Table 2.
Clinical management and outcome of children with respiratory symptoms not admitted to hospital, before and after the intervention
| Management and outcome | Before | After | p-value |
| Hospital admission | 102 (7.9) | 14 (8.4) | 0.76 |
| Discharged home | N = 1188 | N = 152 | |
| Phone call contact | |||
| Day 4 | 901 (75.8) | 150 (98.7) | < 0.001 |
| Day 8 | 788 (66.3) | 149 (98.0) | < 0.001 |
| Antibiotic treatment | 556 (46.8) | 54 (35.5) | 0.009 |
| Amoxicillin | 74 (13.3) | 4 (7.4) | 0.29 |
| Amoxicillin/clavulanate | 247 (44.4) | 25 (46.3) | 0.89 |
| Cefuroxime | 92 (16.5) | 15 (27.7) | 0.06 |
| Macrolide | 110 (19.8) | 9 (16.7) | 0.72 |
| Amoxicillin + macrolide | 1 (0.2) | 0 | - |
| Amoxicillin/clavulanate + macrolide | 25 (4.6) | 0 | - |
| Cefuroxime + macrolide | 6 (1.0) | 0 | - |
| Clindamycin | 1 (0.2) | 0 | - |
| Cephalexin | 0 | 1 (1.9) | - |
| Antibiotic treatment by age group | |||
| 12–23 months | 322 (57.9) | 29 (53.6) | 0.57 |
| 24–59 months | 234 (42.1) | 25 (46.4) | |
| Representation within 1 week | N = 141 (11.9) | N = 10 (6.6) | 0.10 |
| Reason revisit | |||
| Prolonged cough | 42 (29.8) | 0 | - |
| High fevera | 33 (23.4) | 7 (70.0) | 0.004 |
| Cough and fever | 14 (9.9) | 1 (10.0) | - |
| Breathlessness | 4 (2.9) | 1 (10.0) | - |
| Prolonged runny nose | 2 (1.3) | 0 | - |
| Routine follow up by physician | 19 (13.5) | 1 (10.0) | - |
| Other | 27 (19.2) | 0 | - |
| Diagnosis at representation | |||
| Pneumonia | 45 (31.9) | 1 (10.0) | |
| Asthma | 7 (5.0) | 2 (20.0) | - |
| Bronchiolitis | 6 (4.3) | 0 | - |
| Bronchitis | 8 (5.7) | 0 | - |
| URTI | 58 (41.1) | 2 (20.0) | - |
| Others (viral infections) | 17 (12.0) | 5 (50.0) | - |
| Antibiotic treatment at representation | 70 (49.6) | 2 (20.0) | |
| Macrolide | 8 (11.4) | 1 (50) | - |
| Cefuroxime | 13 (18.6) | 1 (50) | - |
| Amoxicillin | 1 (1.4) | 0 | - |
| Amoxicillin/clavulanate | 38 (5.3) | 0 | - |
| Amoxicillin/clavulanate + macrolide | 6 (8.6) | 0 | - |
| Cefuroxime + macrolide | 4 (5.7) | 0 | - |
| Hospital admission at representation | N = 25 (17.7) | N = 3 (30.0) | 0.40 |
| Admitted to DHWC | 18 (72.0) | 2 (66.7) | 1.00 |
| Admitted to another hospital | 7 (28.0) | 1 (33.3) | - |
URTI upper respiratory tract infection, DHWC the Da Nang Hospital for Women and Children
asubjective fever as reported by the parent