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Pneumonia In Kids: A Parent's Guide Pneumonia In Kids: A Parent's Guide

Pneumonia In Kids: A Parent's Guide


Surya Hospital

March 27, 2024 |
9 Min Read | 89

Pneumonia is an acute respiratory infection that mostly affects the lungs. The lungs are made up of microscopic sacs called alveoli that fill with air as a person breathes. The alveoli get packed with fluid and pus when a person has pneumonia, which makes breathing difficult and reduces oxygen intake. The leading infectious cause of mortality for children globally is pneumonia. 740180 children under the age of five died from pneumonia in 2019, making up 14% of all pediatric deaths but 22% of all pediatric deaths between the ages of one and five. While pneumonia affects families and children worldwide, southern Asia and sub-Saharan Africa account for the majority of pneumonia mortality. Pneumonia can affect children, but it can also be prevented with cheap measures and treated with inexpensive, affordable medication and care.

Signs And Symptoms

Both bacterial and viral pneumonia can appear with similar symptoms. On the other hand, compared to the symptoms of bacterial pneumonia, viral pneumonia may have greater symptoms. Pneumonia in children under five years old is identified by the presence of either rapid breathing or lower chest wall indrawing, in which the child's chest moves inward or outward during inhalation (in a healthy person, the chest expands during inhalation). These symptoms can occur with or without a fever. Viral infections are more likely to cause wheezing.

Infants who are severely ill may be unable to eat or drink, and they may also be comatose, hypothermic, or have convulsions.

Signs and symptoms of pneumonia include:

  • Breathing difficulties 
  • Fast breathing 
  • Cough 
  • Fever 
  • Severe, shaking chills 
  • Chest pain
  • Fatigue 
  • Muscle ache
  • Appetite loss
  • Nausea and vomiting

Viral pneumonia frequently manifests as a milder illness than bacterial pneumonia. Usually, the symptoms begin much like the flu. Throughout a few days, they gradually worsen.
Bacterial pneumonia may present abruptly as a high temperature, rapid breathing, and coughing. After the fever is gone, the child's cough may persist for several weeks due to either type of pneumonia.

Causes

Viruses, bacteria, and fungi are among the infectious agents that can cause pneumonia. The following are the most prevalent:

  • The most common cause of bacterial pneumonia in children is Streptococcus pneumoniae.
  • Bacterial pneumonia is primarily caused by Haemophilus influenzae type B (Hib).
  • The most common viral cause of pneumonia is the respiratory syncytial virus.
  • Pneumocystis jiroveci is one of the leading causes of pneumonia in HIV-infected newborns, accounting for at least 25% of all pneumonia deaths.

Diagnosis And Treatment

Doctors will conduct an examination to look for pneumonia. They will examine the patient's vital signs, breathing pattern, and look. After listening to the lungs, they may decide to order an X-ray of the chest.Antibiotics are not necessary for patients with viral pneumonia. Antibiotics do not fight viruses; they only combat bacteria. If viral pneumonia is contracted early in the disease, a patient with COVID-19 or the flu virus may be prescribed an antiviral medication.

Physicians use an oral antibiotic to treat bacterial pneumonia. This may usually be completed at home. Depending on what kind of bacteria is believed to have caused the pneumonia, they will employ a different antibiotic.

Some children may require hospitalization for treatment if their pneumonia results in a persistently high temperature or breathing difficulties, if they require oxygen, are unable to take medication due to vomiting, or if they have a lung infection that may have moved to the bloodstream. Breathing treatments, antibiotics, and IV (intravenous) fluids are all possible hospital treatments. Severe cases could be transferred to the intensive care unit (ICU).

Transmission

There are many ways that pneumonia can spread. Inhaled viruses and bacteria can cause lung infections in children, as they are frequently detected in their nose, throat, and lungs. Additionally, airborne droplets from a cough or sneeze can spread. Furthermore, particularly during and soon after delivery, pneumonia can also spread by blood. More research must be done on the various microorganisms that cause pneumonia and how they spread, as this information is crucial for both treatment and prevention.

Risk Factors

While most healthy children can fight off the illness with their natural defenses, children with weakened immune systems are more likely to get pneumonia. Malnutrition or undernourishment can damage a child's immune system, particularly in newborns who do not breastfeed exclusively.

Pre-existing conditions also raise a child's risk of pneumonia, such as measles and HIV infections with symptoms.

A child's risk of getting pneumonia is further increased by the following environmental factors:

  • Indoor air pollution brought on by cooking and heating with biomass fuels (like wood or dung)
  • Living in crowded housing
  • Smoking by parents

Treatment

Antibiotics are recommended for the treatment of pneumonia. Amoxicillin dispersible pills are the recommended antibiotic for first-line therapy. Oral antibiotics are usually provided at a health center and are necessary in the majority of instances of pneumonia. Trained community health workers can also diagnose and treat these diseases at the community level with low-cost oral antibiotics. Only the most severe instances of pneumonia should be admitted to the hospital.

Prevention

An effective way to lower child death rates includes preventing pneumonia in youngsters. The best defense against pneumonia is immunization against Hib, pneumococcus, measles, and whooping cough (pertussis).

A child's natural defenses can be strengthened with proper nutrition, which begins with exclusive nursing during the first six months of life. Not only does it effectively prevent pneumonia, but if a child does get sick, it also helps shorten the duration of the sickness.

Reducing the proportion of children who contract pneumonia also involves addressing environmental issues, including indoor air pollution (by offering reasonably priced, clean indoor stoves, for example) and promoting good hygiene in crowded homes.

How Can Parents Offer Assistance?

Children with pneumonia should relax and drink plenty of fluids while the body fights the infection. If your child's fever bothers them, acetaminophen (like Tylenol) or ibuprofen (like Advil or Motrin) can help treat it. Giving aspirin to your child or adolescent is not advised since it has been connected to Reye syndrome, a rare but dangerous condition that can cause liver failure and even death.

The doctor will recommend antibiotics if they believe your child may have bacterial pneumonia. Take the medication as prescribed for the full prescribed duration. By doing this, you may speed up your child's recovery and stop the virus from spreading to other people. 

The best pediatric doctor may advise using breathing treatments if your child is wheezing.

Before administering medication for your child's cough, consult your physician. It is not advised for any child under the age of six to take over-the-counter cough and cold remedies. Ask your doctor for help if your child doesn't seem to be getting better after a few days.

Conclusion

To prevent pneumonia and other preventable diseases, swift action is needed. This includes reducing risk factors, protecting children's immune systems, and ensuring access to quality healthcare. Preventing pneumonia requires early breastfeeding, vaccination, clean water, good nutrition, and limited air pollution exposure. Prioritizing routine immunization, improving basic oxygen access, and addressing severe acute malnutrition are also crucial. Treatment requires health workers with the right training, medicines, and diagnostic methods.

Frequently Asked Questions

How long does pneumonia last?

Most cases of bacterial pneumonia can be resolved in 1-2 weeks with therapy. Viral and walking pneumonia can take four to six weeks to fully recover.
 
What are the four different stages of pneumonia in children?

There are four stages of pneumonia, which can have bacterial or viral causes: congestion, red hepatization, gray hepatization., and resolution.
 
How can I determine whether my child has pneumonia?

Typically, the symptoms begin as flu-like. They gradually worsened over several days. Bacterial pneumonia can appear abruptly as a high temperature, rapid breathing, and coughing. After the fever has subsided, the child's cough may persist for several weeks due to either type of pneumonia.

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