Pneumonia symptoms in children

Written by Li Jian Wu
Pulmonology
Updated on November 18, 2024
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Children presenting with pneumonia primarily exhibit symptoms related to respiratory infections, with fever often as a typical manifestation. Common symptoms include sudden chills, high fever, fatigue, headache, nausea, and vomiting, followed by an irritative dry cough. As the condition progresses, the dry cough turns into a productive cough with phlegm, accompanied by difficulty breathing, chest pain, and expectoration. Some may also show signs of oxygen deprivation such as cyanosis of the lips and changes in nail color. Active chest X-ray and routine blood tests are necessary for diagnosis.

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Written by Hu Qi Feng
Pediatrics
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How to take care of children with pneumonia

Children with pneumonia need comprehensive and general treatment, and care should be mindful of the following: First, indoor air should be circulated, with a temperature of 18~20°C and humidity at about 60%. Second, provide a nutrition-rich diet. For severe cases where the child has difficulty eating, parenteral nutrition can be given. Third, frequently change the child's position to reduce pulmonary congestion and facilitate the absorption of inflammation. Fourth, pay attention to isolation to prevent cross-infection. Additionally, it is important to monitor and supplement electrolytes and fluids, correct acidosis and electrolyte imbalances. Appropriately supplementing fluids helps moisten the airways, but care should be taken with the speed of fluid administration, as too fast a rate can increase the burden on the heart.

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Written by Li Jiao Yan
Neonatology
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How many doses are there for the pneumonia vaccine?

Currently, there are two types of vaccines commonly used to prevent pneumococcal diseases. One type is the 23-valent polysaccharide vaccine, suitable for high-risk populations over two years old. The other type includes the 7-valent or 13-valent conjugate vaccines, used for vaccinating infants under two years old. The vaccination schedule for the 7-valent or 13-valent vaccines follows a "three plus one" program, which means three primary immunization doses with at least one month between each dose, followed by a booster dose. For the 23-valent vaccine, high-risk individuals over two years old generally require only a single dose; however, immunocompromised patients may need a booster shot, typically recommended five years after the initial vaccination.

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Written by Han Shun Li
Pulmonology
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The difference between Mycoplasma pneumonia and Chlamydia pneumonia

Mycoplasma pneumonia and Chlamydia pneumonia are clinically similar, making them difficult to distinguish from each other as both have similar symptoms and treatment options. Treatments such as erythromycin and quinolones can be used for both. The main difference between them lies in the laboratory tests. If tests for pneumonia, Mycoplasma antibodies or antigens are positive, then it is diagnosed as Mycoplasma pneumonia. If tests for Chlamydia pneumonia antibodies are positive, or if a throat swab test detects Chlamydia, then it is diagnosed as Chlamydia pneumonia.

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Written by Wang Xiang Yu
Pulmonology
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Can pneumonia vaccines prevent mycoplasma pneumonia?

Can pneumonia vaccines prevent Mycoplasma infections? First, we need to understand what pneumonia vaccines are. In our country, the most commonly used pneumonia vaccines are aimed at Streptococcus pneumoniae, which are divided into polysaccharide vaccines and conjugate vaccines. Polysaccharide vaccines are mainly suitable for individuals over two years old and include the 23-valent polysaccharide vaccine. This vaccine can prevent infections caused by twenty-three serotypes that often lead to S. pneumoniae infections, with over 90% of pneumonia caused by these twenty-three serotypes. However, the 23-valent polysaccharide vaccine does not prevent infections caused by other serotypes of S. pneumoniae. Additionally, the conjugate vaccine only prevents infections caused by either seven or thirteen serotypes. Since Mycoplasma is neither a bacterium nor a virus, it cannot be prevented by pneumonia vaccines, and currently, there is no vaccine available specifically for Mycoplasma infections.

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Written by Li Jiao Yan
Neonatology
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Is the pneumonia vaccine self-funded?

The pneumonia vaccine is primarily aimed at preventing pneumonia caused by Streptococcus pneumoniae infection. Streptococcus pneumoniae is the most significant and common bacterium causing pneumonia worldwide. This bacterium is also the most common cause of community-acquired pneumonia in children and is the main pathogen causing otitis media, meningitis, and bacteremia in children. Currently, there are two types of pneumonia vaccines available in China: the 23-valent polysaccharide vaccine, which is suitable for people over two years old, and the 7-valent vaccine, which is suitable for infants under two years old. According to the regulations on vaccine distribution and vaccination management implemented in our country, vaccines are clearly divided into two categories: the first category includes vaccines provided free by the government to citizens, who are required to be vaccinated according to government regulations; the second category includes other vaccines that are paid for and voluntarily received by citizens. The pneumonia vaccine belongs to the second category, which is a self-funded vaccine.