title: [Community acquired pneumonia in children: Treatment of complicated cases and risk patients. Consensus statement by the Spanish Society of Paediatric Infectious Diseases (SEIP) and the Spanish Society of Paediatric Chest Diseases (SENP)].
abstract: The incidence of community-acquired pneumonia complications has increased during the last decade. According to the records from several countries, empyema and necrotizing pneumonia became more frequent during the last few years. The optimal therapeutic approach for such conditions is still controversial. Both pharmacological management (antimicrobials and fibrinolysis), and surgical management (pleural drainage and video-assisted thoracoscopic surgery), are the subject of continuous assessment. In this paper, the Spanish Society of Paediatric Infectious Diseases and the Spanish Society of Paediatric Chest Diseases have reviewed the available evidence. Consensus treatment guidelines are proposed for complications of community-acquired pneumonia in children, focusing on parapneumonic pleural effusion. Recommendations are also provided for the increasing population of patients with underlying diseases and immunosuppression.
authors.affiliation: Infectología Pediátrica e Inmunodeficiencias, Unidad de Gestión Clínica de Pediatría, Hospital Materno-Infantil, Hospital Regional Universitario de Málaga, Grupo de Investigación IBIMA, Departamento de Pediatría y Farmacología, Facultad de Medicina de la Universidad de Málaga, Málaga, España. Electronic address: dmp.malaga@gmail.com.
authors.forename: D
authors.initials: D
authors.lastname: Moreno-Pérez
authors.affiliation: Sección de Neumología Pediátrica, Servicio de Pediatría, Hospital Universitario Virgen Macarena, Sevilla, Departamento de Farmacología, Pediatría y Radiología, Facultad de Medicina de la Universidad de Sevilla, Sevilla, España.
authors.forename: A
authors.initials: A
authors.lastname: Andrés Martín
authors.affiliation: Servicio de Pediatría, Hospital Infanta Sofía, San Sebastián de los Reyes, Madrid, España.
authors.forename: A
authors.initials: A
authors.lastname: Tagarro García
authors.affiliation: Unidad de Neumología Pediátrica y Fibrosis Quística, Servicio de Pediatría, Hospital Clínico Universitario, Valencia, Universitat de València, Valencia, España.
authors.forename: A
authors.initials: A
authors.lastname: Escribano Montaner
authors.affiliation: Unidad de Neumología y Alergia Pediátrica, Servicio de Pediatría, Hospital Universitario Son Espases, Palma de Mallorca, España.
authors.forename: J
authors.initials: J
authors.lastname: Figuerola Mulet
authors.affiliation: Servicio de Pediatría, Hospital San Joan de Déu, Universitat de Barcelona, Barcelona, España.
authors.forename: J J
authors.initials: JJ
authors.lastname: García García
authors.affiliation: Unidad de Neumología Pediátrica y Fibrosis Quística, Hospital Universitario Vall d'Hebrón, Barcelona, Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: A
authors.initials: A
authors.lastname: Moreno-Galdó
authors.affiliation: Unidad de Enfermedades Infecciosas e Inmunología Clínica, Servicio de Pediatría, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: C
authors.initials: C
authors.lastname: Rodrigo Gonzalo de Lliria
authors.affiliation: Unidad de Infectología Pediátrica, Servicio de Pediatría, Hospital General Universitario Gregorio Marañón, Madrid, España.
authors.forename: J
authors.initials: J
authors.lastname: Saavedra Lozano
mesh_terms: D002648:Child; D017714:Community-Acquired Infections / Q000628:therapy; D006801:Humans; D018410:Pneumonia, Bacterial / Q000150:complications / Q000628:therapy*; D011024:Pneumonia, Viral / Q000150:complications / Q000628:therapy*; D012306:Risk
keywords: Children; Community acquired pneumonia; Drenaje pleural; Empiema pleural; Enfermedades de base; Fibrinolytic therapy; Fibrinolíticos; Immunocompromised patients; Inmunodeprimidos; Neumonía adquirida en la comunidad; Niños; Pleural drainage; Pleural empyema; Underlying conditions; Video-assisted thoracoscopy; Videotoracoscopia