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Community-acquired pneumonia — RACP Paediatrics MCQ

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EasyRespiratoryCommunity-acquired pneumoniaRACP Paediatrics

A 4-year-old presents with 3 days of fever and cough. Examination reveals focal crackles and reduced air entry at the right base. SpO2 is 96% and the child is drinking well. What is the most appropriate management?

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Correct answer: B — Oral amoxicillin

Uncomplicated community-acquired pneumonia in a well child who is tolerating oral intake should be treated with oral amoxicillin as first-line. Streptococcus pneumoniae is the most common bacterial cause in this age group. IV antibiotics are reserved for complicated or severe pneumonia.

Reference: Australian Therapeutic Guidelines – 2024 – Antibiotic; RCH Melbourne – 2023 – Pneumonia CPG