Community acquired alveolar pneumonia. Respiratory Pneumonia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Participation in the study will be all infants and young children who meet the following criteria: 1. Children aged 6-59 months who are residents of the Negev region of southern Israel attending the Soroka emergency room (ER) 2. Provision of informed consent required for follow-up visits (visits 2 and 3) 3. Body temperature measured as 38 °C or higher 4. White blood cells count (WBC): 15,000 cells/ml or higher 5. Chest X-ray with alveolar pneumonia as defined by World Health Organisation (WHO)
Exclusion criteria
Exclusion criteria: 1. Patients received any systemic antimicrobial therapy 2 weeks or less before enrolment 2. Patient candidate for parenteral treatment: a. Patients with sepsis (pneumonia with impaired perfusion, low blood pressure, oliguria, lactic acidosis, impaired consciousness) b. Pleural effusion in X-ray c. Recurrent vomiting per history or following treatment trial in the ER 3. O2 saturation <94% 4. Patients with impaired immune system 5. Patients with two or more episodes of pneumonia in the 12 months prior to current illness 6. Patients with chronic diseases (patients with asthma are included in this study) 7. Patients with other infection sites such as clinical dysentery, urinary tract infection, acute otitis media (proven by tympanocentesis), or suspecting meningitis 8. Patients allergic to penicillin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is treatment failure defined as: 1. Any patient who will need the study drug replaced 2. Admission to the pediatric wards due to deterioration in medical condition, both after the first 24 hours following the initiation of treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| No secondary outcome measures | — |
Countries
Israel