children
Conditions
Interventions
-Feverkidstool: a clinical decision rule that assess the individual risk for pneumonia in children with fever
-a risk based strategy for treatment advice (discharge, watchfull waiting, or antibiotics
Sponsors
Erasmus MC - Sophia
Eligibility
Inclusion criteria
Inclusion criteria: children aged 1 month – 5 years with fever (parent reported and/or measured during physical examination T >38°C) with signs suspected of community acquired pneumonia (CAP)
Exclusion criteria
Exclusion criteria: -febrile children with antibiotic treatment during the week prior to the ED visit -children with comorbidity, i.e. hemodynamic relevant cardiac disease, pulmonary, neurologic disease or (primary of secondary) immunodeficiency -children with an obvious single other infectious focus (cutaneous, otitis media, rhinitis), those with signs of complicated pneumonia at the moment of presentation (i.e. respiratory failure, pleura empyema, pneumothorax, suspicion of septicaemia), those with (self-reported) intolerance of amoxicillin, and those with suspicion of resistant pathogens due to a visit to foreign countries 2 months prior to the ED visit -patients not understanding or not able to act on safety-net instructions (due to language problems or logistics) in case of deterioration
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of (narrow-spectrum) antibiotic prescriptions and its percentage within the total included population (benefit); Strategy failures (children with complications of CAP within 7 days) (safety). | — |
Secondary
| Measure | Time frame |
|---|---|
| -Compliance to the advice of the feverkidstool; percentage and number of narrow versus broad-spectrum antibiotic prescriptions; Duration and dosages of antibiotic prescriptions -Safety: Number of complications of pneumonia, association of isolated pathogens with complicated CAP course | — |
Contacts
Public ContactR. Oostenbrink
P.O.box 2060
Outcome results
None listed