The document discusses pediatric community acquired pneumonia (CAP). It covers etiology, clinical manifestations, diagnosis, treatment and prevention. The most common causes are viruses in children under 2 and bacteria like S. pneumoniae in older children. Signs like tachypnea and chest indrawing help assess severity. Treatment involves hospitalization for moderate to high risk cases and antibiotics like amoxicillin for low risk outpatients. Prognosis depends on factors like age, nutrition status and response to initial antibiotics.

1. PEDIATRIC COMMUNITY ACQUIRED PNEUMONIA

15. RISK CLASSIFICATION FOR PNEUMONIA-RELATED MORTALITY VARIABLES PCAP A Minimal risk PCAP B Low risk PCAP C Moderate risk PCAP D High risk co-morbid illness none present present Present Compliant care giver Yes yes no no Ability to ff-up possible possible Not possible Not possible Presence of dehydration none mild moderate severe Ability to feed able able unable unable age >11 mo. >11 mo. <11 mo. <11 mo.

16. VARIABLES PCAP A Minimal risk PCAP B Low risk PCAP C Moderate risk PCAP D High risk resp rate 2-12mo. 1-5 yrs. >5 yrs. >50/min >40/min >30/min >50/min >40/min >30/min >60/min >50/min >35/min >70/min >50/min >35/min Signs of resp failure a.Retraction b. Head bobbing c. Cyanosis d. Grunting none none Intercostal/subcostal Present present none Supraclavicular/intercostal/subcostal present

17. VARIABLES PCAP A Minimal risk PCAP B Low risk PCAP C Moderate risk PCAP D High risk Signs of resp failure e. apnea f. sensorium None awake None awake None irritable Present Lethargic,stuporous/comtose Complications none none present present Action plan OPD OPD Admit to regular ward Admit to ICU