Table 9

 Areas of continuing uncertainty

• The most useful clinical signs and symptoms that help to predict a diagnosis of pneumonia
• Which children require a chest x ray before treatment
• Which test to detect the causative organism will be sensitive, specific, affordable, and quick and easy to use
• Which antibiotic should be prescribed
• Which route should be used for administering the antibiotic prescribed
• If the intravenous route is used when should a switch to oral antibiotics occur
• Which children should continue to take low dose prophylactic antibiotics following a diagnosis of pneumonia
• Whether all children under 2 years should be given the new conjugate pneumococcal vaccine
• Variation in individual host response to the disease