{"title":"An Update on WHO Recommendations on Childhood Pneumonia and Diarrhea (2024).","authors":"Soumi Kundu, Sarthak Das, R G Medhagopal","doi":"10.1007/s13312-025-00173-8","DOIUrl":null,"url":null,"abstract":"<p><p>The 2024 World Health Organization (WHO) guidelines present important updates in the management of pneumonia and diarrhea in children. There is a conditional recommendation of a reduced zinc dose-5 mg daily for up to 14 days-for children up to 10 years of age with acute watery or persistent diarrhea, intended to lower the risk of vomiting while preserving therapeutic efficacy. Antibiotic use is discouraged for acute watery diarrhea, except in cases with visible blood in stool, where ciprofloxacin remains the first-line treatment. Probiotics are not recommended due to low-certainty evidence and concerns about feasibility. Oral amoxicillin continues to the first-line treatment for children aged 2-59 months with fast breathing or chest indrawing. These cases can be managed effectively even in community settings. Substantial knowledge gaps persist regarding the best antibiotic regimens and clinical diagnostic strategies for pneumonia in children aged 5-9 years.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"775-778"},"PeriodicalIF":1.5000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s13312-025-00173-8","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/21 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
The 2024 World Health Organization (WHO) guidelines present important updates in the management of pneumonia and diarrhea in children. There is a conditional recommendation of a reduced zinc dose-5 mg daily for up to 14 days-for children up to 10 years of age with acute watery or persistent diarrhea, intended to lower the risk of vomiting while preserving therapeutic efficacy. Antibiotic use is discouraged for acute watery diarrhea, except in cases with visible blood in stool, where ciprofloxacin remains the first-line treatment. Probiotics are not recommended due to low-certainty evidence and concerns about feasibility. Oral amoxicillin continues to the first-line treatment for children aged 2-59 months with fast breathing or chest indrawing. These cases can be managed effectively even in community settings. Substantial knowledge gaps persist regarding the best antibiotic regimens and clinical diagnostic strategies for pneumonia in children aged 5-9 years.
期刊介绍：
The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are:
-To publish original, relevant, well researched peer reviewed articles on issues related to child health.
-To provide continuing education to support informed clinical decisions and research.
-To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics.
-To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.
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