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Free Content Management of pneumonia in the child 2 to 59 months of age [Child Lung Health. Serialised Guide. Management of the child with cough or difficult breathing. Number 3 in the series]

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The mortality from pneumonia is reduced when children with pneumonia requiring antibiotics are identified and the severity of the pneumonia assessed. Children presenting with a cough or difficult breathing have pneumonia if fast breathing is present. The severity of pneumonia is classified by the presence of chest wall indrawing, inability to drink or feed well, decreased level of consciousness or convulsions, amongst others. Using these easily observed signs, pneumonia can be classified into four grades of severity: no pneumonia (cough or cold), pneumonia, severe pneumonia and very severe pneumonia. The classification into one of these four grades of severity is extremely useful as it identifies which children require antibiotics, which antibiotics and who requires hospitalisation and supplementary oxygen. This simple case management of pneumonia can be successfully taught to any cadre of health care worker, and where implemented has been shown to reduce childhood mortality from pneumonia.
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Keywords: classification of severity; in-patient treatment; pneumonia

Document Type: Miscellaneous

Affiliations: 1: Child Lung Health Division, International Union Against Tuberculosis and Lung Disease, Paris, France 2: Scientific Activities Unit, International Union Against Tuberculosis and Lung Disease, Paris, France 3: Department of Paediatrics and Child Health, Faculty of Medicine, University of Stellenbosch, Tygerberg, South Africa

Publication date: 2005-09-01

More about this publication?
  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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