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| Name | Class |
|---|---|
| Gemeinschaftskrankenhaus Herdecke, Germany | UNKNOWN |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pneumonia with antibiotics | Children with non-severe community acquired pneumonia and fever: managed with antibiotics |
| |
| Pneumonia without antibiotics | Children with non-severe community acquired pneumonia and fever: managed without antibiotics |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Antibiotic treatment | Other | Antibiotic treatment |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Antibiotic treatment rates in hospitalized children with non-severe community-acquired pneumonia and fever | Rates of treatment with and without antibiotics during hospitalization | During hospitalization, an average of 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Number of medical complications | Medical complications defined as a) admission to intensive care, mechanical ventilation, transfer to tertiary car center OR b) pleural effusion or empyema, pneumothorax, lung abscess, bronchopleural fistula, necrotizing pneumonia, acute respiratory failure, infectious complication (meningitis, septic shock). | During hospitalization, an average of 7 days |
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Inclusion Criteria:
Exclusion Criteria:
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Children (aged 3 months to 18 years) who are hospitalized for pneumonia.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jan Vagedes, Dr | Contact | +49 711 7703 | 1688 | j.vagedes@arcim-institute.de |
| Name | Affiliation | Role |
|---|---|---|
| Jan Vagedes, Dr | Arcim Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Die Filderklinik | Recruiting | Filderstadt | Baden-Wurttemberg | 70794 | Germany |
IPD that underlie results in a publication
The data will be made available upon publication for a duration of three months.
The data will be made available to researchers who provide a methodologically sound proposal for use in achieving the goals of the approved proposal.
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| ID | Term |
|---|---|
| D000098968 | Community-Acquired Pneumonia |
| ID | Term |
|---|---|
| D017714 | Community-Acquired Infections |
| D007239 | Infections |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
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| No antibiotic treatment |
| Other |
No antibiotic treatment |
|
| Factors in physician decision making on antibiotic prescription | Physician questionnaire (closed-ended questions) | During hospitalization, an average of 7 days |
| Parental satisfaction | Parental satisfaction questionnaire (closed-ended questions) | At discharge, assessing the entire duration of the hospital stay, an average of 7 days |
| Hospitalization duration | Number of hospitalization days | At discharge, assessing the entire duration of the hospital stay, an average of 7 days |
| Number of children with relevant comorbidity | Co-morbidities that may affect decision on antimicrobial use: a) chronic conditions (e.g. neurological conditions such as cerebral palsy, Down syndrome; or chronic respiratory conditions such as asthma, cystic fibrosis; or heart conditions). b) acute infectious comorbidities: bronchiolitis, otitis media, urinary tract infection, confirmed influenza virus or Respiratory Syncytial Virus or SARS-CoV2. | During hospitalization, an average of 7 days |
| Days of supplemental oxygen use | Oxygen therapy for O2 saturation <92% | During hospitalization, an average of 7 days |
| Use of antipyretic medications | Number of doses of paracetamol or ibuprofen during hospitalization | During hospitalization, an average of 7 days |
| Number of complementary medicine medications used per child | Number of complementary medication during hospitalization | During hospitalization, an average of 7 days |
| Number of readmissions for pneumonia or new pneumonia recurrences within 4 weeks of hospital discharge | New hospital admission for pneumonia; treatment requiring recurrence of pneumonia | 4 weeks after end of hospitalization |
| Herdecke Community Hospital | Recruiting | Herdecke | North Rhine-Westphalia | 58313 | Germany |
|
| D012140 |
| Respiratory Tract Diseases |