PNEUMONIA

1. Infant : 1-3 month old

If Chlamidia trachomatis – Usually presented with eye discharge - need take eye swab. Ask parent history high risk behavior.

2. Blood investigation

Bacteria : high neutrophil

Viral : Lymphocytosis

Leukopenia : viral or severe overwhelming infection                                                       

FBP : immature neutrophil, toxic granulation

3. Bacterial vs viral

4. Antibiotic (start low)

- Peniclillin, Ampicillin,

- Why we use augmentin in our hospital- more compliance

- Atypical : Azithromycin

5. Complication

- Parapneumonic effusion

(Pleural effusion arise from pneumonia

6. Supportive Mx

- Cough medication - not recommended, distract airway clearance