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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
80
PO prednisolone, 1 mg/kg/day, for 5 days
Levofloxacin, 10mg/kg/day, IV, for 5days
Seoul National University Children's Hospital
Seoul, South Korea
RECRUITINGFever duration
Time frame: within the first 14 days after intervention
Number of patients improved in chest X-ray
Time frame: within the first 7 days after intervention
Number of patients with side effect of steroid
Time frame: within the first 14 days after intervention
Number of patients improved in chest X-ray
Time frame: within the first 14 days after intervention
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