Community-Acquired Pneumonia

Community-Acquired Pneumonia

Droplet / Contact Precautions

  • Droplet/contact precautions until viral etiology can be ruled out.
  • Diagnosis consists of
    • Fever,
    • New onset of symptoms suggestive of LRTI,
    • Parenchymal opacity on chest xray,
    • OR, new or progressive radiographic opacity in a child that has pre-existing pulmonary disease
  • Chest xray confirmation recommended
  • Consider blood cultures in children requiring hospitalization, prior to starting antibiotics
  • Consider rapid influenza testing during influenza season
  • If chest tube inserted, send for Gram stain and culture (+/- PCR if on antibiotics)
  • Recommend ID consult if poor response to antibiotics, severe disease, unusual organism

Common Pathogens

Duration of Therapy

  • Step down to oral antibiotics when afebrile and clinically improved
  • Step down to oral antibiotics when off oxygen, clinically improved, chest tube no longer draining
  • Fever can persist and is not a reason to continue parenteral therapy

More Information

  • LeSaux Uncomplicated pneumonia in health Canadian children and youth. Ped Child Health 2015, 2018 Available Here

  • Chibuk Paediatric complicated pneumonia: Diagnosis and management of empyema. Ped Child Health 2011, 2018 Available Here

Antimicrobial Advisory Group (October 2016); Drugs and Therapeutics Committee (February 2017)