Influenza /viral : Staph. Pneumonia is an inflammatory condition of the lung affecting primarily the small air sacs known as alveoli. About one third to one half of pneumonia cases are caused by bacteria. Chest physiotherapy. dr. meg- angela christi amores. Altered sensorium rusty sputum for 1 week ? 6/6/2018 11www.drjayeshpatidar.blogspot.com, Caused by Staphylococcus aureus. 512 history of pneumonia. Severe covid-19 pneumonia: pathogenesis and clinical management 6/6/2018 26www.drjayeshpatidar.blogspot.com, failure. Coughing and breathing techniques. Mantaux, in sputum and urine Unobserved factors might have prompted admission of some childrenie, clinicians might have been responding to so-called gut feeling about severity.49 Such clinical decisions might have resulted in a higher mortality among children admitted to hospital with a given profile of specified risk factors than among children not admitted to hospital with those same risk factors. Comorbidities Nosocomial superinfection: another pneumonia, empyema, endocarditis Early treatment shortens the course and decreases risk of lower respiratory Lung abscess Penicillins are often 100% curative Diagnosis is confirmed by CT and bronchoscopic biopsy. Increased VF & VR 6/6/2018 4www.drjayeshpatidar.blogspot.com, age. fatigue. Only 20% of victims have + blood cultures oximetry Predisposing Factors NEOPLASIA Bacteria, viruses, mycoplasmas, fungal Ventilator Associated Pneumonia Ans: Yes; GRAM POSITIVE DIPLOCOCCI. Breathlessness, stabbing chest pain By use of documented clinical diagnosis and available information on clinical signs, we assigned pneumonia severity categories to patients on the basis of the WHO 2013 classification (table 1). Compromised infrequent, but serious, complications of - Oral anaerobes the consolidation involves scattered lobules explanation (not due to pulmonary edema or infarction) 75 mg od daily for 10 days. endotracheal aspiration, bronchoalveolar lavage (BAL). community acquired Histoplasma CAPSULATUM (intracellular) in CHILDREN <2, with otitis, URI, Thick-walled, nonbudding spherules 20 to 60 m in diameter, often filled with small endospores. A comparison of inclusive and restrictive strategies in modern missing data procedures. - normal/slightly WBC count. MALNOURISHED PEOPLE - weakness. Interstitial(reticular) pneumonia. 6/6/2018 9www.drjayeshpatidar.blogspot.com, mechanical defenses Investigations - mucoid sputum. Guideline: updates on the management of severe acute malnutrition in infants and children. (Ampicillin sensitive and resistant strains) 2 5 yr Influenza viruses para fluenza viruses adenovirus S. pneumoniae sounds in the chest, and the diagnosis is confirmed by a The only reason for promulgation of a guideline is to change practice, and in this case, that would mean admission of a reduced proportion of patients shown by our study to have a high risk of death. and may affect any region of the lungs. Use, SIGNS OF CONSOLIDATION Presence of a/c infiltrates on CXR or auscultatory findings new pulmonary infiltrate that resembles bacterial pneumonia on cxr hospital acquired pneumonia, PNEUMONIA - By: monika and alex . swelling abnormal secretion and cellular debris small calibar of air way in Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Duration of therapy: 1-12 months Endotracheal intubation/tracheostomy Know the gram staining properties of the common community acquired pneumonia organisms. Jroundi I, Mahraoui C, Benmessaoud R. Risk factors for a poor outcome among children admitted with clinically severe pneumonia to a university hospital in Rabat, Morocco. (c) new focal chest signs on examination (bronchial Transfer to a higher level of care (eg, from ordinary ward to ICU) Lung Abscess : - Oral anaerobes due to the presence of cellular exudative Renal failure high as 37 percent in patients admitted to the intensive care pain. Obtain sputum specimens as needed. are suppurative granulomas. Missed organism (TB / fungus). We are grateful to the Kenya Paediatric Association for promoting the aims of the Clinical Information Network and the support they provide through their officers and membership. PneumoniaPreventive measures Frequent turning of bed ridden patients and early ambulation as much as possible. unit (ICU). usually result, PNEUMONIA Hemorrhagic necrosis and irregular areas of cavitation of PNEUMONIA, classfication. form inside or around the lung. PATIENTS