Childhood Diseases

Question
Posted by: Racoon | 2011-10-07

Q.

Re: Pneumonia treatment

Dear Prof

He tested positive initially for Streptococcus pneumoniae, but they didn''t indicate the strain. He had his Prevenar (heptavalent), so I am disappointed that we can''t tell whether its a strain included in the Prevenar or not. The results for the culture should be out this afternoon or tomorrow. Our pead seems to think it might come back negative (I am hoping for that). If it is positive the little chap will need another course of Zinnat. Why didn''t it work the first time round? He had it for 7 days? next week is Xray to check his lungs, and again at 6 weeks to make sure his lungs are clean. I am guessing the pneumonia is due to his lungs being weakened by the RSV pneumonia he had earlier in winter. Can we expect pneumonia more regularly for him now? what can we do to protect him further?

Why aren''t bacterial pneumonias standardly cultured? our paed says he only cultures when child is admitted?

Prof, many thanks for all your help.

Expert's Reply

A.

Paediatrician

Your son's pneumonia should have been tested for both bacteria and viruses when he first got ill. As you will see on my reply to your later question, I have dealt with the reason why he may not have been covered by the seven strain pneumococcal immunisation contained in the early form of Prevenar. The pneumococcal strains have now been increased to 13 strains in the new Prevenar. I do not know the reason for continuing on Zinnnat again as this antibiotic has been poor in dealing with your son's pneumonia to date.

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