Community acquired pneumonia
Observation without antibiotics is an option for younger children with community acquired pneumonia(CAP) managed outpatient.
While most pediatric pneumonia is viral the most common “Typical” bacterial pathogens seen in epidemiology studies of pediatric pneumonia is Streptococcus pneumoniae followed by Group A Streptococcus and Staphylococcus Aureus. The "atypical" pathogen Mycoplasma pneumoniae becomes more common as children get older.
Amoxicillin is first line for healthy vaccinated infants and young children directed primarily at S pneumoniae. For young children without severe disease the IDSA states, “Antimicrobial therapy is not routinely required for preschool-aged children with CAP, because viral pathogens are responsible for the great majority of clinical disease.”
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