Welcome to the new KidsHealth website! See what is new.

Header

Low or no data? Visit zero.govt.nz, search for KidsHealth, and click on our logo to return and browse for free. Need help?

For free medical advice call Healthline 0800 611 116. Healthline provides a 24 hour, 7 days a week, over-the-phone health service. For emergencies call 111.  

On this page

Pneumonia animation

Caption and credit

Find out what pneumonia is and what to do if your child gets pneumonia.
Source: KidsHealth

transcribeTranscript

Pneumonia is an infection of the lungs.

It can affect tamariki of all ages.

Tamariki with pneumonia:

  • cough
  • and have a fever

Tamariki may also:

  • breathe harder and faster
  • have noisy breathing
  • have trouble eating and drinking

If you think your child may have pneumonia, see a health professional.

Most tamariki make a full recovery but it can take a couple of weeks.

Some tamariki may need to go to hospital.

If you are worried, call Healthline on 0800 611 116 or see a health professional urgently if your child:

  • is under 3 months old or
  • is having trouble breathing or
  • is having less than half their normal feeds or
  • looks unwell or
  • gets worse after beginning to get better

Even if your child has seen a heath professional - if you're worried or they're getting worse, see a health professional again.

Dial 111 if your child:

  • is blue around the mouth or
  • is struggling to breathe or
  • is hard to wake or
  • is floppy

Some tamariki can have an infection that lasts longer.

See a health professional if:

  • the cough is getting worse again or
  • the cough lasts for more than 4 weeks or
  • your child has had pneumonia before
Caption and credit

Pneumonia animation in te reo Māori.
Source: KidsHealth

transcribeTranscript

Ko te pūkahu kakā he pokenga nō ngā pūkahukahu.

Ka pā pea tērā ki ngā tamariki, ahakoa te pakeke.

Ngā tamariki e pāngia nei e te pūkahu kakā:

  • ka maremare
  • ka kirikā hoki

Ākene pea ko ngā tamariki:

  • ka kaha ake, ka tere ake hoki te hēhē
  • ka hoihoi te hēhē
  • ka uaua ki a rātou te kai me te inu

Ki te whakaaro koe ka pāngia pea tō tamaiti e te pūkahu kakā, toro atu ki tētahi ngaio hauora.

Ka ora katoa te nuinga o ngā tamariki, engari ka rua wiki pea te roanga o te pikinga o te ora.

Me haere pea ētahi tamariki ki te hōhipera.

Mēnā kei te āwangawanga koe, waea atu ki Healthline ki 0800 611 116, me toro wawe atu rānei ki tētahi ngaio hauora mēnā:

  • kāore anō kia tae atu ki te 3 marama te pakeke o tō tamaiti, tērā rānei
  • he uaua ki a ia te hēhē, tērā rānei
  • he iti iho i te haurua o āna kai māori, tērā rānei
  • e māuiui ana te āhua o tō tamaiti, tērā rānei
  • ka māuiui iho ia whai muri i te tīmatanga o te piki haere o te ora

Ahakoa kua kitea kētia tō tamaiti e tētahi ngaio hauora - mēnā kei te āwangawanga koe, ka māuiui iho ia rānei, toro atu anō ki tētahi ngaio hauora.

Waea atu ki 111 mēnā:

  • he kikorangi te taha o te waha o tō tamaiti, tērā rānei
  • kei te hēmanawa tō tamaiti, tērā rānei
  • he uaua te whakaoho i tō tamaiti, tērā rānei
  • he pītawitawi tō tamaiti

Ka pāngia mai ētahi tamariki e tētahi pokenga e roa ake nei te noho.

Toro atu ki tētahi ngaio hauora mēnā:

  • ka kaha ake anō te maremare, tērā rānei
  • ka roa ake i te 4 wiki te noho a te maremare, tērā rānei
  • kua pāngia kētia tō tamaiti e te pūkahu kakā
Caption and credit

Pneumonia animation in Samoan.
Source: KidsHealth

transcribeTranscript

O le pneumonia o se faamai e afaina ai māmā.

E mafai na aafia ai soo se tamaitiiti.

Tamaiti ua maua i le pneumonia:

  • tale
  • ma le fiva

Atonu e faalogoina foi e tamaiti:

  • tau mānavanava ma televave le mānava
  • taagulugulu le mānava
  • faigata na ‘ai ma inu

Vaai se sui faalesoifua maloloina, pe a ua pneumonia lau tama.

E toe faafoisia le malosi atoa mo le toatele o tamaiti ae mafai na faitau vaiaso faatoa iloga na malosi lelei.

Atonu e iai nisi tamaiti e tatau na ave i le falemai.

