The enduring challenge of determining pneumonia etiology in children: Considerations for future research priorities

Pneumonia kills more children each year worldwide than any other disease. Nonetheless, accurately determining the causes of childhood pneumonia has remained elusive. Over the past century, the focus of pneumonia etiology research has shifted from studies of lung aspirates and postmortem specimens in...

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Main Authors: Feikin, DR, Hammitt, LL, Murdoch, DR, O'Brien, KL, Scott, JAG
Format: Journal article
Language:English
Published: Oxford University Press 2017
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author Feikin, DR
Hammitt, LL
Murdoch, DR
O'Brien, KL
Scott, JAG
author_facet Feikin, DR
Hammitt, LL
Murdoch, DR
O'Brien, KL
Scott, JAG
author_sort Feikin, DR
collection OXFORD
description Pneumonia kills more children each year worldwide than any other disease. Nonetheless, accurately determining the causes of childhood pneumonia has remained elusive. Over the past century, the focus of pneumonia etiology research has shifted from studies of lung aspirates and postmortem specimens intent on identifying pneumococcal disease to studies of multiple specimen types distant from the lung that are tested for multiple pathogens. Some major challenges facing modern pneumonia etiology studies include the use of nonspecific and variable case definitions, poor access to pathologic lung tissue and to specimens from fatal cases, poor diagnostic accuracy of assays (especially when testing nonpulmonary specimens), and the interpretation of results when multiple pathogens are detected in a given individual. The future of childhood pneumonia etiology research will likely require integrating data from complementary approaches, including applications of advanced molecular diagnostics and vaccine probe studies, as well as a renewed emphasis on lung aspirates from radiologically confirmed pneumonia and postmortem examinations.
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spelling oxford-uuid:9d8c09f2-8ba4-4e17-aef9-8e05b8e5683f2022-03-27T00:43:53ZThe enduring challenge of determining pneumonia etiology in children: Considerations for future research prioritiesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:9d8c09f2-8ba4-4e17-aef9-8e05b8e5683fEnglishSymplectic Elements at OxfordOxford University Press2017Feikin, DRHammitt, LLMurdoch, DRO'Brien, KLScott, JAGPneumonia kills more children each year worldwide than any other disease. Nonetheless, accurately determining the causes of childhood pneumonia has remained elusive. Over the past century, the focus of pneumonia etiology research has shifted from studies of lung aspirates and postmortem specimens intent on identifying pneumococcal disease to studies of multiple specimen types distant from the lung that are tested for multiple pathogens. Some major challenges facing modern pneumonia etiology studies include the use of nonspecific and variable case definitions, poor access to pathologic lung tissue and to specimens from fatal cases, poor diagnostic accuracy of assays (especially when testing nonpulmonary specimens), and the interpretation of results when multiple pathogens are detected in a given individual. The future of childhood pneumonia etiology research will likely require integrating data from complementary approaches, including applications of advanced molecular diagnostics and vaccine probe studies, as well as a renewed emphasis on lung aspirates from radiologically confirmed pneumonia and postmortem examinations.
spellingShingle Feikin, DR
Hammitt, LL
Murdoch, DR
O'Brien, KL
Scott, JAG
The enduring challenge of determining pneumonia etiology in children: Considerations for future research priorities
title The enduring challenge of determining pneumonia etiology in children: Considerations for future research priorities
title_full The enduring challenge of determining pneumonia etiology in children: Considerations for future research priorities
title_fullStr The enduring challenge of determining pneumonia etiology in children: Considerations for future research priorities
title_full_unstemmed The enduring challenge of determining pneumonia etiology in children: Considerations for future research priorities
title_short The enduring challenge of determining pneumonia etiology in children: Considerations for future research priorities
title_sort enduring challenge of determining pneumonia etiology in children considerations for future research priorities
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