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Pneumonia

General health information, not a diagnosis. In an emergency, call 102. Always consult a qualified health professional.

SmartAnalysis by DigiNepal SI

Pneumonia is an infection that fills the lungs' air sacs with fluid, making breathing hard. It is a leading cause of death in young children and the elderly, but is treatable. Symptoms: Cough, fever, and fast or difficult breathing. In children, watch for fast breathing and the lower chest drawing in with each breath. See a health worker the same day for fast or laboured breathing, chest in-drawing in a child, or breathlessness in an adult. generated by SI from cited sources · general information, not a diagnosis · consult a health professional

Sources: World Health Organization · Nepal MoHP — Epidemiology and Disease Control Division · MedlinePlus (NLM) · MedlinePlus (NLM) · CDC, MoHP Nepal (FWD), NHS · MedlinePlus (NLM) · SI, NLM MedlinePlus, CDC, WHO (paraphrased)

What it is

Pneumonia is an infection in one or both of the lungs. It causes the air sacs of the lungs to fill up with fluid or pus. It can range from mild to severe, depending on the type of germ causing the infection, your age, and your overall health.

Sources: SI, NLM MedlinePlus, CDC, WHO (paraphrased) · Reference · https://medlineplus.gov/pneumonia.html; https://www.cdc.gov/pneumonia/; https://www.who.int/news-room/fact-sheets/detail/pneumonia; https://www.mayoclinic.org/search/search-results?q=Pneumonia; Guideline: ATS/IDSA 2019 CAP guideline, BTS; https://edcd.gov.np

Symptoms

Cough with phlegm, fever, chills, fast or difficult breathing, chest pain when breathing.

Sources: SI, NLM MedlinePlus, CDC, WHO (paraphrased) · Reference · https://medlineplus.gov/pneumonia.html; https://www.cdc.gov/pneumonia/; https://www.who.int/news-room/fact-sheets/detail/pneumonia; https://www.mayoclinic.org/search/search-results?q=Pneumonia; Guideline: ATS/IDSA 2019 CAP guideline, BTS; https://edcd.gov.np

Causes

Infection of the lungs by bacteria (often pneumococcus), viruses or fungi; risk is higher in young children, older adults, smokers and people with indoor smoke exposure.

Sources: SI, NLM MedlinePlus, CDC, WHO (paraphrased) · Reference · https://medlineplus.gov/pneumonia.html; https://www.cdc.gov/pneumonia/; https://www.who.int/news-room/fact-sheets/detail/pneumonia; https://www.mayoclinic.org/search/search-results?q=Pneumonia; Guideline: ATS/IDSA 2019 CAP guideline, BTS; https://edcd.gov.np

When to seek care

EMERGENCY, go now: lips or face turning blue, struggling to breathe, chest indrawing in a child, confusion, unable to drink. See a clinician for cough with fever and fast breathing.

Sources: SI, NLM MedlinePlus, CDC, WHO (paraphrased) · Reference · https://medlineplus.gov/pneumonia.html; https://www.cdc.gov/pneumonia/; https://www.who.int/news-room/fact-sheets/detail/pneumonia; https://www.mayoclinic.org/search/search-results?q=Pneumonia; Guideline: ATS/IDSA 2019 CAP guideline, BTS; https://edcd.gov.np

Diagnosis

Clinical examination, chest X-ray, oxygen level; blood and sputum tests in hospital.

Sources: SI, NLM MedlinePlus, CDC, WHO (paraphrased) · Reference · https://medlineplus.gov/pneumonia.html; https://www.cdc.gov/pneumonia/; https://www.who.int/news-room/fact-sheets/detail/pneumonia; https://www.mayoclinic.org/search/search-results?q=Pneumonia; Guideline: ATS/IDSA 2019 CAP guideline, BTS; https://edcd.gov.np

Care & treatment

Antibiotics for bacterial pneumonia prescribed by a clinician; oxygen and hospital care when severe. No dosing information is given here.

Sources: SI, NLM MedlinePlus, CDC, WHO (paraphrased) · Reference · https://medlineplus.gov/pneumonia.html; https://www.cdc.gov/pneumonia/; https://www.who.int/news-room/fact-sheets/detail/pneumonia; https://www.mayoclinic.org/search/search-results?q=Pneumonia; Guideline: ATS/IDSA 2019 CAP guideline, BTS; https://edcd.gov.np

Prevention

Pneumococcal (PCV) and Hib vaccines, clean cooking fuel, no smoking, breastfeeding, hand washing.

Sources: SI, NLM MedlinePlus, CDC, WHO (paraphrased) · Reference · https://medlineplus.gov/pneumonia.html; https://www.cdc.gov/pneumonia/; https://www.who.int/news-room/fact-sheets/detail/pneumonia; https://www.mayoclinic.org/search/search-results?q=Pneumonia; Guideline: ATS/IDSA 2019 CAP guideline, BTS; https://edcd.gov.np

Nepal notes

A leading cause of death in children under five in Nepal; PCV is part of routine immunisation and the CB-IMNCI programme treats it in communities.

Sources: SI, NLM MedlinePlus, CDC, WHO (paraphrased) · Reference · https://medlineplus.gov/pneumonia.html; https://www.cdc.gov/pneumonia/; https://www.who.int/news-room/fact-sheets/detail/pneumonia; https://www.mayoclinic.org/search/search-results?q=Pneumonia; Guideline: ATS/IDSA 2019 CAP guideline, BTS; https://edcd.gov.np

Clinical guideline

ATS/IDSA 2019 CAP guideline, BTS

Sources: SI, NLM MedlinePlus, CDC, WHO (paraphrased) · Reference · https://medlineplus.gov/pneumonia.html; https://www.cdc.gov/pneumonia/; https://www.who.int/news-room/fact-sheets/detail/pneumonia; https://www.mayoclinic.org/search/search-results?q=Pneumonia; Guideline: ATS/IDSA 2019 CAP guideline, BTS; https://edcd.gov.np

⚠️ Red-flag signs — seek urgent care

📞 Call 102

Related lab tests

C-reactive protein (CRP)

Related scans / imaging

Chest X-ray

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Text: SI summary in its own words (CC BY 4.0) with NLM MedlinePlus public-domain summary; facts checked against WHO fact sheets (CC BY-NC-SA 3.0 IGO, paraphrased with attribution) and Mayo Clinic (linked reference only, no text used); ICD-10 and labels from Wikidata (CC0).

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