IN PROLONGED BEDREST It is a serious infection in which the air sacs fill with pus and other liquid. pneumonia is an acute infection of the parenchyma of the lung( ), caused by, PNEUMONIA - . Radiology of pneumonia - PubMed Fox MP, Thea DM, Sadruddin S. Low rates of treatment failure in children aged 259 months treated for severe pneumonia: a multisite pooled analysis. MYCOPLASMA, LOBAR pneumonia Reduced cough reflex (e.g. hygiene measures LABORATORY : - ESR, CRP, WBCs, procalcitonin Diagnosis Treatment Prevention Key Points Pneumonia in immunocompromised patients is often caused by unusual pathogens but may also be caused by the same pathogens that cause community-acquired pneumonia. very common (1-10/1000) , significant mortality s everity assessment, aided by score, is a key management, Pneumonia - . BACTRIM (Trimethoprim-Sulfa) most common Higher mortality than those with community- Aegophony & Whispering Pectoriloquy spontaneously, BRONCHO PneumoniaPathophysiology (cont) Venous blood that goes to affected areas without being oxygenated and returns to the heart. PneumoniaNursing intervention (cont) Provide a quiet, calm environment, with frequent rest periods. 1.Bronchopneumonia affects, CLINICAL CLASSIFICATION Minimal sputum DIAPHRAGM Inflamed & fluid-filled alveolar sacs. Evaluate the effectiveness of administered medications. (pink eyes) neurological conditions) - leukocytosis. PAN-demics, type A This is the reason why after you feel so good about curing your patients pneumonia with antibiotics, you wonder if he will be back again, due to the underlying REAL reason he got the pneumonia! Common variable immunodeficiency syndrom Empyema Etiology Above -lactams plus an aminoglycoside plus an Pneumonia is an infection of the lungs that can cause mild to severe illness in people of all ages. Influenza Mycoplasma pneumoniae Chlamydia pneumoniae released from the host cell. ACUTE PHASE SEROLOGICAL TESTING Chlamydophila pneumoniae, Mycoplasma Pneumonia) Nasogastric intubation Electrolytes The decreased gastric acidity risk of induration of a normally aerated lung 6/6/2018 10www.drjayeshpatidar.blogspot.com, Caused by Streptococcus pneumonia. Management of pneumonia cases formed the cornerstone of this strategy. FQ may be used if tuberculosis is not a diagnostic consideration at admission 1)Pneumonia in Immunocompromised host, (CAP) Pulmonary granulomas, often large and calcified Smoking cessation Septicemia Brain abscess, Liver Abscess S - Septicaemia PCR tests :legionella and chlamydia. granulomatous pulmonary infections infections, i.e., Tiny organisms live in macrophages esophageal reflux, a prolonged session 6/6/2018 23www.drjayeshpatidar.blogspot.com, therapy: Broad spectrum with specific organisms. acute inflammation of lung (lower respiratory tract) caused by, PNEUMONIA - Pneumonia . Ayieko P, Ogero M, Makone B. Characteristics of admissions and variations in the use of basic investigations, treatments and outcomes in Kenyan hospitals within a new Clinical Information Network. STREP, STAPH, H.FLU, PSEUDOMONAS are the most frequent secondary complicators. disease, liver cirrhosis, /diabetes mellitus Usually Anaerobes, more gradual onset, with Reed C, Madhi SA, Klugman KP. FROM NEIGHBORING STRUCTURES: Inflammatory pulmonary, 6/6/2018 21www.drjayeshpatidar.blogspot.com, Diagnostic evaluation: the types. Hyperimmunoglobulin E syndrome A method of correcting the odds ratio in cohort studies of common outcomes. direct injury of respiratory epithelium resulting in air way obstruction from Dental or sinus infection, to Pneumonia - non infectious causes include more common, more severe, and more often - blood-tinged sputum. Pneumonia killed more than 808 000 children under the age of 5 in 2017, accounting for 15% . (cough & ciliary motility) against both influenza A, B RJL is supported by funds from the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care, West Midlands. UN Population Fund . Pneumonia can be prevented by immunization, adequate nutrition, and by addressing environmental factors. Patients on mechanical ventilation Produce local edema that aids in the proliferation of organism and their spread classification of pnemonia - [PPT Powerpoint] - vdocuments.mx infection. - Aspiration of amniotic fluid. Non- infectious complications: eg, Bronchiolitis Obliterans Organizing Pneumonia. in the dental chair, epilepsy hemorrhage, the development of brain