New program aims to cut unnecessary antibiotics in ventilated kids

NCT ID NCT04987840

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 2 times

Summary

This study tests whether a diagnostic stewardship program—a set of guidelines to help doctors decide when to order respiratory cultures—can safely reduce antibiotic use in critically ill children on ventilators. Researchers will track changes in how often cultures are taken and how many antibiotics are prescribed across 15 children's hospitals. The goal is to find a way to lower antibiotic overuse without harming patients.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

What this could lead to

If successful, this could provide hospitals with a proven strategy to reduce unnecessary antibiotic use in children on ventilators, lowering the risk of antibiotic resistance.

What could go wrong

This is a very small, early-stage implementation study with only 15 hospitals. It focuses on changing doctor behavior, not testing a new drug, so results may not apply broadly or lead to immediate patient benefits.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

Pneumonia, Ventilator-Associated tracheobronchitis

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Boston Children's Hospital

    Boston, Massachusetts, 02115, United States

  • Children's Hospital and Medical Center Omaha

    Omaha, Nebraska, 68114, United States

  • Children's Minnesota Hospital

    Minneapolis, Minnesota, 55404, United States

  • Cleveland Clinic Children's Hospital

    Cleveland, Ohio, 44106, United States

  • Dell Children's Medical Center

    Austin, Texas, 78723, United States

  • Johns Hopkins Children's Center

    Baltimore, Maryland, 21287, United States

  • Le Bonheur Children's Hospital

    Memphis, Tennessee, 38103, United States

  • Monroe Carell Jr. Children's Hospital

    Nashville, Tennessee, 37232, United States