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Diagnosis of childhood pneumonia clinical assessment without radiological confirmation may lead to overtreatment (Article Sample)
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ARTICLE SUMMARY: DIAGNOSIS OF CHILDHOOD PNEUMONIA CLINICAL ASSESSMENT WITHOUT RADIOLOGICAL CONFIRMATION MAY LEAD TO OVERTREATMENT
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Article Summary: Diagnosis of Childhood Pneumonia Clinical Assessment without Radiological Confirmation May Lead to Overtreatment
There has been no consensus over the best pneumonia diagnosis considering its prevalence in children, with clinical prediction rules of many studies failing in both sensitivity and specificity. Many developing countries for lack of robust medical infrastructure and scarcity of medical centers have relied on the World Health Organization treatment guidelines which emphasize on physical examination, more so on the respiratory rate. However, this purely approach has occasioned the reduction of pneumonia related morbidity and death among children in this context. The guidelines in developed countries indicate that if a child presents with systems such as fever and cough and the physical examination of tachypnea, hypoxia, rales, decreased air entry diagnosis should be made entirely on clinical grounds.
There have been concerns over reliance on the clinical diagnosis in that though it may save those children without pneumonia from x-ray exposure, it can lead to overuse of antibiotics in those with no pneumonia, which could increase the resistance of path...
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