Managing Bacterial Pneumonia in Children Without Antimicrobials

ARCIM Institute Academic Research in Complementary and Integrative Medicine350 enrolled

Overview

Retrospective cohort analysis of children hospitalized for pneumonia comparing disease severity on admission, clinical course, treatment and outcomes and prospective telephone based Follow-Up assessement.

The investigators will conduct a retrospective cohort analysis of children hospitalized for pneumonia at the Filderklinik between December 2006 and November 2010. The Bacterial Pneumonia Score, a validated composite laboratory, clinical and radiologic score developed by Moreno et al, will be retrospectively applied to define cases as either viral or bacterial pneumonia. The investigators will compare disease severity on admission, clinical course, and outcomes (in terms of complications, length of stay and readmission rates) between antimicrobial and non-antimicrobial managed bacterial pneumonia cases. Long-term Follow-Up will be assessed by telephone interviews with the parents.

Study Type

OBSERVATIONAL

Enrollment

350

Conditions

Pneumonia

Interventions

Multimodal TherapyOTHER

Drugs, external applications like chest wraps, inhalations

Eligibility

Sex: ALLMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Hospital admission at the pediatric department of the Filderklinik. * Admission diagnosis pneumonia (ICD J12.0, J12.1, J12.8, J12.9, J14, J15.1, J15.6, J15.7, J15.8, J15.9, J16.8, J18.0, J18.1, J18.8, J18.9 - all 12s, 15s, 16s, 18s) Exclusion Criteria: * None

Locations (1)

Arcim Institute

Filderstadt, Baden-Wurttemberg, Germany

Outcomes

Primary Outcomes

Cure rate of non-antimicrobial management of bacterial pneumonia

Cure rate of non-antimicrobial management of bacterial pneumonia (in the following and in the final publication, the term "bacterial pneumonia" will be used for children who fulfill the Moreno criteria for pneumonia): % of children managed without antimicrobials since admission, without subsequent need for antimicrobials or readmission.