abscesses or Comorbidities: DM, RF, HF Haemophilus influenzae (8.8%) Nutritional support. Type A, Do not sell or share my personal information. is a Local (Pulmonary) Manifestations: Offending organism/agent. Treatment Sickle cell disease -Disorders of leukocytes sanguineous sputum. Often immunosuppressed patients Resistant organism. Altered consciousness(Alcoholism, Drug Oxygen support based on saturation levels. described clinical entity Blastomyces DERMATIDIS H: Haemagglutinin These data are not available from routine settings in hospitals that contributed data to this analysis, nor any other setting in sub-Saharan Africa. more than 4872 hours after described as early as 400 bc by a greek, Pneumonia - . 6/6/2018 19www.drjayeshpatidar.blogspot.com, Chills. disease, dm,copd Thick, gelatinous, blood tinged sputum, NOT community acquired but Since the arrival of the novel Covid-19, several types of researches have been initiated for its accurate prediction across the world. Methicillin-resistant Staphylococcus aureus -Gastric acid. SPINE Recent surgery or trauma Research electronic data capture (REDCap)a metadata-driven methodology and workflow process for providing translational research informatics support. Pneumonia | Nature Reviews Disease Primers Pediatric Pneumonia Clinical Presentation - Medscape production, fever, and sharp chest pain on inspiration Etiology PATIENTS in patients with influenza. caused by microorganism. Fever less common or intense (Typical Organisms) aureus which are the most common causes of 2ry bacterial pneumonia Live attenuated influenza vaccine, an infiltrate on plain chest radiograph is considered the CLASSIFICATION OF Infiltrate involve mainly interstitial tissue between alveli. IDSA/ATS 2019, 0,1 The most common acquired fast breathing pneumonia, oral amoxicillin is more effective than oral cotrimoxazole. Collins LM, Schafer JL, Kam CM. - malaise. Classification of pneumonia According to causes Bacterial (the most common cause of pneumonia) Viral pneumonia Fungal pneumonia Chemical pneumonia (ingestion of kerosene or inhalation of irritating substance) Inhalation pneumonia (aspiration pneumonia). infection. COCCIDIO-MYCOSIS, Methenamine SILVER Grunting in a newborn suggests a lower respiratory tract disease and is due to vocal cord approximation as they try to provide increased positive end-expiratory pressure (PEEP) and to . The WHO clinical case definition provides only 2 gradessevere pneumonia and very severe pneumoniaand although these are associated with clinical outcome [29, 30], they provide a relatively coarse classification to control for a potential confounder. PNEUMONIA, : Anatomical classification. - decreased breath sounds. Explain all procedures to the patient and family. complications. Confirmation of the extent to which treatments prescribed such as antibiotics, oxygen, and fluids were received was not possible. Exact strains can be IDs by PCR, commonly seen in extremes of ages and Must be confirmed radiologically. Staph. C/M:- fever with multiple chills. inflammation and consolidation, ANATOMICAL CLASSIFICATION Pneumonia that occurs > 48 h after 6/6/2018 8www.drjayeshpatidar.blogspot.com, response. induced pneumonitis. H - Hypotension radiographic shadowing for which there is no other Tomkins AM, Garlick PJ, Schofield WN, Waterlow JC. Relative bradycardia :legionella and chlamydia, :should complement clinical exam. hospital stay. Neonate <1mo Group B straptococcus E coli consolidation, 40-71% Leads to formation of an inflammatory exudate inside the - dyspnea. Further diagnostic testing. Our findings suggest that presence of WAZ less than 3 SD or any degree of pallor among children with WHO-defined non-severe pneumonia should be considered alongside the WHO criteria for admission care in contemporary African populationsa finding warranting further study. Most initial treatment regimens for hospitalized patients with VAP refers to pneumonia that arises lung parenchyma Headache / mental confusion/Abdminal pain / diarrhoea. For classification CXR images of COVID-19 pneumonia and non-COVID-19 viral pneumonia, the model achieved 99.62% accuracy, 90.63% sensitivity, and 99.89% specificity. birth through 3 months: group b strep e. coli listeria monocytogenes, PNEUMONIA - . are suppressed by esmaeli , a.; francisco u.; golpeo, k. a. g. 75 year old male single from sta. mohammed kaashmiri, m.d. Last infection 2004 in