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Improving the diagnosis, management, and outcomes of children with pneumonia: Where are the gaps?

Chang, Anne B., Ooi, Mong H., Perera, David and Grimwood, Keith (2013). Improving the diagnosis, management, and outcomes of children with pneumonia: Where are the gaps?. Frontiers in Pediatrics,1 (Article29):29-1-29-6.

Document type: Journal Article
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Title Improving the diagnosis, management, and outcomes of children with pneumonia: Where are the gaps?
Author Chang, Anne B.
Ooi, Mong H.
Perera, David
Grimwood, Keith
Journal Name Frontiers in Pediatrics
Publication Date 2013
Volume Number 1 (Article29)
ISSN 2296-2360   (check CDU catalogue open catalogue search in new window)
Start Page 29-1
End Page 29-6
Total Pages 6
Place of Publication Switzerland
Publisher Frontiers Research Foundation
HERDC Category C1 - Journal Article (DIISR)
Abstract Pneumonia is the greatest contributor to childhood mortality and morbidity in resource-poor regions, while in high-income countries it is one of the most common reasons for clinic attendance and hospitalization in this age group. Furthermore, pneumonia in children increases the risk of developing chronic pulmonary disorders in later adult life. While substantial advances in managing childhood pneumonia have been made, many issues remain, some of which are highlighted in this perspective. Multiple studies are required as many factors that influence outcomes, such as etiology, patient characteristics, and prevention strategies can vary between and within countries and regions. Also, outside of vaccine studies, most randomized controlled trials (RCTs) on pneumonia have been based in resource-poor countries where the primary aim is usually prevention of mortality. Few RCTs have focused on medium to long-term outcomes or prevention. We propose different tiers of primary outcomes, where in resource-rich countries medium to long-term sequelae should also be included and not just the length of hospitalization and readmission rates.
Keywords Pneumonia
Acute respiratory infections
DOI   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Open access True
Additional Notes This Document is Protected by copyright and was first published by Frontiers. All rights reserved. it is reproduced with permission. This is an Open Access article distributed under the terms of the Creative Commons Attribution License 3.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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