Health Condition 1: J159- Unspecified bacterial pneumonia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All cases severe pneumonia will be diagnosed by following criteria: i) 2 months to 59 months: WHO criteria for severe pneumonia will be used. ii) 5 to 15 years: Child need to have tachypnea RR >20/min, fever >38 C, SPo2
Exclusion criteria
Exclusion criteria: 1.Prior treatment with corticosteroids in past 3 months 2.Immunological deficiencies state 3.Prexisting liver, kidney or cardiac disease 4.Nosocomial pneumonia 5.Brochiolitis, bronchial asthma, empyema thoracics, persistent or recurrent pneumonia 6.Hemodynamically instability 7.Severe acute malnutrition.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To study the effect of dexamethasone therapy to reduce the clinical failure in children aged 2 month to 15 years with severe community acquired pneumonia.Timepoint: Clinical failure in first 72 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary 1.To compare the a. mortality, b. the duration of the hospital stays, c. need for mechanical ventilation, d. readmission rate within one month e. complications of pneumonia between two groups. 2.To assess the severity of inflammation by assessing (ESR, hsCRP, IL-6,Il 8,IL 10,Procalcitonin) at time of admission and day 4 (after the stopping the steroid therapy) or at the time of discharge. Timepoint: To see the inflammatory markers before starting the intervention or placebo and after 72 hours or at time of discharge | — |
Countries
India
Contacts
Jawarhalal Institute of Postgraduate Medical Education and Research