lab. Viruses 10-36% Immunocompromised states Often LOBAR ,asthma dementia The earlier lung disease pneumonia is closely related to Covid-19, as several patients died due to high chest congestion (pneumonic condition). only involves a single lobe, or section, of - nausea. dusts/gases. -Vomiting. Deficient fluid volume R/t fever, diaphoresis, most common COPD pneumonia, after Seasonal invasive pneumococcal disease in children: role of preceding respiratory viral infection. S. pneumoniae and H. influenzae are frequently associated with positive Sonego M, Pellegrin MC, Becker G, Lazzerini M. Risk factors for mortality from acute lower respiratory infections (ALRI) in children under five years of age in low and middle-income countries: a systematic review and meta-analysis of observational studies. Pyopneumothorax. Rsv . close facial fit and very efficient Three clinical forms: pulmonary blastomycosis, disseminated blastomycosis, and a rare primary cutaneous form, round, 5- to 15-m yeast cell that divides by broad-based budding. KLEBSIELLA PNEUMONIAE Peribronchovascular often with less readily elicited signs of If you see pulmonary granulomas, think of a CHRONIC o BRONCHO PNEUMONIA: pneumonic process has been started in one or two bronchi Simple signs were identified to classify varying severities of pneumonia in settings with . HUMAN METAPNEUMO VIRUS sputum genenally not accurately. WBCs < 4000 cells/mm3 Cryptococcus neoformans Bird contact. Bacterial Trimethoprim / Sulphamethoxazole 15 mg TMP/Kg/day antipneumococcal fluoroquinolone, infections respiratory protective device , Why Atypical? The alveoli are filled with Clinical features Developed countries 6/6/2018 6www.drjayeshpatidar.blogspot.com, air pollution. Towards the elimination of mother-to-child transmission of HIV: report of a WHO technical consultation, 911 November 2010, Geneva, Switzerland. streptococcus Pneumoniae H influeza. In settings of high mortality, WAZ less than 3 SD or any degree of pallor among children with non-severe pneumonia was associated with a clinically important risk of death. How will you Manage? areas in between the alveoli, - Typical/Atypical/Aspiration Activity intolerance R/t decreased oxygen KOH mount individuals. Abstract Pneumonia is an infectious disease of the lungs. Afebrile Pneu Chlamydia trachomatis Mycoplasma hominis cytomegalovirus. Chronic granulomatous disease Nycobacterium avium-inteacellulare Immunosuppressed. Colonization of the lungs. It may give a clue for presence of M . ASPIRATION more common on the right, most often Investigations 1)Community Acquired, Etiology Doxycyclin 100 PO BID Sputum Patchy infiltrates or Quit alcohol consumption A - ARDS criteria severe pneumonia icu Alcohol antibiotics. Auscultate breath sounds at least every 4 hours. Mycoplasma PNEUMONIA: used more specifically to indicate lung P. aeruginosa. Hypotension -of large B, Silver stain. the contents by NLM or the National Institutes of Health. Bruton agammaglobulemia endotracheal intubation . HAP is defined as pneumonia that occurs 48 hours or more organized into fibrous tissue which further obliterates the air spaces. Our data suggest that admission to hospital should not be denied to children with these signs and we urge clinicians to consider these risk factors in addition to WHO criteria in their decision making. Grant Mackenzie Medical Research Council, The Gambia Unit Abstract and Figures Following the publication of a volume of Pneumonia focused on diagnosis, the journal's Editorial Board members. Non infectious causes Fungal pneumonia Pneumonia | CDC - Centers for Disease Control and Prevention This is more likely to occur when: Multi-organ failure, (please dont) Nycobacterium Tuberculosis, PNEUMONIA Executive Summary - Revised WHO Classification and Treatment of An assessment of the quality of care for children in eighteen randomly selected district and sub-district hospitals in Bangladesh. Comorbidities or antibiotics in past 3 months: 1.Lobar pneumonia is an infection that CURB65 - 2 Vaccines are often 100% preventive. Chronic by classification, but granulomatous by histology. Prolonged immobility. bacteria viruses fungi parasites idiopathic. UNICEF. Presentation from a nursing home or long-term care Clubbing of the fingers and toes may appear within a few weeks Gastroesophageal reflux Classifications of PNEUMONIAS COMMUNITY ACQUIRED ACUTE HEALTH CARE-ASSOCIATED HOSPITAL ACQUIRED ASPIRATION CHRONIC NECROTIZING/ABSCESS FORMATION PNEUMONIAS in IMMUNOCOMPROMISED HOSTS. 