Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2025 Nov;43(4):567-584.
doi: 10.1016/j.emc.2025.06.008. Epub 2025 Aug 25.

Community-acquired Pneumonia in Children

Affiliations
Review

Community-acquired Pneumonia in Children

David Basile et al. Emerg Med Clin North Am. 2025 Nov.

Abstract

Community-acquired pneumonia (CAP) is a common respiratory infection in children, with viral etiologies predominating. Bacterial pathogens such as Streptococcus pneumoniae and Mycoplasma pneumoniae also contribute significantly. Diagnosis relies primarily on clinical findings, with imaging reserved for severe cases. Treatment depends on the etiology, with amoxicillin as the first-line antibiotic for bacterial CAP and macrolides for atypical pneumonia. Supportive care, including oxygen therapy, is crucial for severe cases. Vaccination has drastically reduced CAP-related mortality, but new epidemiologic trends necessitate continued research. This review provides an updated approach to diagnosing, managing, and preventing pediatric CAP.

Keywords: Childhood respiratory infections; Community-acquired pneumonia; Complications; Mycoplasma; Pediatric emergency medicine; Pediatric pneumonia; Pneumonia diagnosis; Pneumonia treatment.

PubMed Disclaimer

Conflict of interest statement

Disclosures The authors have nothing to disclose.

MeSH terms

Substances