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Practice Recommendation Practice Recommendations for Management of Community Acquired Pneumonia in Children 社區感染性兒童肺炎案例管理的實踐建議 Abstract Community acquired pneumonia (CAP) is a common condition encountered in both ambulatory and hospital settings in Hong Kong. Two sets of evidence based international guidelines on management of CAP, the Infectious Diseases Society of America and the British Thoracic Society guidelines, are available, but the local epidemiology, the public health infrastructure, vaccination program, social and economic background are all different from Hong Kong. Therefore not all of the recommendations are relevant to Hong Kong practice. The 2015 Hong Kong paediatric CAP guidance drafted by the CAP guideline development group aims at developing a set of local guidance with reference to international recommendations (including American and British guideline), based on the current available local data (including Streptococcus pneumoniae and Macrolide-resistant Mycoplasma pneumoniae) and consensus of the panel. Immunocompotent paediatric patients of age range beyond 3 months are the main focused population of the current set of guidance, in both in-patient and out-patient setting. 兒童社區感染性肺炎（CAP）是香港門診及住院的常見病例，國際上有兩個CAP管理指南，分別為美國感染病學會和英國胸科協會制定。但由於其流行病學、公共衛生基礎設施、疫苗接種計畫和經濟背景與香港不同，所以不是所有的做法都適用於香港。由CAP指南制定小組起草的2015年香港兒科CAP指南已參照包括美國和英國的國際建議，並結合本地相關的資料包括肺炎鏈球菌和大環內酯類耐藥的支原體，以及取得專家小組的共識。目前本指南主要適用於大於3個月免疫功能完善的門診及住院病童。 Keyword : Community acquired; Mycoplasma pneumoniae; Paediatric; Pneumonia; Streptococcus pneumoniae 關鍵詞：社區感染性、肺炎支原體、兒童、肺炎、肺炎鏈球菌
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