Antibiotic Prescription in Children Hospitalized for Community-acquired Pneumonia: a Prospective, Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 200
- 试验地点
- 2
- 主要终点
- Antibiotic treatment rates in hospitalized children with non-severe community-acquired pneumonia and fever
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 3 Months 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •Insufficient knowledge of German to understand the written patient information and questionnaire
结局指标
主要结局
Antibiotic treatment rates in hospitalized children with non-severe community-acquired pneumonia and fever
时间窗: During hospitalization, an average of 7 days
Rates of treatment with and without antibiotics during hospitalization
次要结局
- Number of medical complications(During hospitalization, an average of 7 days)
- Factors in physician decision making on antibiotic prescription(During hospitalization, an average of 7 days)
- Parental satisfaction(At discharge, assessing the entire duration of the hospital stay, an average of 7 days)
- Number of children with relevant comorbidity(During hospitalization, an average of 7 days)
- Days of supplemental oxygen use(During hospitalization, an average of 7 days)
- Use of antipyretic medications(During hospitalization, an average of 7 days)
- Number of complementary medicine medications used per child(During hospitalization, an average of 7 days)
- Hospitalization duration(At discharge, assessing the entire duration of the hospital stay, an average of 7 days)
- Number of readmissions for pneumonia or new pneumonia recurrences within 4 weeks of hospital discharge(4 weeks after end of hospitalization)