Antibiotic Prescription in Children Hospitalized for Community-acquired Pneumonia: a Prospective, Observational Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Community Acquired Pneumonia in Children
- Sponsor
- ARCIM Institute Academic Research in Complementary and Integrative Medicine
- Enrollment
- 200
- Locations
- 2
- Primary Endpoint
- Antibiotic treatment rates in hospitalized children with non-severe community-acquired pneumonia and fever
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
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.
Detailed 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.
Investigators
Eligibility Criteria
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
Outcomes
Primary Outcomes
Antibiotic treatment rates in hospitalized children with non-severe community-acquired pneumonia and fever
Time Frame: During hospitalization, an average of 7 days
Rates of treatment with and without antibiotics during hospitalization
Secondary Outcomes
- 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)