Shorter vs. longer antibiotics for kids with pneumonia: which works best?
NCT ID NCT02783859
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether giving children a longer course of antibiotics (amoxicillin-clavulanic acid) after hospitalization for pneumonia leads to better recovery compared to a shorter course. It involved 314 children aged 3 months to 5 years in Australia. The goal was to see if longer treatment reduces long-term breathing problems or lung damage.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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314 people
The number who actually took part.
- Started
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Jun 2016
- Finished
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Dec 2022
- 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.
- Ages
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3 months to 5 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Hospitalised children aged 3-mo to 5-yrs (in Darwin, children have to be Indigenous) 2. Have features of severe pneumonia on admission (temperature \>37.5 celsius or a history of fever at home or observed at the referring clinic, age-adjusted tachypnoea \[respiratory rate\>50 if \<12-months; respiratory rate\>40 if \>12-months\] with chest wall recession and/or oxygen saturation \<92% in air), and consolidation on chest X-ray as diagnosed by treating clinician 3. After 1-3 days of IV antibiotics, are afebrile, with improved respiratory symptoms and signs, oxygen saturation\>90% in air and are ready to be switched to oral amoxicillin-clavulanate, and 4. Have symptoms of no longer than 7 days at point of hospitalisation. Exclusion Criteria: 1. Current wheeze 2. Underlying chronic illness other than asthma (e.g. bronchiectasis, cyanotic congenital heart disease or cardiac failure, neuromuscular disorders, immunodeficiency) that could potentially influence the current illness 3. Severe malnutrition (weight-for-height Z-score \<-3) 4. Complicated (effusion, empyema or abscess) pneumonia, including tuberculosis 5. Extra-pulmonary infection requiring antibiotic therapy (e.g. meningitis) 6. Beta-lactam allergy 7. Previously enrolled 8. Lack a mobile phone and/or unable to return for follow-up clinic visits during the next 24 months
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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
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Menzies School of Health Research
Darwin, Northern Territory, 0812, Australia
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Sabah Women and Children's Hospital
Kota Kinabalu, Sabah, 88996, Malaysia
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Sarawak General Hospital
Sibu, Sarawak, 96000, Malaysia
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Starship Children's Hospital & KidzFirst Hospital
Auckland, Auckland, 1142, New Zealand
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University Malaya Medical Centre and Klang Hospital
Kuala Lumpur, Kuala Lumpur, 59100, Malaysia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- AI could outsmart bacteria: a smarter way to choose antibiotics?
- Breathing technique may outperform spirometry for smog pneumonia recovery
- A gentle touch against coughs and colds: could manual therapy shorten respiratory illness?
- Can a smart oxygen device shorten hospital stays for pneumonia?