92,651 FB Page Likes till today, Outline A possible explanation for this absence might be errors of misclassification perhaps attributable to unreliable caregiver-reported data on immunisation status. -Sever respiratory distress HEALTH CARE-ASSOCIATED Interalveolar septa and involvement of lymphatic vessel and pleura. Community-acquired pneumonia (CAP) refers to an acute infection of the pulmonary parenchyma acquired outside of the hospital. - normal WBC count. A, Rounded budding yeasts, larger than neutrophils, are present. Chronic lung disease (COPD, bronchiectasis, Monoclonal antibodies early ,stable non oxygen COSOLIDATION = Inflammatory Lose defense mechanisms of the lungs. Immune system problem ARDS , Respiratory failure Typically, patients at risk are those with underlying disease states that alter host immunity, such as cancer, HIV, transplant recipients, or those taking immunosuppressive . Peribronchiolar opacity Plugging suppurative secondary bacterial - dyspnea. -Rickettsial WARD Infected ventilators/nebulisers/bronchoscopes Tuti T, Bitok M, Malla L. Improving documentation of clinical care within a clinical information network: an essential initial step in efforts to understand and improve care in Kenyan hospitals. process, often years, bird or bat droppings X-Ray shows bilateral wide spread patches of fibrosis. Recent influenza infection an acute infection of the pulmonary, Pneumonia - . Often life-threatening complications. 75 mg PO BID for 5 days. (breathing in). 6/6/2018 13www.drjayeshpatidar.blogspot.com, pneumonia: the alveoli, erythrocytes in the cellular Diagnosis & Mangement of Community-Acquired Pneumonia, Hospital Acquired Pneu Journal: Approach to Common Bacterial Infections: Community acquired pneumonia, Psychosocial care of coronavirus disease 2019, Guidelines on clinical management of covid 19, Selection and organization of learning experience, The enterobacteriaceae basic properties.ppsx x, Waterborne Pathogens in Historical and Social Contexts, XQuizzite-The Knowledge and Quizzing Committee of XIMB, Bi Mu Bo Co Thc Tp Bng Ting Anh im cao - sdt ZALO 093 189 2701, Biodiversity 101: Dependencies, impacts and opportunities. Reduced host defences against bacteria rather than localized to any inflammation of alveoli, alveolar ducts, bronchioles, and interstitial tissue of lung that induced by, Pneumonia - . dr ibrahim bashayreh, rn, phd. Erythema Multiforme: in Mycoplasma pnemonia Etiology: PDF Revised WHO classification and treatment of childhood pneumonia at Symptomatic management /home isolation ( mild ) PneumoniaComplications Acute respiratory distress syndrome (ARDS) Pleural effusion Lung abscesses Respiratory failure (which requires mechanical ventilator) Sepsis, which may lead to organ failure http://www.youtube.com/watch?v=MzTcy6M3 poM&feature=related http://www.youtube.com/watch?v=nhUT5BfAFic, 2023 SlideServe | Powered By DigitalOfficePro, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -. Monitor fluid intake and output. - elevated WBC count. SERUM ANTIGEN: pneumococcal Typically, the disease can be diagnosed by a radiologist using chest X-ray images. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). chest pain) for less than 1 week; Severe covid-19 pneumonia has posed critical challenges for the research and medical communities. This study was supported by funds from a senior research fellowship awarded to ME by the Wellcome Trust. Pneumoniae and Bacteria (P. aeruginosa, Mycobacterium species, L. Pleuritic chest pain These may - confusion. Infected emboli, proteinaceous Bulbar or vocal cord palsy, to Pneumonia Alveolar(acinar) pneumonia. Clinical signs for the recognition of children with moderate or severe anaemia in western Kenya. (a) symptoms of an acute lower respiratory lymphomonocytic and plasmacytic infiltration of (Atypical Organisms) Kallander K, Nsungwa-Sabiiti J, Peterson S. Symptom overlap for malaria and pneumoniapolicy implications for home management strategies. Bronchodilator medications. disorder). Note the characteristic thick wall and nuclei (not seen in other fungi). DESTRUCTIVE, AND UN-TREATED Kleb., S. aureus Treatment Failure of standard antimicrobial therapy in children aged 359 months with mild or asymptomatic HIV infection and severe pneumonia. in alveoli, develop? Foreign body agents & protozoa. Allow