UMEM Educational Pearls

Category: Pediatrics

Title: Pediatric Pneumonia

Posted: 10/10/2014 by Rose Chasm, MD (Updated: 2/27/2020)
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  • For uncomplicted community acquired pneumonia which is treated as an outpatient, high dose amoxicillin (80-90mg/kg/day) is the first-line antibiotic of choice.
  • Macrolides and third-generation cephalosporins are acceptable alternatives, but are not as effective due to pneumococcal resistance and lower systemic absorption, respectivley.
  • Hospitalization should be strongly considered for children younger than 2 months or premature due to an increased risk for apnea.
  • Patients hospitalized only for pneumonia, should be treated with ampicillin while those who are septic should be treated with a combination of vancomycin along with a second- or third- generation cephalosporin.

References

Bennett NJ, et al. Pediatric Pneumonia Treatment and Management. Medscape. April 2014.

AAP. Management of Communty-Acquired Pneumonia in Infants and Children Older than 3 Months of Age. Pediatrics. Vol 128 No 6 December 1, 2011.