Pneumonia is an infection deep in the small airways and air sacs of the lungs. The infection will make the air sacs swell and fill with fluid or pus. This causes intense coughing and can make it hard to breathe.
This article will focus on community-acquired pneumonia. It is the type that is spread in community places such as home, school, or daycare.
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Pneumonia is caused by a germ in the air that you breathe. Germs that most often cause community-acquired pneumonia include:
- Viruses—such as flu or cold viruses
- Fungus—more likely to happen in people with other health issues like immune system problems
Pneumonia is more common in children under the age of 5 years.
Other things that may increase your child’s chance of pneumonia include:
- Exposure to tobacco smoke
- Allergies or asthma
- Lack of immunization
- History of respiratory tract infections, such as bronchitis
- Chronic conditions that affect the lungs, such as cystic fibrosis
- Gastroesophageal reflux disease (GERD)
- Chronic conditions that weaken the immune system
- Birth defects of the heart or lungs
- Neuromuscular disorders that affect the lung function
- Sickle-cell anemia
Pneumonia may cause:
- Shortness of breath
- Chest pain
- Fever and chills
- Wheezing—a hoarse whistling sound
- Rapid breathing
Children may also:
- Be less active
- Seem irritable
- Have little or no interest in food or feeding
- Have stomach pain or vomiting
- Have a headache
The doctor will ask about your child’s symptoms and past health. A physical exam will be done. The doctor may suspect pneumonia based on the exam. Blood and coughed fluids may be tested. These test are not always needed.
Images of the lungs may be taken with:
- Chest x-ray
Treatment will be based on what germ caused the infection and the child's overall health. More support may be needed if there is a severe infection. A hospital stay may be needed if it becomes difficult to breathe.
Treatment options may include:
- Antibiotics—for an infection caused by a bacteria
- Antiviral medicines—for an infection caused by viruses
- Over the counter medicines to reduce fever and discomfort
Oxygen may need to be given for severe infections. This will help to increase the level of oxygen in the blood.
A hospital stay may be needed if:
- Child is not getting enough oxygen into their blood
- Child is dehydrated because they are not able to eat or drink enough
Treatments in the hospital may include:
- Oxygen therapy to increase levels of oxygen in the blood
- Nutrition and fluids through IV
- Medicine given through IV
A hospital stay may also be needed for children with weaker immune systems.
Vaccines may help to prevent certain pneumonia. Vaccine schedules for children include:
- Flu vaccine—in all children aged 6 months and older
- PCV13 is recommended in all children, and routinely given to all children aged 2 months to 5 years
- PCV23 in children aged 2 years and older who have a high risk of infection or a suppressed immune system
- Hemophilus influenza type B vaccine, routinely given to all children aged 2 months to 5 years
- Pertussis (whooping cough) vaccine, routinely given to all children aged 2 months to 5 years as part of the DTaP vaccine
- Pertussis (whooping cough) vaccine, routinely given to children 11 years or older as part of the Tdap vaccine
Some children may have a higher risk of pneumonia. Medicine may be given to these children after a cold or the flu to help prevent pneumonia.
To decrease your child’s risk of any airway infection:
- Do not expose your child to tobacco smoke. Smoke weakens the lungs' resistance to infection.
- Avoid close contact with people who have a cold or the flu.
- Encourage your child to wash their hands often.
- Treat any chronic disease.
Family Doctor—American Academy of Family Physicians
Healthy Children—American Academy of Pediatrics
Caring for Kids—Canadian Paediatric Society
The College of Family Physicians of Canada
Bradley JS, Byington CL, et al. The management of community-acquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clin Infect Dis. 2011 Oct;53(7):e25-76.
Community-acquired pneumonia in children. EBSCO DynaMed website. Available at:https://www.dynamed.com/condition/community-acquired-pneumonia-in-children. Accessed August 23, 2020.
Immunization schedules. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/vaccines/schedules/index.html. Accessed August 23, 2020.
Gereige RS, Laufer PM. Pneumonia. Pediatr Rev. 2013 Oct;34(10):438-456.
Haq IJ, Battersby AC, et al. Community acquired pneumonia in children. BMJ. 2017 Mar 2;356:j686.
Pneumonia. Kids Health—Nemours Foundation website. Available at: http://kidshealth.org/parent/infections/lung/pneumonia.html. Accessed August 23, 2020.
Pneumonia. WHO website. Available at: http://www.who.int/mediacentre/factsheets/fs331/en/. Accessed August 23, 2020.
Last reviewed September 2020 by EBSCO Medical Review Board Chelsea Skucek, MSN, BS, RNC-NIC Last Updated: 12/8/2020