PICNIC Study - PatIent Centered aNtIbiotic Courses in Children With Medical Complexity

Boston Children's Hospital

Summary

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.

Eligibility

Age range: 2–25 years
Sex: All
Healthy volunteers: No

Detailed criteria

Inclusion Criteria: * Admitted to the Complex Care Service at Boston Children's Hospital with a provider diagnosis of pneumonia * Started on antibiotics by the provider team * Ages 2-25 years old Exclusion Criteria: * Patients initially admitted to the intermediate care unit or ICU due to increased respiratory support needs

Interventions

Other
Clinical Stability Assessment
Base total days of antibiotics on clinical stability vs utilizing predetermined total days of antibiotics

Location

Boston Children's Hospital
Boston, Massachusetts
kathleen.snow@childrens.harvard.edu