The purpose of this study is to determine the efficacy of addition of corticosteroid therapy to antibiotics in children hospitalized with community-acquired pneumonia. The hypothesis is that the use of corticosteroids decreases the length of stay in children hospitalized with community-acquired pneumonia.
Community-acquired pneumonia (CAP) is a common problem in pediatric practice. The lower respiratory tract infections, particularly pneumonia, are a frequent cause of morbidity in children and is the leading cause of mortality in developing countries. In the last 20 years, despite several research, only a small decrease in morbidity and mortality has been achieved. Corticosteroids have an immune-modulation effect, not completely elucidated. Most likely, this effect is due to down regulation of pro-inflammatory cytokines. We postulate that adding corticosteroids to antibiotic treatment of CAP might change the immune response and thereby reduce morbidity, leading to a decrease in patients hospital length of stay.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Dexamethasone 0.6 mg/kg/day or Methylprednisone 1 mg/kg/day
Hospital General de NIños Pedro de Elizalde
Buenos Aires, Buenos Aires F.D., Argentina
Length of stay
Time frame: participants will be followed for the duration of hospital stay, usually 5 days
Length of fever
Time frame: participants will be followed for the duration of hospital stay, usually 5 days
Length of oxygen use
Time frame: participants will be followed for the duration of hospital stay, usually 5 days
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.