Community Acquired Pneumonia Guidelines - Microbiology Testing Child

Are you evaluating an infant or child with community-acquired pneumoniia?

Yes

Has the patient been hospitalized for the pneumonia?

Yes

Is the patient able to produce a good, deep sputum specimen?

Yes

Have lower respiratory tract samples been collected at bronchoscopy?

Yes

Has a tracheal aspirate been collected at the time of endotracheal intubation?

Yes

Has the patient undergone a percutaneous lung aspirate?

Yes

Has the patient undergone an open lung biopsy?

Yes

Do you suspect influenza or RSV?

Yes

Is Mycoplasma or Chlamdydia pneumoniae suspected?

Yes

Is a viral pathogen suspected or the cause of the pneumonia uncertain?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate ?

Should a respiratory tract specimen be collected for microbiology testing if possible?

Number of specimens that can be submitted for Gram stain, culture and other testing

Should you consider a rapid test for influenza or RSV?

Should you consider a molecular panel for respiratory pathogens if available?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Risk Factors of Seppa et al for Identifying a Severe Community Acquired Lower Respiratory Tract Infection in an Elderly Patient
Imaging Studies
- Community-Acquired Pneumonia (CAP) - Indications for Initial Chest X-Ray in Infant or Child
- Community-Acquired Pneumonia (CAP) - Indications for Follow-up Chest X-Rays in Infant
Laboratory Tests
- Community-Acquired Pneumonia (CAP): Blood Culture - Laboratory Testing in Infant or Child
- Community-Acquired Pneumonia (CAP): Ancillary Tests in Infant or Child
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications

Therapy

Options
Selection
Surgery
- Indications for VATS or Open Decortication in Pediatric Patient with CAP and Chest Tube
- Community-Acquired Pneumonia (CAP) - Drainage Options for Parapneumonic Effusion in Pediatric Patient
Referral And Transfer

Monitoring

Response To Therapy
Disease Progression
- Community Acquired Pneumonia (SMART-COP) Decision Tool
- Pediatric Criteria for Nonresponse to Therapy for Community Acquired Pneumonia (CAP)

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Community Acquired Pneumonia (CAP): Microbiology Testing in Infant or Child

Purpose: To determine if an infant or child with community-acquired pneumonia (CAP) needs additional microbiology testing performed.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10