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Published on: December 11, 2013
Recurrent respiratory infections
1Imperial School of Medicine at National Heart and Lung Institute, London, UK. a.bush@rbh.nthames.nhs.uk
Insights
Diagnosing recurrent infections in children is challenging. This guide offers an experience-based approach for clinicians to differentiate serious illness from normal development and select the least invasive diagnostic tests.
Area of Science:
- Pediatrics
- Immunology
- Clinical Diagnostics
Background:
- Recurrent infections in children present significant diagnostic difficulties for pediatricians.
- Clinicians must first assess if a child's condition is normal or indicative of serious disease.
- Subsequent diagnostic steps require careful consideration to minimize invasiveness.
Purpose of the Study:
- To provide a practical, experience-based guide for diagnosing children with recurrent infections.
- To assist clinicians in differentiating between normal development and serious underlying conditions.
- To outline a strategy for selecting the most appropriate and least invasive diagnostic tests.
Main Methods:
- This article proposes an experience-based clinical approach, acknowledging the lack of extensive high-quality evidence.
- It focuses on a systematic evaluation process for children presenting with recurrent infections.
- The approach emphasizes a tiered strategy for diagnostic testing.
Main Results:
- The article offers a framework to aid clinicians in the diagnostic process for recurrent infections.
- It aims to reduce uncertainty in distinguishing between benign and serious conditions.
- Guidance is provided on minimizing the number and invasiveness of diagnostic tests.
Conclusions:
- An experience-based approach can be a valuable tool for clinicians managing children with recurrent infections.
- Effective diagnosis requires a careful initial assessment and judicious use of diagnostic tests.
- This strategy aims to improve diagnostic accuracy while prioritizing patient comfort and minimizing unnecessary procedures.
Abstract:
The child who has recurrent infections poses one of the most difficult diagnostic challenges in pediatrics. The clinician faces a two-fold challenge in determining first whether the child is normal or has a serious disease, and then, in the latter case, how to confirm or exclude the diagnosis with the minimum number of the least invasive tests. It is hoped that, in the absence of good-quality evidence for most clinical scenarios, the experience-based approach described in this article may prove a useful guide to the clinician.
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