Asthma-community acquired pneumonia co-diagnosis in children: a scoping review.

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Title: Asthma-community acquired pneumonia co-diagnosis in children: a scoping review.
Authors: Rashid, Md. Mahbubur (AUTHOR), Ahmed, Shamim (AUTHOR), Owens, Louisa (AUTHOR), Hu, Nan (AUTHOR), Jaffe, Adam (AUTHOR), Homaira, Nusrat (AUTHOR)
Source: Journal of Asthma. Apr2024, Vol. 61 Issue 4, p282-291. 10p.
Subjects: Infectious Diseases Society of America, Pneumonia, Asthma in children, Evidence gaps, Community-acquired pneumonia, Communicable diseases, Wheeze, Vocal cord dysfunction
Abstract: This scoping review investigated the existing literature and identified the evidence gaps related to diagnosis and management in children aged 2–18 years presenting to hospitals with a co-diagnosis of asthma and community-acquired pneumonia. We designed a scoping review following Arksey and O'Malley's scoping review framework and PRISMA extension for a scoping review. We searched literature using five electronic databases: PubMed, CINAHL, Scopus, Web of Science, and Embase from 2003 to June 2023. A total of 1599 abstracts with titles were screened and 12 abstracts were selected for full review. Separate guidelines including Modified Global Initiative for Asthma (GINA) guidelines; modified Integrated Management of Childhood Illness (IMCI) guidelines; and a consensus guideline developed by the Pediatric Infectious Diseases Society (PIDS) and Infectious Diseases Society of America (IDSA) were used for diagnosing asthma and CAP individually. Chest X-rays were used in 83.3% (10/12) of studies to establish the co-diagnosis of asthma-CAP in children. Variations were observed in using different laboratory investigations across the studies. Infectious etiologies were detected in five (41.7%) studies. In 75% (9/12) of studies, children with asthma-CAP co-diagnosis were treated with antimicrobials, however, bacterial etiology was not reported in 44.4% (4/9) of the studies. Our scoping review suggests that chest X-rays are commonly used to establish the co-diagnosis of asthma-CAP and antibiotics are often used without laboratory confirmation of a bacterial etiology. Clinical practice guidelines for the management of asthma and pneumonia in children who present with co-diagnosis may standardize clinical care and reduce variation. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Asthma is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Asthma-community acquired pneumonia co-diagnosis in children: a scoping review.
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  Data: <searchLink fieldCode="DE" term="%22Infectious+Diseases+Society+of+America%22">Infectious Diseases Society of America</searchLink><br /><searchLink fieldCode="DE" term="%22Pneumonia%22">Pneumonia</searchLink><br /><searchLink fieldCode="DE" term="%22Asthma+in+children%22">Asthma in children</searchLink><br /><searchLink fieldCode="DE" term="%22Evidence+gaps%22">Evidence gaps</searchLink><br /><searchLink fieldCode="DE" term="%22Community-acquired+pneumonia%22">Community-acquired pneumonia</searchLink><br /><searchLink fieldCode="DE" term="%22Communicable+diseases%22">Communicable diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Wheeze%22">Wheeze</searchLink><br /><searchLink fieldCode="DE" term="%22Vocal+cord+dysfunction%22">Vocal cord dysfunction</searchLink>
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  Data: This scoping review investigated the existing literature and identified the evidence gaps related to diagnosis and management in children aged 2–18 years presenting to hospitals with a co-diagnosis of asthma and community-acquired pneumonia. We designed a scoping review following Arksey and O'Malley's scoping review framework and PRISMA extension for a scoping review. We searched literature using five electronic databases: PubMed, CINAHL, Scopus, Web of Science, and Embase from 2003 to June 2023. A total of 1599 abstracts with titles were screened and 12 abstracts were selected for full review. Separate guidelines including Modified Global Initiative for Asthma (GINA) guidelines; modified Integrated Management of Childhood Illness (IMCI) guidelines; and a consensus guideline developed by the Pediatric Infectious Diseases Society (PIDS) and Infectious Diseases Society of America (IDSA) were used for diagnosing asthma and CAP individually. Chest X-rays were used in 83.3% (10/12) of studies to establish the co-diagnosis of asthma-CAP in children. Variations were observed in using different laboratory investigations across the studies. Infectious etiologies were detected in five (41.7%) studies. In 75% (9/12) of studies, children with asthma-CAP co-diagnosis were treated with antimicrobials, however, bacterial etiology was not reported in 44.4% (4/9) of the studies. Our scoping review suggests that chest X-rays are commonly used to establish the co-diagnosis of asthma-CAP and antibiotics are often used without laboratory confirmation of a bacterial etiology. Clinical practice guidelines for the management of asthma and pneumonia in children who present with co-diagnosis may standardize clinical care and reduce variation. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Journal of Asthma is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/02770903.2023.2280843
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      – Code: eng
        Text: English
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        PageCount: 10
        StartPage: 282
    Subjects:
      – SubjectFull: Infectious Diseases Society of America
        Type: general
      – SubjectFull: Pneumonia
        Type: general
      – SubjectFull: Asthma in children
        Type: general
      – SubjectFull: Evidence gaps
        Type: general
      – SubjectFull: Community-acquired pneumonia
        Type: general
      – SubjectFull: Communicable diseases
        Type: general
      – SubjectFull: Wheeze
        Type: general
      – SubjectFull: Vocal cord dysfunction
        Type: general
    Titles:
      – TitleFull: Asthma-community acquired pneumonia co-diagnosis in children: a scoping review.
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            NameFull: Hu, Nan
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              M: 04
              Text: Apr2024
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              Y: 2024
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