Afai o e popole i si au tama, valaau le Healthline i le 0800 611 116 pe vaai loa se sui faalesoifua maloloina pe a faapea:

  • e le i atoa le 3 masina po o le
  • tau mānavanava po o le
  • tau lē ‘ai mai tulaga masani ai po o le
  • foliga ma‘i po o le
  • faateteleina le ma‘i mai le taimi na tau malosi ai.

Tusa lava pe ua uma na vaai se sui faalesoifua maloloina - a lē uma lou popole po o le faateteleina lona ma‘i, toe vaai se sui faalesoifua maloloina.

Vili le 111 pe a vaaia tulaga nei i si au tama:

  • lanu moana le gutu po o le
  • tau mānava po o le
  • tau fafagu po o le
  • faapalupē

E iai tamaiti e umi atu le vaitaimi e mama‘i ai.

Vaai se sui faalesoifua maloloina pe a:

  • toe faateteleina le leaga o le tale po o le
  • ova atu ma le 4 vaiaso o tale lava po o le
  • sa maua muamua i le pneumonia
Caption and credit

Pneumonia animation in Tongan.
Source: KidsHealth

transcribeTranscript

Ko e niumōniá ko ha mahaki‘ia ia ‘o e ma‘ama‘á.

Te ne lava ‘o uesia ‘a e fānaú ‘i he to‘u kotoa pē.

Ko e fānau ‘oku mo‘ua ‘i he niumōniá:

  • tale
  • mo e mofi

‘E lava foki ke toe mo‘ua ‘a e fānaú ‘i he:

  • faingata‘a mo vave ange ‘enau mānavá
  • longolongoa‘a ‘enau mānavá
  • faingata‘a ke kai mo inu

Kapau ‘okú ke fakakaukau ‘oku ngali ma‘u ‘e ho‘o tamá ‘a e niumōniá, sio ki ha tokotaha ngāue palofesinale ki he mo‘ui leleí.

Ko e lahi taha ‘o e ngaahi fānau ‘oku mo‘ua ‘i he niumōniá ‘oku nau lava ‘o sai lelei ka ‘e lava pē ke a‘u ki ha ngaahi uike.

‘E ala fiema‘u ke ‘ave ha fānau ‘e ni‘ihi ki falemahaki.

Kapau ‘okú ke hoha‘a, telefoni ki he Healthline ‘i he fika 0800 611 116 pe ‘alu ki ha tokotaha ngāue palofesinale ki he mo‘ui leleí, kapau ko ho tamá ‘oku:

  • si‘i hifo ‘i he māhina ‘e 3 hono ta‘u motu‘á pe
  • faingata‘a ‘ene mānavá pe
  • si‘isi‘i ange ‘i he vaeuá ‘a e lahi ‘o e me‘akai angamaheni ‘okú ne kaí pe
  • mata‘i puke pe
  • toe kovi ange hili ha‘ane kamata ke sai

Tatau ai pē kapau kuo ‘osi ‘ave ho tamá ki ha tokotaha ngāue fakapalofesinale ki he mo‘ui leleí - kapau ‘okú ke hoha‘a pe ‘oku faka‘au ke kovi ange, toe sio ki ha tokotaha ngāue fakapalofesinale ki he mo‘ui leleí.

Taila ‘a e 111 kapau ko ho‘o tamá ‘oku:

  • lanu pulū takatakai ‘a e ngutú pe
  • faingata‘a‘ia ‘ene mānavá pe
  • faingata‘a ke ‘ā‘ā pe
  • ngāpelupelu

‘Oku ‘i ai ha fānau ‘e ni‘ihi ‘e lava ke ‘i ai ha mahaki‘ia ‘oku tolonga ‘o lōloa ange.

Sio leva ki ha tokotaha ngāue fakapalofesinale ki he mo‘ui leleí kapau ‘oku:

  • faka‘au ke kovi ange ‘a e talé pe
  • kuo laka hake ‘i he māhina ‘e 4 ‘a e talé pe
  • kuo niumōnia ho tamá kimu‘a

Watch an animation on pneumonia in your preferred language.

Key points about pneumonia

  • pneumonia is an infection of the lungs
  • pneumonia can cause cough, fever and trouble breathing
  • either viruses or bacteria cause pneumonia
  • viral pneumonia is more common in tamariki
  • most tamariki make a complete recovery from pneumonia
  • if you are worried about your child's breathing, see a health professional

What is pneumonia?

Immunisation helps to prevent some serious causes of pneumonia.

Pneumonia is an infection of the lungs. It often affects only part of the lungs. 

Illustration showing the effects of pneumonia on the lungs

Illustration showing pneumonia affecting part of one lung.

Causes of pneumonia

Either viruses or bacteria cause pneumonia.

In tamariki, especially young tamariki, viral pneumonia is more common.

It can be difficult to tell whether the pneumonia is due to a virus or bacteria.

