Clinical Efficacy of Stopping Oral Antibiotics When Symptoms Stop, Compared to 'Finishing the Course'

Trial statusNot yet recruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age1-17
SponsorMurdoch Childrens Research Institute

About this trial

The aim of the StopStop@HITH study is to see if stopping antibiotics when symptoms stop is as good as finishing the course of antibiotics. The study will enrol children at the Royal Children's Hospital who are prescribed oral antibiotics after completing a course of intravenous (IV) antibiotics for the treatment of cellulitis, urinary tract infection (UTI), lower respiratory tract infection (LRTI) and lymphadenitis.

The aims of the study are:

* To determine if oral antibiotics can be safely stopped once symptoms stop in children with cellulitis (who have completed a course of IV antibiotics). * To assess feasibility of a larger study of other common infections across multiple hospitals.

The participants parent/guardian will complete a daily symptom tracker for the duration of the prescribed oral antibiotic course and attend a telehealth appointment with the study team once the participants symptoms have resolved. There are additional follow up surveys at day 14, day 28 and day 180.

Eligibility criteria

Qualifiers

Between the ages of ≥ 1 years and ≤ 17 years at enrolment

Diagnosis of cellulitis, urinary tract infection (UTI), lower respiratory tract infection (LRTI) or lymphadenitis

Prescription of oral antibiotics as a switch from IV antibiotics

Disqualifiers

Clinician determined need for >10-day oral antibiotic course

Child with immunosuppression (e.g. as a result of cancer treatment)

Second episode of same bacterial infection within the last 28 days

Child is unable to take oral antibiotics

Trial design

Treatments tested in this trial

  • Antibiotics for duration of symptoms
  • Antibiotics for duration of prescribed course

Treatment groups

200 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Murdoch Childrens Research Institute

Lead sponsor

Royal Children's Hospital

Collaborator