Level A Recommendations
Recommendation 11: The presence of a chronic wet cough requires
further evaluation
Recommendation 12: Children with more than one episode of lobar
pneumonia should be
evaluated for aspiration or underlying anatomical abnormalities
Recommendation 13: Bronchoalveolar lavage is indicated for
recurrent or persistent cough to
rule out colonization of the airways by pathogens
Recommendation 14: CT scan of the chest should be considered in
cases of frequent
respiratory infections
Recommendation 15: CT scan of the chest is more useful as a
baseline but not during an acute
lower respiratory tract infection
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Level B Recommendations
Recommendation 16: Pneumonia in patients with EA/TEF should be
confirmed by CXR
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Level C Recommendations
Recommendation 17: The threshold for obtaining CXR should be
low because pneumonia in
children with TEF may not be associated with fever
Recommendation 18: CXR should be obtained in each episode of
suspected pneumonia
Recommendation 19: Chest CT should be considered in case of
suspected pneumonia
Recommendation 20: BAL should be considered in cases of
suspected pneumonia
Recommendation 21: Cultures from BAL should be obtained before
starting antibiotics for
suspected pneumonia
Recommendation22: CBC with differential should be done only in
cases of suspected pneumonia associated with fever
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