Is the mortality rate of neonatal pneumonia high?

Written by Gao Shan Na
Neonatology
Updated on September 08, 2024
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Neonatal pneumonia typically refers to infectious pneumonia, which is a common disease in newborns and a significant cause of neonatal mortality. It can occur in utero, during the birth process, or after birth, caused by bacteria, viruses, or protozoa. Approximately two million children die from neonatal pneumonia worldwide each year. Therefore, once signs and symptoms of pulmonary infection are detected in a child, it is essential to seek timely medical treatment at a hospital.

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Written by Gao Shan Na
Neonatology
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How many days does a newborn need to be hospitalized for pneumonia?

Neonatal pneumonia is a common disease in newborns and the most common form of infection and a significant cause of death. It can occur during childbirth or after birth and is caused by various pathogens such as bacteria, viruses, protozoa, and fungi. In fact, pneumonia can be mild or severe. The usual treatment duration for mild pneumonia is 7-10 days. In severe cases, if there are complications like respiratory failure, heart failure, or damage to other vital organs, then the treatment duration will definitely be longer.

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Written by Zhang Xian Hua
Pediatrics
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What tests are done at the hospital for neonatal pneumonia?

Newborns have immature tracheal functions and low immune function; once neonatal pneumonia occurs, hospitalization is definitely required. The usual tests needed include the following aspects: First, imaging tests, typically including chest X-rays or a CT scan of the lungs, are necessary to understand the extent, severity, and specific details of the lung lesions. Second, tests related to infection are needed. This generally includes complete blood counts, C-reactive protein, procalcitonin, etc. In cases with significant throat phlegm, sputum culture and blood culture are also needed to identify the pathogen. Third, an assessment of the child’s tracheal function and internal environmental status is required. This typically involves blood tests for liver function, kidney function, cardiac enzymes, electrolytes, etc., to enable a comprehensive assessment and accurate treatment.

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Written by Hu Qi Feng
Pediatrics
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How to treat neonatal pneumonia?

Neonatal Pneumonia Treatment: 1. Manage the respiratory tract by nebulization inhalation, postural drainage, regular turning and back patting to keep the airway clear and clean the oral and nasal secretions. 2. For those with hypoxemia, provide oxygen therapy, which may include nasal cannula oxygen delivery, masks, or head masks. Mechanical ventilation may be necessary if required. 3. Choose appropriate antibiotics; for bacterial infections, select sensitive antibiotics based on the type of bacteria, while antiviral drugs can be used to support treatment of viral infections. 4. Correct circulatory disturbances and electrolyte balance, control infusion rate to prevent heart failure and pulmonary edema, and ensure the supply of energy and nutrients. Immunoglobulin can be used as appropriate to boost immunity.

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Written by Yan Xin Liang
Pediatrics
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Newborn pneumonia symptoms

If a newborn gets pneumonia, it can manifest as coughing, although some newborns may not cough at all, showing only symptoms like spitting white foam. Some may have a mild fever, while others may experience slightly rapid breathing. More severe cases can present with cyanosis of the lips, unhealthy-looking facial complexion, or a bluish purple facial color. These are signs of severe pneumonia. Additionally, there might be a decrease in urine output, poor responsiveness, etc. The symptoms of pneumonia in newborns are relatively less typical than those in older infants and toddlers.

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Written by Gao Shan Na
Neonatology
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Is neonatal pneumonia vomiting severe?

Some common symptoms of neonatal pneumonia include: frothy sputum, shortness of breath, cough, fever, and the three-concave sign. If the bacterial pathogen of this lung infection also affects the gastrointestinal tract, there may also be symptoms of vomiting and diarrhea. When severe pneumonia causes cyanosis and lack of oxygen in the child, accompanied by frequent vomiting and diarrhea, leading to dehydration, this type of pneumonia is quite severe and it is essential to seek timely medical treatment at a hospital.