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How to prevent recurrent pneumonia in children?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My 10-year-old son had pneumonia a few months ago, and now he is sick again with a fever, chills, and a really bad cough, just like last time. I am really worried because it seems like he keeps getting chest infections. Could this be pneumococcal disease coming back? Is it normal for kids to get pneumonia multiple times a year? He has also missed a lot of school because of this. We have used antibiotics before, but they only help for a little while. Do you think he might need stronger medication or some tests to figure out why he keeps getting sick? Should we also consider getting him the pneumococcal vaccine if he has not had it yet? Please let me know if this could be something serious and what steps we can take to prevent it in the future.

Kindly help.

Hello,

Welcome to icliniq.com.

I understand your concern.

Pneumonia can come back in children, and while some kids do get pneumonia multiple times, it is important to look into the cause if this keeps happening.

Your son's symptoms are fever, chills, and a bad cough. This could mean he has another bacterial infection, like pneumonia, but it could also be a viral infection or another type of bacterial infection. Pneumococcal disease could be one possibility, but there are other causes of pneumonia, too. If the antibiotics are not fully clearing up the infection, it might mean the antibiotics are not the right kind, or there could be another issue causing the infections to keep coming back.

Further Tests: Your doctor may suggest blood tests, chest X-rays, or even cultures of mucus from his nose or lungs to better understand what is going on.

If the infections are not responding to usual antibiotics, your doctor might try a different type of antibiotic or other treatments based on the test results. It is important to follow up with the doctor if your son’s condition is not improving.

The pneumococcal vaccine is usually recommended for children in their early years to help prevent pneumococcal infections. If your son has not had it, you should ask your doctor about getting him vaccinated. If, for some reason, he can not get the pneumococcal vaccine, it is still a good idea to get him the flu vaccine every year. This may help reduce the frequency and severity of future infections.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Answered byDr. Reema Wankar

Medically reviewed byiCliniq medical review team

Published At March 5, 2025
Reviewed AtMarch 6, 2025

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