Pediatrics in Review
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(Pediatrics in Review. 1979;1:99-108.)
© 1979 American Academy of Pediatrics
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Recurrent Bacterial Infections in Children

James F. Jones MD1
Vincent A. Fulginiti MD2
 1 Assistant Professor, Department of Pediatrics, Arizona Health Sciences Center, University of Arizona, Tucson
2 Professor and Chairman, Department of Pediatrics, Arizona Health Sciences Center, University of Arizona

Recurrent bacterial infections in children are a source of great concern to parents and physicians and range from relatively trivial infections to illnesses that may be indicative of underlying serious disease. Parental concern is often reflected by the seeking of definitive reasons for the child's recurrent illnesses and a definitive form of therapy to terminate them. Professional and parental concern often leads to excessive diagnostic maneuvers or to therapy instituted more from frustration than from the data presented by the child. When confronted with parental concern about repetitive infections, one must evaluate the emotional reactivity of the parents, the nature and severity of the individual episodes, and the environment as well as specific immunodeficiency disease.

The most common recurrent infectious episodes are otitis media, recurrent pharyngitis, repeated episodes of pneumonia, multiple skin infections, or recurrent or persistent urinary tract infection (UTI). (Recurrent UTI will not be addressed in this article.) On rare occasions more serious recurrent infections such as meningitis, bacteremia, septic arthritis, osteomyelitis, draining lymphadenitis, or significant diarrhea may occur.

The most frequent question confronting the physician is that of adequacy of immune function in a child with recurrent infections. It is desirable to identify children with congenital or acquired immunodeficiency states at an early stage in order to provide appropriate therapy and lessen morbidity and mortality.




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 Arch Pediatr Adolesc MedHome page
A. F. Owayed, D. M. Campbell, and E. E. L. Wang
Underlying Causes of Recurrent Pneumonia in Children
Arch Pediatr Adolesc Med, February 1, 2000; 154(2): 190 - 194.
[Abstract] [Full Text] [PDF]


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Copyright © 1979 by the American Academy of Pediatrics.