Mycoplasma Pneumoniae Pneumonia
Conditions
Brief summary
Mycoplasma pneumoniae is one of the most common causes of community-acquired pneumonia in children. The clinical course is typically self-limited and benign; however, rare cases of severe pneumonia can develop despite appropriate antibiotic therapy. The investigators aim to study the effects of prednisolone on severe M. pneumoniae pneumonia with lobar consolidation or pleural effusion in children.
Detailed description
Mycoplasma pneumoniae is one of the most common causes of community-acquired pneumonia in children. The clinical course is typically self-limited and benign; however, rare cases of severe pneumonia can develop despite appropriate antibiotic therapy. The investigators aim to study the effects of prednisolone on severe M. pneumoniae pneumonia with lobar consolidation or pleural effusion in children. Participants will be randomly assigned (1:1 ratio) to receive either prednisone 1 mg/kg/d daily for 5 days or none. The primary endpoint was fever duration and analysed by intention to treat.
Interventions
PO prednisolone, 1 mg/kg/day, for 5 days
Levofloxacin, 10mg/kg/day, IV, for 5days
Sponsors
Study design
Eligibility
Inclusion criteria
* Evidence of Mycoplasma pneumoniae infection * Lobar pneumonia or pneumoniae with pleural effusion
Exclusion criteria
* Immunosuppresant host * Chronic cardiovascular/pulmonary disease * Hospital acquired infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fever duration | within the first 14 days after intervention |
Secondary
| Measure | Time frame |
|---|---|
| Number of patients improved in chest X-ray | within the first 7 days after intervention |
| Number of patients with side effect of steroid | within the first 14 days after intervention |
Countries
South Korea