The Indian Journal of Pediatrics

, Volume 85, Issue 11, pp 963–967 | Cite as

Comparison of Four Days Versus Seven Days Duration of Antibiotic Therapy for Neonatal Pneumonia: A Randomized Controlled Trial

  • N. B. MathurEmail author
  • A. Murugesan
Original Article



To compare the effect of 4 day course (study group) with 7 day course (control group) of antibiotic treatment in neonatal pneumonia, on treatment success rate.


This randomized controlled trial was conducted in a tertiary teaching hospital. Seventy, term and near-term neonates with pneumonia who had clinical remission by 48 h of antibiotic therapy were included. The neonates were randomized to receive a total of 4 d of antibiotics (Group 1) or 7 d of antibiotics (Group 2). The outcome measure was treatment failure in each group within 3 d of discharge.


The treatment success rate of both the groups was 100%. There was a significant reduction in the duration of hospital stay (p < 0.001), antibiotic usage (p < 0.001), and cost (p < 0.001) in the 4 d group. On follow up till 28 d of enrollment, no infective morbidity was found in either group.


For term and near-term neonates who become clinically asymptomatic within 48 h of antibiotic therapy, 4 d of antibiotic therapy is as effective and safe as 7 d of antibiotic therapy, with significant reduction in hospital stay, antibiotic usage and cost.


Duration of antibiotics Effectiveness Neonatal pneumonia Treatment failure 



NBM conceptualized and designed the study, finalized the manuscript and is guarantor of the paper. AM was involved in acquisition of data and drafted the manuscript.

Compliance with Ethical Standards

Conflict of Interest



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Copyright information

© Dr. K C Chaudhuri Foundation 2018

Authors and Affiliations

  1. 1.Department of NeonatologyMaulana Azad Medical CollegeNew DelhiIndia
  2. 2.Department of PediatricsMaulana Azad Medical CollegeNew DelhiIndia

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