ArticleArchives of disease in childhood2000
Rationalised prescribing for community acquired pneumonia: a closed loop audit.
Article in Archives of disease in childhood, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.
- Guideline
- Pandemic flu. Clinical management of patients with an influenza-like illness during an influenza pandemic.The Journal of infection · 2006Guideline
- British Thoracic Society Guidelines for the Management of Community Acquired Pneumonia in Childhood.Thorax · 2002Guideline
- Trial
- Are parents of children hospitalized with severe community-acquired pneumonia more satisfied with care when physicians allow them to share decisions on the antibiotic route?Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Impact of Infectious Diseases Society of America/Pediatric Infectious Diseases Society guidelines on treatment of community-acquired pneumonia in hospitalized children.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2014Article
- Changing clinical practice: management of paediatric community-acquired pneumonia.Journal of evaluation in clinical practice · 2014Article
- Aetiology of paediatric pneumonia after the introduction of pneumococcal conjugate vaccine.The European respiratory journal · 2013Article
- Impact of the 7-valent pneumococcal conjugate vaccine on the incidence of childhood pneumonia.Epidemiology and infection · 2013Article
- Article
- Quantitative cardiovascular magnetic resonance in pregnant women: cross-sectional analysis of physiological parameters throughout pregnancy and the impact of the supine position.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2011Article
- Mycoplasma pneumoniae respiratory tract infections among Greek children.Hippokratia · 2011Article
- Prediction of delayed recovery from pediatric community-acquired pneumonia.Italian journal of pediatrics · 2010Article
- Not every cough in bronchiolitis season is bronchiolitis.BMJ case reports · 2009Article
- Rapid optimization of antimicrobial chemotherapy given to pediatric patients with community-acquired pneumonia using PCR techniques with serology and standard culture.Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 2007Article
- Effective treatment strategies for paediatric community-acquired pneumonia.Expert opinion on pharmacotherapy · 2007Review
- Children with pneumonia: how do they present and how are they managed?Archives of disease in childhood · 2007Article
- Management of community-acquired pneumonia in children.Paediatric drugs · 2007Review
- [Adenoviral respiratory diseases in healthy children: a study of 116 hospital cases].Antibiotiques (Paris, France : 1999) · 2004Article
- Severe acute respiratory syndrome (SARS): chest radiographic features in children.Pediatric radiology · 2004Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo audit the management of community acquired pneumonia before and after the introduction of a protocol. To determine the aetiology of pneumonia using routine investigations and polymerase chain reaction (PCR).
methodsRetrospective and prospective audit following the introduction of a management protocol. Prospective cases were investigated routinely and with PCR on blood and nasopharyngeal aspirate.
resultsThere was a significant increase in rational prescribing following introduction of the protocol with 75% of children receiving intravenous penicillin or erythromycin compared with 26% beforehand. Of 89 children in the prospective group, 51 microbiological diagnoses were achieved in 48 children. Seven children had Streptococcus pneumoniae infection, 14 had Mycoplasma infection, six had pertussis, and one had Chlamydia pneumoniae infection. Twenty three children had a viral cause of which respiratory syncytial virus was commonest.
conclusionsIntroduction of the protocol led to improved prescribing. PCR increased the diagnostic yield and the results support the management protocol.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.