Optimizing Antibiotic Duration in Young Infants with Possible Serious Bacterial Infection: A Landmark Multicountry RCT

Highlight

  • Switching from injectable to oral antibiotics after 48 hours is safe and effective for young infants with moderate-risk possible serious bacterial infection (PSBI).
  • Early hospital discharge reduces inpatient stay duration without increasing poor clinical outcomes, including mortality and severe infection signs.
  • High treatment adherence to oral amoxicillin was achieved across diverse low- and middle-income countries, supporting feasibility.
  • This strategy may optimize health system capacity and reduce risks of hospital-acquired infections in resource-limited settings.

Study Background

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