Pneumonia and Empyema in Emergency Departments in Children

February 7, 2024 updated by: Association Clinique Thérapeutique Infantile du val de Marne

French Epidemiological Pediatric Study on Pneumonia and Empyema in Emergency Departments in Children 1 Month to 15 Years

Describe the epidemiology of hospitalized pediatric pneumonia and pneumonia with pleural effusion: frequency, clinical and biological characteristics, responsible bacteria and pneumococcus place, antibiotic resistance, treatment, vaccine status.

Study Overview

Status

Recruiting

Conditions

Detailed Description

The pneumonia observatory began in June 2009 and has included more than 15,000 children with pneumonia or pneumonia with pleural effusion (hospitalized or not) until May 2019. This study led to the publication of many articles in international peer-reviewed journals. Since June 2019, the scientific committee of the study met at the ESPID congress has decided to include only hospitalized patients. This amendment is justified for three reasons:

Change in criteria for diagnosing pneumonia with increasing use of chest ultrasound
Logistical aspects and workload of investigating centers too important
Long-term impact of pneumococcal vaccine 13-valent especially marked for the most severe cases In this context, the purpose of this amended study is to enroll only the most severe cases of pneumonia, i.e. requiring hospitalization, in ICU or not. Since this study began in 2009, we have already enrolled hospitalized cases, we will have a baseline prior to the introduction of third-generation PCVs (pneumococcal conjugate vaccines) and we will be able to continue monitoring with data since 2009.

Study Type

Observational

Enrollment (Estimated)

20000

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Corinne Levy, MD
Email: corinne.levy@activ-france.fr

Study Locations

France
- - Créteil, France, 94000
    - Recruiting
    - ACTIV
    - Contact:
      
      Corinne Levy, MD
      
      Phone Number: 0033148850404
      
      Email: corinne.levy@activ-france.fr
    - Contact:
      
      Stéphane Béchet, MSc
      
      Phone Number: 0033148850404
      
      Email: stephane.bechet@activ-france.fr

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

1 month to 15 years (Child)

Accepts Healthy Volunteers

N/A

Sampling Method

Probability Sample

Study Population

Hospitalized children presenting with pneumonia or pleural effusion

Description

Inclusion Criteria:

ages between 1 month and 15 years
presence of parenchymatous condensation and/or pleural effusion on chest x-rays and/or ultrasounds and/or CT scans
fever ≥38.5 °C if age ≥3 months since the onset of symptoms or ≥38 °C if the child is less than 3 months old.
Hospitalization

Exclusion Criteria:

Refusal of participation by the patient, his or her relative or legal representative (depending on the situation)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Epidemiology of hospitalized pediatric pneumonia and pneumonia with pleural effusion Time Frame: 15 years	- Describe the epidemiology of hospitalized pediatric pneumonia and pneumonia with pleural effusion: frequency, clinical and biological characteristics, responsible bacteria and pneumococcus place, antibiotic resistance, treatment, vaccine status.	15 years

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Treatments Time Frame: 15 years	Describe the therapeutics in place	15 years
Impact of pneumococcal conjugate vaccines Time Frame: 15 years	Measuring the impact of PCV vaccines on pneumonia and pleural effusion	15 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Association Clinique Thérapeutique Infantile du val de Marne

Collaborators

Pfizer

Investigators

Study Director: Robert Cohen, MD, GPIP

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 1, 2009

Primary Completion (Estimated)

June 1, 2025

Study Completion (Estimated)

June 1, 2025

Study Registration Dates

First Submitted

March 2, 2022

First Submitted That Met QC Criteria