including pneumonia, bronchitis, and croup, are common in children with Down
syndrome. ENT infections, notably sinusitis and otitis media, are also prevalent
in these children. Because of the immune system disorders previously discussed,
prompt evaluation for antibiotic therapy is both appropriate and important.
Working with children who have Down syndrome, the nurse may often be the first
healthcare professional to notice signs of infection and guide the family to
the primary care provider.