Pneumonia
Conditions
Brief summary
To determine if clinicians can safely reduce antibiotic exposure in children with medical complexity (CMC) who are diagnosed with pneumonia by implementing an intervention that bases total antibiotic duration on an individual's clinical stability.
Interventions
OTHERClinical Stability Assessment
Base total days of antibiotics on clinical stability vs utilizing predetermined total days of antibiotics
Sponsors
Boston Children's Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
2 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
* Admitted to the Complex Care Service at Boston Children's Hospital with a provider diagnosis of pneumonia * Started on antibiotics by the provider team * Ages 2-25 years old
Exclusion criteria
* Patients initially admitted to the intermediate care unit or ICU due to increased respiratory support needs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of eligible patients who consent to participate in the intervention | 48 hours | Caregiver and medical provider acceptability |
| Rate of persistent and worsening respiratory symptoms measured by patient's clinical status; the rate of emergency department revisit or hospital readmission within 1 week of antibiotic discontinuation | 1 week | Patient Safety Outcomes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Median days of antibiotics received for patients in the intervention group as well as from historical control group | 30 days | Pneumonia antibiotic duration |
Countries
United States
Contacts
Primary ContactKathleen Snow, MD
Outcome results
None listed