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Evaluation ViewAttendees 95
Debate/Pro-Con Discussion

Critical Care

Emergency Medicine

Epidemiology

General Pediatrics

Hospital Medicine

Infectious Diseases

Public Health

Pulmonology
Session Type: Debate/Pro-Con Discussion

Controversies in Pediatric Pneumonia: A Pro/Con Debate

Saturday, May 4, 2024
11:00 AM – 12:30 PM ET
Location: Metro Toronto Convention Centre: 205
CE: Live CME: 1.5

Selected By: PHM
Co-sponsored By: Pediatric Emergency Medicine, PHM, PIDS
Disclosure(s):
Todd A. Florin, MD, MSCE: Diasorin (Terminated, March 31, 2023) (Products/Services: Speaker Honorarium including speakers bureau, symposia, and expert witness)

Session

Description: Community-acquired pneumonia (CAP) is one of the most common infections in children across outpatient, emergency department, and inpatient settings. In 2011, guidelines were published by the Infectious Diseases Society of America and Pediatric Infectious Diseases Society to provide evidence and expert-based recommendations on the management of pediatric CAP. Despite publication of this guideline and studies supporting many of the recommendations, variation in the management of children with CAP continues, including overuse of diagnostic testing and imaging, antimicrobials, and hospitalization. This session will consist of pediatric pneumonia experts debating 3 controversies in the management of pediatric pneumonia using a pro/con format: (1) chest radiography is the gold standard for pneumonia diagnosis, (2) all children with CAP should receive antibiotics, and (3) video-assisted thorascopic surgery (VATS) is the most effective initial intervention for moderate-to-large parapneumonic effusions and empyemas. Each topic will have 10 minutes of discussion on the “pro” side and 10 minutes on the “con” followed by 10 minutes of interactive discussion with the audience.

Learning Objectives:

  • Evaluate the evidence for use of chest radiography and ultrasound in the diagnosis and management of children with community-acquired pneumonia.
  • Understand the role of antibiotics in pediatric community-acquired pneumonia, including when antibiotics are warranted, which antibiotics to use, and the ideal duration of therapy.
  • Evaluate the evidence for drainage of parapneumonic effusions and empyemas, including when drainage is indicated, method of chest drainage, and use of fibrinolytic agents.

Presentations:

  • 11:00 AM – 11:10 AM ET
    PRO: Chest radiography is the gold standard for pneumonia diagnosis

    Speaker: Lilliam Ambroggio, PhD – Children's Hospital Colorado

  • 11:10 AM – 11:20 AM ET
    CON: Chest radiography is the gold standard for pneumonia diagnosis

    Speaker: Mark I. Neuman, MD (he/him/his) – Boston Children's Hospital

  • 11:20 AM – 11:30 AM ET
    PRO: All children with CAP should receive antibiotics

    Speaker: Todd A. Florin, MD, MSCE (he/him/his) – Ann & Robert H. Lurie Children's Hospital of Chicago

  • 11:30 AM – 11:40 AM ET
    CON: All children with CAP should receive antibiotics

    Speaker: Derek Williams, MD, MPH – Vanderbilt University School of Medicine

  • 11:40 AM – 11:50 AM ET
    PRO: VATS is the most effective initial intervention for moderate-to-large parapneumonic effusions and empyemas

    Speaker: Deb Palazzi, MD, MEd – Baylor College of Medicine

  • 11:50 AM – 12:00 PM ET
    CON: VATS is the most effective initial intervention for moderate-to-large parapneumonic effusions and empyemas

    Speaker: Michelle Gill, MD, PhD (she/her/hers) – Washington University in St. Louis School of Medicine