《儿童社区获得性肺炎诊疗规范(2019年版)》解读

Interpretation of the norms for the diagnosis and treatment of children’s community-acquired pneumonia 2019

儿童社区获得性肺炎(community acquired pneumonia,CAP)是我国儿童最常见的疾病,目前面临以下问题:CAP是5岁以下儿童死亡的主要原因之一;重症支原体和腺病毒肺炎可遗留气道闭塞等后遗症,引起儿童慢性肺疾病;经验判断病原体和初始治疗存在不足,影响预后。为此,国家卫生健康委员会组织多学科专家制定规范,以期降低儿童CAP病死率及后遗症的发生,减少抗生素的不合理使用。该文从规范制定的背景和内容、CAP的定义和诊治思路并重点针对CAP诊治规范进行解读。

Children’s community-acquired pneumonia(CAP)is the most common disease in children in China.At present,it faces the following problems:CAP is one of the main causes of death in children under 5 years of age;severe mycoplasma and adenovirus pneumonia can result in such sequelae as airway occlusion,causing chronic lung disease in children;empirical judgment of pathogens and initial treatment are inadequate,affecting prognosis.For this reason,the National Health Commission of the People’s Republic of China organizes multidisciplinary experts to formulate norms with a view to reduce CAP mortality and sequelae in children and reduce the irrational use of antibiotics.In this article the background and content of the norms,CAP definition and diagnosis and treatment ideas,especially CAP diagnosis and treatment norms are interpreted.