Tiny camera down the windpipe: new hope for kids with tough pneumonia?
NCT ID NCT07421440
First seen Jun 25, 2026 · Last updated Jul 21, 2026 · Updated 3 times
Summary
This study looks at whether a procedure called flexible bronchoscopy can help doctors find the exact germ causing pneumonia in children who are not getting better with standard antibiotics. The study will include 58 children in the intensive care unit at a hospital in Cairo. If it works, this approach could lead to more targeted treatments and better outcomes for these seriously ill children.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- flexible fiberoptic bronchoscopy with bronchoalveolar lavage
- What this could lead to
- If successful, this could show that bronchoscopy helps doctors identify the exact germ causing stubborn pneumonia, leading to more targeted and effective treatments for critically ill children.
- What could go wrong
- This is a small, single-center study with only 58 children, so results may not apply to all patients. The procedure itself carries risks like bleeding or infection, and it may not always find a clear cause.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
70 people
The number who actually took part.
- Started
-
Feb 2023
- Finished
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Aug 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Children aged 3 months to 18 years admitted to the Pediatric Intensive Care Unit at Abu El-Reesh Children's Hospital, Cairo University, with resistant pneumonia who underwent flexible fiberoptic bronchoscopy with bronchoalveolar lavage as part of their diagnostic evaluation
- Ages
-
3 months to 14 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * \- Children aged more than 3 months and less than 14 years. * Admitted to Pediatric Intensive Care Unit (PICU). * Severe pneumonia defined as cough or difficulty breathing with at least one of the following: * Oxygen saturation \< 90% on pulse oximetry * Severe respiratory distress * General danger signs (inability to drink, lethargy, convulsions) * No clinical or radiological improvement after at least five days of first-line broad-spectrum antibiotic therapy. * Informed consent obtained from parent or legal guardian. Exclusion Criteria: * Age less than 3 months or more than 14 years. * Absolute contraindication to flexible bronchoscopy (severe refractory hypoxemia, hemodynamic instability, uncorrected bleeding disorder). * refusal of informed consent by parents or legal guardian
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Abu Elreesh children hospital , faculty of medicine , cairo university
Cairo, Cairo Governorate, Egypt
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Other studies related to the condition(s) this trial covers.
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