Antibiotic Prescription in Children Hospitalized for Community-acquired Pneumonia

ARCIM Institute Academic Research in Complementary and Integrative Medicine

Status: Enrolling

Conditions: Antibiotic Stewardship; Community Acquired Pneumonia in Children

Treatments: Other: Antibiotic treatment; Other: No antibiotic treatment

Study type: Observational

Funder types: Other

Identifiers

NCT04681339

PKA-03

Details and patient eligibility

About

A study to observe how often antibiotics are prescribed in children hospitalized for pneumonia and how doctors decide if a child needs antibiotics or not. Parent satisfaction will also be recorded.

Full description

An observational study to document the antibiotic treatment rate of children hospitalized for community acquired pneumonia at a pediatric department with longstanding practice of restrictive antibiotic prescribing. Patients will be enrolled consecutively and treated according to in-house standard operating procedure. Antibiotic treatment rate, severity of disease and medical complication rate in antibiotic and non-antibiotic managed children, frequency of predefined factors in physician decision making on antibiotic use, and parental satisfaction will be recorded. Parents will be contacted at least 4 weeks after discharge to inquire about recurrence or readmission.

Enrollment: 200 estimated patients

Sex: All

Ages: 3 months to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Hospital admission at the pediatric department of the Filderklinik or at the pediatric department of the Herdecke Community Hospital
• Admission diagnosis pneumonia or pneumonia diagnosis within 48 hours of admission
• Written informed consent by care giver
• All inclusion criteria have to be fulfilled

Exclusion criteria

• Insufficient knowledge of German to understand the written patient information and questionnaire

Trial design

200 participants in 2 patient groups

Pneumonia with antibiotics

Description:

Children with non-severe community acquired pneumonia and fever: managed with antibiotics

Treatment:

Other: Antibiotic treatment

Pneumonia without antibiotics

Description:

Children with non-severe community acquired pneumonia and fever: managed without antibiotics

Treatment:

Other: No antibiotic treatment