How children can catch pneumonia

You can catch the viruses that cause viral pneumonia - they can spread easily between people. Most tamariki with a virus just get a cold. Only a few will get pneumonia.

Viral infections, including viral pneumonia, are more common in winter.

Bacterial pneumonia does not usually spread between people.

It's difficult to tell whether pneumonia is viral or bacterial.

Keep your child with pneumonia away from others.

Children at risk of getting pneumonia

Anyone can get pneumonia. But some tamariki are more likely to get pneumonia than others. Tamariki are at greater risk of getting pneumonia if they:

  • haven't had their vaccinations
  • are around cigarette smoke
  • have a long-lasting condition that affects the lungs 
  • have any other long-lasting medical condition
  • were born premature
  • have feeding problems, such as food or liquid going down the wrong way, into the lungs (aspiration) 

Signs and symptoms of pneumonia

Pneumonia causes cough and sometimes a fever.

It also causes trouble breathing which can include:

  • putting extra effort into breathing
  • breathing faster than usual
  • noisy or rattly breathing
  • difficulty with feeding
  • making a grunting sound with breathing

Signs That Children Are Struggling To Breathe

Viral pneumonia

Viral pneumonia usually develops over days. It starts with a cold and a runny nose. Then there is a cough, sometimes fever and then breathing problems.

Bacterial pneumonia

Bacterial pneumonia usually develops faster, over a day. It causes high fever, a cough, and breathing problems. Your child may be very tired and unwell.

Sometimes bacterial pneumonia develops during a viral infection. If this happens, your child will usually have a cold for a few days, and then become more unwell quite quickly.

When to get medical help for pneumonia

If you are worried that your child may have pneumonia, call Healthline on 0800 611 116 or see a health professional.

See a health professional urgently

See a health professional urgently if your child:

  • is under 3 months old
  • is having trouble breathing
  • is having less than half their normal feeds
  • looks unwell
  • suddenly gets worse after beginning to get better

Call 111

Call 111 within New Zealand (use the appropriate emergency number in other countries) and ask for urgent medical help if your child:

  • is blue around the mouth
  • is struggling to breathe
  • is hard to wake
  • is floppy

Diagnosing pneumonia

A health professional can usually diagnose pneumonia after looking at your child and listening to their chest. Sometimes, they may arrange a chest x-ray which will usually show the pneumonia.

If your child looks very unwell, and especially if they're very young, the health professional may ask you to take them to hospital.

Treatment for pneumonia

Your health professional will give antibiotics to your child if they have bacterial pneumonia. Health professionals may use antibiotics when it is not clear whether your child's pneumonia is viral or bacterial. 

Some tamariki may need support with their breathing and feeding. 

Caring for your child with pneumonia at home

If your child is miserable because of pain or fever, you can give paracetamol to make them more comfortable. You must follow the dosage instructions on the bottle. It is dangerous to give more than the recommended dose.

Your child will need rest to help them recover from pneumonia. Encourage them to drink fluids.

If your health professional has given your child antibiotics, make sure they take all the doses until finished.

Keep your child with pneumonia away from other tamariki, so they don't pass the infection to others.

How long pneumonia lasts

Tamariki usually take a couple of weeks to fully recover. The cough may last up to 4 weeks but should gradually be getting better over this time.

Take your child back to a healh professional if:

  • you are worried that the cough is getting worse again
  • the cough has not stopped after 4 weeks
  • your child has had pneumonia before

A long-lasting cough, coughing up phlegm, or repeated pneumonia can be a sign of bronchiectasis. This is a type of scarring in the lungs.

Bronchiectasis

Complications from pneumonia

Most tamariki make a full recovery from pneumonia with no lasting effects.

A small number of tamariki get complications and need to go to hospital for treatment. 

Preventing pneumonia

Immunisation

Immunisation helps to prevent some serious causes of pneumonia, in particular, immunisation against the following diseases:

  • pneumococcal disease
  • whooping cough
  • flu
  • Hib (Haemophilus influenzae type b)

Breastfeeding

Breastfeeding your baby protects them from getting pneumonia by boosting their immune system. Breastfeeding beyond 4 months of age offers the best protection.

Smoke-free environment

Make sure your child's environment is smoke-free. This will help reduce the chance of your child getting pneumonia. If you want to give up smoking:

A warm house

Keeping the house smoke-free, mould-free, dry, warm and well-insulated will also decrease your child's risk of developing pneumonia.

Keeping Your Home Warm & Dry

Treatment for long-lasting conditions

Make sure your child keeps up with their treatment for any medical conditions such as asthma.

Clean hands

Make sure everyone in the whānau washes their hands regularly and thoroughly, and dries them well.

Acknowledgements

Illustration by Dr Greta File. Property of KidsHealth. 

Last reviewed
Shielded site