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Clinical Pediatrics, Vol. 46, No. 2, 160-162 (2007)
DOI: 10.1177/0009922806290055

Radiological Follow-up of Pediatric Pneumonia: Principle and Practice

Dhia Mahmood, MD

Royal Preston Hospital, Preston, Lancs, UK

George Vartzelis, MD

St George’s Hospital NHS Trust, London, UK, vartzelius{at}yahoo.gr

Paula McQueen

William Harvey Hospital, Ashford, Kent, UK

Michael R. Perkin, MD

St George’s Hospital Medical School, London, UK

A study was undertaken to evaluate the trends in radiological follow up of childhood pneumonia among consultant pediatricians throughout the United Kingdom. A questionnaire was sent to 120 consultant pediatricians. Among the 88 respondents, 18% would carry out a repeat chest radiograph on follow-up of all their patients admitted with pneumonia, whereas 78% would perform the investigation selectively. Among the criteria for selection, persistence of symptoms and collapse or effusion were cited, although a considerable number would repeat a chest radiograph in children with lobar pneumonia. The mean timing of a repeat chest radiograph was 5.5 weeks after presentation (range 2-12 weeks). Only 23% of the respondents worked in units with written guidelines for the follow-up of children with pneumonia. Written guidelines, specifying the categories of children who would benefit from follow-up chest radiographs, should be present and implemented in all pediatric departments.

Key Words: pneumonia • radiography • child


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