BRONCHOPNEUMONIA MANAGEMENT IN FRIULI VENEZIA GIULIA (ITALY)
Key words: Pneumonia, Epidemiology, Hospital, Ambulatory care
The objective of our study was to describe the spectrum of clinical features necessary for
diagnosis and actual treatment of community-acquired pneumonia in children in northern
Italy. It was a prospective observational study of paediatric pneumonia diagnosed in outpatient
settings and in 9 hospitals in northern Italy from January to December 2004 in comparison
to a previous study made 20 years before in the same area. Our study demonstrated
a high rate of clinical diagnosis of CAP made by primary care paediatricians (93%)
according to recent evidence-based guidelines on diagnosis and treatment of paediatric
pneumonia; a decrease in hospital admissions (1/3 of total diagnosis) for CAP and a
lower rate of antibiotic therapy by intravenous administration in hospital admissions (only
in the 46% vs 74% 20 years ago). Despite these recent improvements in management of
CAP, clinical assessment of children influenced independently management of pneumonia
including admission to hospital and route of administration.
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