2011 Guidelines Bta Cap

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BTS guidelines

British Thoracic Society guidelines for the management of community acquired pneumonia in children: update 2011Michael Harris,1 Julia Clark,2 Nicky Coote,3 Penny Fletcher,4 Anthony Harnden,5 Michael McKean,6 Anne Thomson,1 On behalf of the British Thoracic Society Standards of Care Committee< Additional appendices are

published online only. To view these les please visit the journal online (http://thorax.bmj. com).1

Oxford Childrens Hospital, The John Radcliffe, Headington, Oxford, UK 2 Department of Paediatric Immunology and Infectious Diseases, Old COPD, Great North Childrens Hospital, Royal Victoria Inrmary, Newcastle upon Tyne, UK 3 Childrens Ambulatory Unit, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK 4 Pharmacy Department, Imperial College Healthcare NHS Trust, St Marys Hospital, London, UK 5 Department of Primary Health Care, University of Oxford, Headington, Oxford, UK 6 Department of Paediatric Respiratory Medicine, Royal Victoria Inrmary, Newcastle upon Tyne, UK Correspondence to Anne Thomson, Oxford Childrens Hospital, The John Radcliffe, Headley Way, Headington, Oxford OX3 9DU, UK; anne.thomson@orh.nhs.uk Received 10 June 2011 Accepted 16 June 2011

ABSTRACT The British Thoracic Society rst published management guidelines for community acquired pneumonia in children in 2002 and covered available evidence to early 2000. These updated guidelines represent a review of new evidence since then and consensus clinical opinion where evidence was not found. This document incorporates material from the 2002 guidelines and supersedes the previous guideline document.

Urinary pneumococcal antigen detection should not be done in young children. [C]

Severity assessment< For a child in the community, re-consultation to