Anti-Infective Therapy, 20(1), 45–51. https://doi.org/10.1080/14787210.2021.1927710
Gelila Alemayheu, Lee, C. S. J., Erdman, L. K., Wong, J., Rutherford, C., Smieja, M., Khan, S., & Pernica, J. M. (2023). Children hospitalized with community-acquired pneumonia complicated by effusion: a single-centre retrospective cohort study. BMC Pediatrics, 23(1). https://doi.org/10.1186/s12887-023-04004-2
Kaminsky, L. W., Al-Obaydi, S., Hussein, R. H., Horwitz, A. A., & Taha Al-Shaikhly. (2023). Impact of Penicillin Allergy Label on Clinical Outcomes of Pneumonia in Children. The Journal of Allergy and Clinical Immunology: In Practice, 11(6), 1899-1906.e2. https://doi.org/10.1016/j.jaip.2023.03.018
Krenke, K., Sanocki, M., Urbankowska, E., Kraj, G., Krawiec, M., Urbankowski, T., Peradzyńska, J., & Kulus, M. (2014). Necrotizing Pneumonia and Its Complications in Children. Advances in Experimental Medicine and Biology, 9–17. https://doi.org/10.1007/5584_2014_99
Kushner, L. E., Nieves, D. J., Osborne, S., Vora, H., Arrieta, A., & Singh, J. (2019). Oral Antibiotics for Treating Children With Community-Acquired Pneumonia Complicated by Empyema. Clinical Pediatrics, 000992281985049. https://doi.org/10.1177/0009922819850494
Maffey, A., Colom, A., Venialgo, C., Acastello, E., Garrido, P., Cozzani, H., Eguiguren, C., & Teper, A. (2019). Clinical, functional, and radiological outcome in children with pleural empyema. Pediatric Pulmonology, 54(5), 525–530. https://doi.org/10.1002/ppul.24255
Maria Chiara Leoni, Hau, I., Biscardi, S., Jung, C., Céline Delestrain, G. Mangiapan, Elodie Nattes, Fouad Madhi, & Epaud, R. (2020). Stratégie antibiotique dans les pleurésies en pédiatrie: consensus par méthode DELPHI. Revue Des Maladies Respiratoires, 37(6), 443–450. https://doi.org/10.1016/j.rmr.2020.04.010
Moreno-Pérez, D., Andrés Martín, A., Tagarro García, A., Escribano Montaner, A., Figuerola Mulet, J., García García, J. J., Moreno-Galdó, A., Rodrigo Gonzalo de Lliria, C., & Saavedra Lozano, J. (2015). Neumonía adquirida en la comunidad: tratamiento de los casos complicados y en situaciones especiales. Documento de consenso de la Sociedad Española de Infectología Pediátrica (SEIP) y Sociedad Española de Neumología Pediátrica (SENP). Anales de Pediatría, 83(3), 217.e1–217.e11. https://doi.org/10.1016/j.anpedi.2014.12.002
Muro, R. P., Masoza, T. S., Kasanga, G., Kayange, N., & Kidenya, B. R. (2020). Predictors and outcome of first line treatment failure among under-five children with community acquired severe pneumonia at Bugando Medical Centre, Mwanza, Tanzania: A prospective cohort study. PLOS ONE, 15(12), e0243636. https://doi.org/10.1371/journal.pone.0243636
Oishi, T., Saito, A., Fukuda, Y., Kato, A., Kondo, E., Teranishi, H., Hiroto Akaike, Miyata, I., Ohno, N., & Ouchi, K. (2021). Analysis of risk factors for multidrug-resistant pathogens and appropriate treatment indications for pneumonia in children with neurologic impairment. Journal of Infection and Chemotherapy, 27(2), 342–347. https://doi.org/10.1016/j.jiac.2020.12.007
Ooi, J. M., Eg, K. P., Chinna, K., Nathan, A. M., de Bruyne, J. A., & Thavagnanam, S. (2018). Predictive risk factors for complicated pneumonia in Malaysian children. Journal of Paediatrics and Child Health, 55(4), 406–410. https://doi.org/10.1111/jpc.14213
Osowicki, J., & Steer, A. C. (2018). International survey of paediatric infectious diseases consultants on the management of community-acquired pneumonia complicated by pleural empyema. Journal of Paediatrics and Child Health, 55(1), 66–73. https://doi.org/10.1111/jpc.14128
Rossin, S., Barbieri, E., Cantarutti, A., Martinolli, F., Giaquinto, C., Da Dalt, L., & Doná, D. (2021). Multistep antimicrobial stewardship intervention on antibiotic prescriptions and treatment duration in children with pneumonia. PLOS ONE, 16(10), e0257993. https://doi.org/10.1371/journal.pone.0257993
Rother, E. T. (2007). Systematic literature review X narrative review. Acta Paulista de Enfermagem, 20(2), v–vi. https://doi.org/10.1590/s0103-21002007000200001
Sharma, P. K., Vinayak, N., Aggarwal, G. K., Srivastava, R. D., Aggarwal, P. K., & Kushwaha, A. S. (2020). Severe Necrotizing Pneumonia in Children: A Challenge to Intensive Care Specialist. Journal of Tropical Pediatrics. https://doi.org/10.1093/tropej/fmaa027
Snyder, H. (2019). Literature Review as a Research methodology: an Overview and Guidelines. Journal of Business Research, 104(1), 333–339. https://doi.org/10.1016/j.jbusres.2019.07.039
Spencer, D. A., & Thomas, M. F. (2014). Necrotising pneumonia in children. Paediatric Respiratory Reviews, 15(3), 240–245. https://doi.org/10.1016/j.prrv.2013.10.001
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Tayná de Freitas Freire; Emanuelle Cordova de Souza; José de Ribamar Barroso Jucá Neto; Manuella Mendonça da Silva; Pedro Iughetti Morais; Yasmim Cavalcante Sousa; Caio César Otôni Espíndola Rocha
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