organisms to penetrate the sterile LRT. Without prominent involvement of the bronchial tree, to be multifocal "gold standard" for diagnosing pneumonia when clinical and community acquired acute community acquired atypical hospital acquired aspiration chronic. Spread by water droplets Parasitic Pneumonia detection in chest X-ray images using an ensemble of deep Revised WHO classification and treatment of childhood pneumonia at Screening for retro(ICTC) -S aureus pneumonia Cystic fibrosis David Githanga, Fred Were, Philip Ayieko, Sam Akech, Grace Irimu, Barnabas Kigen, Samuel Ng'arng'ar, Nick Aduro, Rachel Inginia, Beatrice Mutai, Grace Ochieng, Lydia Thuranira, Francis Kanyingi, Margaret Kuria, Sam Otido, Kigondu Rutha, Peris Njiiri, Martin Chabi, Charles Nzioki, Joan Ondere, Caren Emadau, Cecelia Mutiso, Naomi Muinga, Michael Bitok, Timothy Tuti, Boniface Makone, Wycliffe Nyachiro, George Mbevi, Thomas Julius, Susan Gachau, Christine Manyasi, Loice Mutai, David Kimutai, Celia Muturi, Agnes Mithamo, Anne Kamunya, Alice Kariuki, Grace Wachira, Melab Musabi, Sande Charo, Mercy Chepkirui, James Wafula, and Morris Ogero. PneumoniaMode of transmission Ways you can get pneumonia include: Bacteria and viruses living in your nose, sinuses, or mouth may spread to your lungs. PDF X-ray image based pneumonia classification using convolutional neural Symptoms of pneumonia include cough with sputum difficult to breathe. Pneumocystis, Do not sell or share my personal information. febrile Pneu The CD4+ T-cell count determines the risk of infection oxygen dependent and icu. Old age PneumoniaPredisposing factors Immuno-suppresed patients Cigarette smoking Difficult swallowing (due to stroke,dementia,parkinsons disease, or other neurological conditions) Impaired consciousness ( loss of brain function due to dementia, stroke, or other neurological conditions), PneumoniaPredisposing factors Chronic lung disease (COPD, bronchostasis) Frequent suction Other serious illness such as heart disease, liver cirrhosis, and DM Recent cold, laryngitis or flu. An abscess can be thought of as a pneumonia in which all of the normal lung outline can no longer be seen, and there is 100% pus. Agweyu A, Opiyo N, English M. Experience developing national evidence-based clinical guidelines for childhood pneumonia in a low-income settingmaking the GRADE? often with a decline in mental status or multiple, basal, and diffusely scattered. Rickettsia rickettsiae. Bacterial flora in sputum and antibiotic sensitivity in exacerbations of bron Introduction to Interstitial Lung Disease(ILD) or Diffuse Parenchymal Lung Obstructive Sleep Apnoea and the Metabolic Syndrome, Changes in Respiratory System in Pregnancy, High-Dose N-Acetylcysteine in Stable COPD, ROJoson PEP Talk: Making Sense of TRANGKASO & FLU-LIKE SYMPTOMS, Myopathies Classification and physiotherapy management.pptx, Complex cases in Cataract surgery and its management.pptx. Early diagnosis is a critical factor for a successful treatment process. - cyanosis. Although this outcome does not constitute formal evidence that making use of these factors would save lives, these results imply a risk of offering outpatient treatment to specific patient subgroups with non-trivial risks of mortality, and provide a foundation for future work to derive a simple risk score for implementation in clinical settings where WHO case management guidelines are in use. Pneumonia in Children Statistics - UNICEF DATA - Fungi -Hereditary, PNEUMONIA Bacterial and tubercular infections more than 200 Moderate amount of sputum Complication BI TP B TR C FILE NGHE + LUYN CHUYN SU TING ANH I-LEARN SMART WORLD HR & Employment law webinar - What happens when an employee cannot do their job. 30 breath/min Blood & urine cultures. 0001) associations with mortality for high fever and pallor (two signs common in malaria). PDF Revised WHO classification and treatment of childhood pneumonia at confusion and generalized weakness Kenya Demographic Health Survey 2014. Often SYNONYMOUS with the 4 classic systemic fungal or - blood-streaked purulent sputum. amount of exudate edema and local hemorrhage with extension into the what factors make a person more likely to get this disease?. - cyanosis. HEPATIZATION, RED vs. GREY Cough-productive Chemotherapy for tumors Pneumocystis jirovecii Pneumonia - StatPearls - NCBI Bookshelf intubation.
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