Pediatra

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BTS guidelines

British Thoracic Society guidelines for the management of community acquired pneumonia inchildren: update 2011
Michael Harris,1 Julia Clark,2 Nicky Coote,3 Penny Fletcher,4 Anthony Harnden,5 Michael McKean,6 Anne Thomson,1 On behalf of the British Thoracic Society Standards of Care Committee

published online only. To view these files please visit the journal online (http://thorax.bmj. com).
1

Oxford Children’s Hospital, The John Radcliffe, Headington,Oxford, UK 2 Department of Paediatric Immunology and Infectious Diseases, Old COPD, Great North Children’s Hospital, Royal Victoria Infirmary, Newcastle upon Tyne, UK 3 Children’s Ambulatory Unit,Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK 4 Pharmacy Department, Imperial College Healthcare NHS Trust, St Mary’s Hospital, London, UK 5 Department of Primary Health Care,University of Oxford, Headington, Oxford, UK 6 Department of Paediatric Respiratory Medicine, Royal Victoria Infirmary, Newcastle upon Tyne, UK Correspondence to Anne Thomson, Oxford Children’s Hospital, TheJohn Radcliffe, Headley Way, Headington, Oxford OX3 9DU, UK; anne.thomson@orh.nhs.uk Received 10 June 2011 Accepted 16 June 2011

ABSTRACT The British Thoracic Society first published managementguidelines for community acquired pneumonia in children in 2002 and covered available evidence to early 2000. These updated guidelines represent a review of new evidence since then and consensus clinicalopinion where evidence was not found. This document incorporates material from the 2002 guidelines and supersedes the previous guideline document.

– Urinary pneumococcal antigen detection shouldnot be done in young children. [C]

Severity assessment
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SYNOPSIS OF RECOMMENDATIONS Clinical features
< Bacterial pneumonia should be...
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