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Updated: Aug 31, 2026

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
06:15

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

Published on: March 6, 2019

[Pleuropulmonary staphylococcal infections in the infant]

R JUTRAS

    Canadian Medical Association Journal
    |August 18, 1962
    PubMed

    Insights

    Staphylococcal pneumonia and pleurisy in children present with diverse symptoms. Early diagnosis and prompt treatment significantly reduce hospitalization duration and improve outcomes, especially for infants.

    Area of Science:

    • Pediatrics
    • Infectious Diseases
    • Pulmonology

    Background:

    • Staphylococcal pneumonia and pleurisy are serious infections in infants and young children.
    • Clinical presentation can vary, including digestive, respiratory, and central nervous system symptoms.

    Purpose of the Study:

    • To analyze clinical presentations, diagnostic methods, and treatment outcomes for staphylococcal pneumonia and pleurisy in pediatric patients.
    • To identify factors influencing patient prognosis and hospitalization length.

    Main Methods:

    • Retrospective study of 44 pediatric patients diagnosed with staphylococcal pneumonia and pleurisy.
    • Classification of patients into three clinical groups based on predominant symptoms.
    • Review of radiographic findings, bacteriologic cultures, and treatment regimens.

    Main Results:

    • Patients were categorized into digestive (7), respiratory distress (28), and central nervous system disorder (9) groups.
    • Radiographic findings aided early etiologic diagnosis.
    • Hospitalization length correlated directly with the delay in initiating adequate therapy.
    • Management of pleural effusions varied, including thoracotomy, drainage, aspiration, and spontaneous resorption.
    • High-dose antibiotic use was noted for erythromycin, chloramphenicol, and ristocetin.
    • Mortality was higher in infants under one year (7 deaths out of 28), while older children (16) all recovered.

    Conclusions:

    • Timely diagnosis and intervention are crucial for improving outcomes in pediatric staphylococcal pneumonia and pleurisy.
    • Age is a significant prognostic factor, with younger infants facing higher mortality risks.
    • Effective management of pleural effusions and appropriate antibiotic therapy are key components of care.

    Keywords:
    LUNG ABSCESS/in infancy and childhoodPLEURA/infectionSTAPHYLOCOCCAL INFECTIONS/in infancy and childhood

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