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Winter is coming. Children face the risk of developing diseases such as flu, angina, bronchitis. One of the diseases that are at risk for children is pneumonia. Memorial Suadiye Polyclinic Specialist Dr. More professionals named Murat Yıldırım It provides information about pneumonia diseases that are common in childhood.
About 30 percent of childhood pneumonia appear to be of bacterial origin. In other words the majority of the underlying cause of viruses. The most common microbes that cause pneumonia vary for all ages. In addition, the child's immune status and environmental conditions are among the factors that play an important role in the development and course of the disease. Dr. Yildirim, "the main mechanism in the formation of pneumatics of the child's respiratory tract protection system and the number of pathogens entering the body creates a balance between these agents," he continues: barriers. Sometimes a viral infection can disrupt the defense mechanism of the respiratory system and pave the way for a bacterial infection. Viral infections cause damage to the respiratory tract mucosa. As a result of this damage, it is easier for the bacteria to settle on the disrupted mucosa, cross the disrupted barrier and progress to lung tissue. Bacteria cause increased damage to the invaded lung tissue and inflammation in this area. Thus, the viral-onset at the beginning becomes a more severe bacterial infection. Sometimes viruses do the same damage alone without the involvement of bacteria to form viral pneumonia. Oxygen exchange, which is the vital function of the lung, cannot be performed in these inflammation sites that replace lung tissue. The clinical picture will be severe in proportion to the extent of the involved lung tissue. It can be caused by the placement of the direct agent in the lung tissue or by the progression of a preliminary infection in the upper respiratory tract. The child's body resistance at that time will determine the course of the disease. ”
Symptoms and Treatment
There are many different symptoms. It is possible that even small infants do not have any symptoms at the beginning. The disease begins to manifest itself with nonspecific findings such as fever, chills, restlessness, vomiting and abdominal pain that can be seen in every infectious disease. As the disease progresses, signs of respiratory distress (rapid breathing, difficulty breathing, nasal wing breathing and bruising in more advanced cases) emerge. Dr. Yıldırım says: at It may not be possible to diagnose pneumonia by examination alone, especially in young children. Diagnosis can be made in these children by blood analysis and chest radiography. In older children, it is easier for the physician to diagnose because the listening findings are guiding. In case of clinical suspicion, the diagnosis is made by chest radiography and supportive laboratory tests are applied. When there is no specific focus in young infants, chest X-ray should be taken when investigating the cause of fever. Because most of the childhood pneumonia is caused by viruses, antibiotic treatment is unnecessary in most cases. However, close follow-up of the findings is essential. Close contact with the physician and minor changes in clinical course should be addressed. Since pneumonia is a vital organ disease, it often causes panic in the family. Most childhood pneumonia does not have massive involvement of lung tissue, so treatment can be performed as an outpatient. However, in some cases, the onset may be sudden and rapid, with the need for oxygen therapy, hospitalization may be required in such cases. In bacterial pneumonia, the onset is usually rapid, the fever is higher and tends to remain high. Antibiotic treatment is essential in these cases. Treatment can be done either as an outpatient or inpatient, depending on the patient's condition; the physician can decide this according to the clinical and laboratory findings of the patient. Initial antibiotic treatment is unnecessary in most viral pneumonia; however, in some cases a secondary bacterial infection may make subsequent antibiotic treatment necessary. Mucolytic and expectorants may be used as supportive treatment. Hydration is one of the cornerstones of the treatment of all types of pneumonia. Therefore, it is imperative that children who are ill enough to receive sufficient fluid from the mouth are treated inpatient. ”