Respiratory infections
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Consecutive sampling will be used to recruit a broad range of participants which would represent the population of children who present to the ED with respiratory infections. In order to be eligible to participate in this study, a subject must meet all of the following criteria:All patients <18 years of age with fever or a history of fever and respiratory complaints (coughing, difficulty breathing, wheezing, SpO2 <94%, chest wall retractions, tachypnea, runny nose, sore throat, or some other suspicion of respiratory infection) visiting a participating pediatric ED during a continuous two-week period in January 2026. Also, all physicians treating the included children will be invited to participate. This includes physicians who, possibly under supervision, make key decisions regarding the provided care to these patients. Their inclusion is essential to assess factors influencing clinical decision-making.
Exclusion criteria
Exclusion criteria: A potential subject who meets any of the following criteria will be excluded from participation in this study: patients immediately transferred to the pediatric intensive care or patients requiring immediate lifesaving interventions. For treating physicians there are no exclusion criteria.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| This is a descriptive study, the primary outcomes include the frequency of resource utilization in terms of the performance of diagnostic tests (e.g. RVTs, laboratory test and chest X-rays performed yes/no) and applied therapeutic interventions (nebulization and type of antibiotic prescription). | — |
Secondary
| Measure | Time frame |
|---|---|
| As secondary outcome patterns in reasoning and decision-making processes regarding resource utilization will be analyzed. | — |
Countries
Netherlands
Contacts
Erasmus MC, Universitair Medisch Centrum Rotterdam