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New in the methods of diagnosis of lower respiratory infections

How correctly to estimate frequency of respiration at children at a fever?

Both pediatricians and parents are reliably aware of the presence of a link between fever and rapid breathing in the child, although an increase in body temperature does not enter into most of the criteria that assess the magnitude of respiratory rate in children.

Professor Nijman and co-authors in their article, which is devoted to this issue, give figures of changes in respiratory rate with increasing age and body temperature. Knowledge of these reference figures will allow more accurate diagnosis of the infectious pathology of the lower respiratory tract as compared to the methods previously used. The World Health Organization recently published data that argued that community-acquired pneumonia is one of the leading causes of death from infections of children under five years around the world. And at the same time, timely and accurate diagnosis of this pathology presents a problem, since most children come to a primary reception for a doctor with symptoms of respiratory disease or high fever, but they are not shown signs of involvement in the pathological process of the lower respiratory tract. Therefore, when examining sick children, assessing the indicators of basic life functions and interpreting the results obtained is one of the most important aspects. Moreover, the evaluation of the obtained data should be carried out in parallel with the analysis of the dynamics of the disease.

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