Improving antibiotic use in critically ill children with respiratory infections

Respiratory Culture Stewardship to Reduce Antibiotic Use in Critically Ill Children

NIH-funded research Johns Hopkins University · NIH-11046525

This study is looking at ways to help doctors give fewer unnecessary antibiotics to critically ill children on ventilators by improving how they test for infections, so kids can get the right treatment without the risks of overusing antibiotics.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionJohns Hopkins University NIH-funded
Lab location1 site (Baltimore, United States)
Project IDNIH-11046525 on NIH RePORTER

What this research studies

This research focuses on reducing unnecessary antibiotic use in critically ill children who are mechanically ventilated and at risk for ventilator-associated infections (VAIs). By implementing a strategy known as diagnostic stewardship, the study aims to improve the accuracy of respiratory cultures, which are often misleading and lead to over-treatment with antibiotics. The approach involves standardizing clinical practices to better differentiate between bacterial colonization and actual infection, ultimately aiming to decrease the reliance on antibiotics in pediatric intensive care units.

Who could benefit from this research

Good fit: Ideal candidates for this research are critically ill children who require mechanical ventilation and are at risk for developing ventilator-associated infections.

Not a fit: Patients who are not mechanically ventilated or do not have a risk of ventilator-associated infections may not benefit from this research.

Why it matters

Potential benefit: If successful, this research could significantly reduce antibiotic overuse in critically ill children, leading to better health outcomes and decreased rates of antibiotic resistance.

How similar studies have performed: Similar approaches in diagnostic stewardship have shown promise in other healthcare settings, indicating potential for success in this novel application.

Where this research is happening

Baltimore, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.