Aprile 2008 - Volume XXVII - numero 4
Dipartimento Materno-Infantile Ass 2, Monfalcone-Gorizia
*Servizio di Epidemiologia e Biostatistica, IRCCS “Burlo Garofolo”, Trieste
Indirizzo per corrispondenza: firstname.lastname@example.org
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.
Vuoi citare questo contributo?