Abstract
58 paediatric patients with pneumonia, in whom an etiological agent had been isolated, were reviewed. The patients were designated to have either viral or bacterial pneumonia on the basis of proposed clinical and radiological criteria. These presumed diagnoses were then compared to the microbiologically proven diagnosis. When clinical features suggested a bacterial infection the chance of isolating a bacteria as opposed to a virus was 18%. When radiological features suggested a bacterial infection the chance of isolating a bacteria as opposed to a virus was 30%. Thus the commonest cause of “bacterial” clinical and radiological features is a viral infection and the proposed criteria do not allow differentiation of bacterial from viral pneumonia.
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Murphy TF, Henderson FW, Clyde WA, Collier AM, Denny F (1981) Pneumonia: an eleven year study in a pediatric practice. Am J Epidemiol 113: 12
Swischuk LE, Hayden CK (1986) Viral Vs bacterial pulmonary infections in children (Is roentgenographic differentiation possible?). Pediatr Radiol 16: 278
Shuttleworth DB, Charney E (1971) Leucocyte count in childhood pneumonias. Am J Dis Child 122: 393
Patton DD (1978) Introduction to clinical decision making. Semin Nucl Med 8: 273
Osborne D (1978) Radiologic appearance of viral disease of the lower respiratory tract in infants and children. AJR 130: 29
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Bettenay, F.A.L., de Campo, J.F. & McCrossin, D.B. Differentiating bacterial from viral pneumonias in children. Pediatr Radiol 18, 453–454 (1988). https://doi.org/10.1007/BF00974077
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DOI: https://doi.org/10.1007/BF00974077