The primary outcome was treatment failure, a composite of unanticipated emergency department visits, outpatient visits, hospital readmissions, or death (all determined to be likely attributable to bacterial pneumonia) within 30 days after completing antibiotic therapy.Four hundred and thirty-nine patients met eligibility criteria; 168 (38%) patients received short-course therapy (median, 6 days) and 271 (62%) received prolonged-course therapy (median, 10 days).
0000019630 00000 n 0000006493 00000 n endstream endobj 247 0 obj <>/Size 148/Type/XRef>>stream Children with tracheostomies; healthcare-associated, hospital-acquired, or ventilator-associated pneumonia; loculated or moderate to large pleural effusion or pulmonary abscess; intensive care unit stay >48 hours; cystic fibrosis/bronchiectasis; severe immunosuppression; or unusual pathogens were excluded. 0000044416 00000 n 0000038285 00000 n The content areas of the Journal reflect the general interests of Academic Pediatric Association members and other health professionals who care for children. Community-acquired pneumonia (CAP) is one of the most common reasons children are hospitalized in the United States [].Children hospitalized for pneumonia receive more days of antibiotic therapy than those hospitalized for any other condition [].The 2011 Infectious Diseases Society of America (IDSA) and Pediatric Infectious Diseases Society (PIDS) guidelines state that “treatment … Pediatric Academic Association is a group practice with 1 location. 0000004506 00000 n 0000004962 00000 n 0000006334 00000 n startxref <<89730939EA0CAC48AC0F37AE519A078F>]>> 0000005387 00000 n 0000044606 00000 n 0000004732 00000 n Search for other works by this author on: Department of Medicine, The Johns Hopkins University School of Medicine 0000007522 00000 n 0000004060 00000 n Four percent of children experienced treatment failure, with no differences observed between patients who received short-course vs prolonged-course antibiotic therapy (odds ratio, 0.48; 95% confidence interval, .18–1.30).A short course of antibiotic therapy (approximately 5 days) does not increase the odds of 30-day treatment failure compared with longer courses for hospitalized children with uncomplicated CAP.Most users should sign in with their email address. 0000005784 00000 n For permissions, please e-mail: journals.permissions@oup.com.This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model ( 0000004393 00000 n 0000006730 00000 n 0000044079 00000 n Inclusion was limited to children with clinical and radiographic criteria consistent with CAP, as adjudicated by 2 infectious diseases physicians. 0000021832 00000 n It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwideFor full access to this pdf, sign in to an existing account, or purchase an annual subscription.Department of Pediatrics, The Johns Hopkins University School of Medicine 0000007123 00000 n In Memoriam: Dr Tomisaku Kawasaki 0000006097 00000 n 0000010679 00000 n 0000003344 00000 n 0000006177 00000 n 0000019959 00000 n 0000005546 00000 n Society of Adolescent Medicine (now the Society for Adolescent Health and … 0000045942 00000 n 148 0 obj <> endobj
0000017869 00000 n 0000035183 00000 n v�Ĕ7��Ѯa��k��#�r�|,6��+��Э�5M�d�&DN��?��Vi iA�? Search for other works by this author on: