To determine if clinicians can safely reduce antibiotic exposure in children with medical complexity (CMC) who are diagnosed with pneumonia by implementing an intervention that bases total antibiotic duration on an individual's clinical stability.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
50
Base total days of antibiotics on clinical stability vs utilizing predetermined total days of antibiotics
Boston Children's Hospital
Boston, Massachusetts, United States
RECRUITINGProportion of eligible patients who consent to participate in the intervention
Caregiver and medical provider acceptability
Time frame: 48 hours
Rate of persistent and worsening respiratory symptoms measured by patient's clinical status; the rate of emergency department revisit or hospital readmission within 1 week of antibiotic discontinuation
Patient Safety Outcomes
Time frame: 1 week
Median days of antibiotics received for patients in the intervention group as well as from historical control group
Pneumonia antibiotic duration
Time frame: 30 days
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