Status:

NOT_YET_RECRUITING

Urine Pneumococcal Antigen Project

Lead Sponsor:

Liverpool School of Tropical Medicine

Collaborating Sponsors:

Malawi Liverpool Wellcome Programme

Conditions:

Pneumonia

Pneumonia - Bacterial

Eligibility:

All Genders

12-24 years

Brief Summary

Background:Pneumonia caused by the bacteria Streptococcus pneumoniae is a leading cause of death among children under five years of age, especially in sub-Saharan Africa. Accurate diagnosis remains ch...

Detailed Description

Study type: This is a nested case-control sub-study within the multi-site, observational NP Resistome study (COMREC reference P.10/24-1200). Background: Pneumococcal pneumonia is a leading cause of ...

Eligibility Criteria

Inclusion

  • Inclusion criteria for healthy children in the community
  • • Child aged between12-24 months.
  • Exclusion criteria for healthy children in the community
  • Presence of any of the following symptoms: fever, cough, difficulty in breathing or fast breathing.
  • Currently taking long-term antibiotic prophylaxis, TB treatment or immunosuppressive medications.
  • Diagnosis of an immunosuppressive illness, including HIV infection.
  • Hospital admission within the past six months.
  • Inclusion criteria for children with pneumonia in the community
  • Child aged between12-24 months.
  • Presence of all of the following symptoms: fever, cough, difficulty in breathing and fast breathing.
  • Participant has been prescribed antibiotics for treatment of a lower respiratory tract infection on this presentation.
  • Exclusion criteria for children with pneumonia in the community
  • Severe anaemia, with a recorded haemoglobin level \< 70 grams per Litre.
  • Currently taking long-term antibiotic prophylaxis, TB treatment or immunosuppressive medications.
  • Diagnosis of an immunosuppressive illness, including HIV infection.
  • Hospital admission within the past six months.
  • Inclusion criteria for children hospitalised with pneumonia
  • Child aged between 12-24 months.
  • Presence of all of the following symptoms: fever, cough, difficulty in breathing and fast breathing.
  • Participant has been prescribed antibiotics for treatment of a lower respiratory tract infection on this presentation.
  • Exclusion criteria for children hospitalised with pneumonia
  • Severe anaemia, with a recorded haemoglobin level \< 70 grams per Litre.
  • Currently taking long-term antibiotic prophylaxis, TB treatment or immunosuppressive medications.
  • Diagnosis of an immunosuppressive illness, including HIV infection.
  • Hospital admission within the past six months.
  • Inclusion criteria for children re-hospitalised with pneumonia
  • Child aged between12-24 months.
  • Presence of all of the following symptoms: fever, cough, difficulty in breathing and fast breathing.
  • Participant has been prescribed antibiotics for treatment of a lower respiratory tract infection on this presentation.
  • Hospital admission to ANY hospital with a lower respiratory tract infection within the past 3 months.
  • Exclusion criteria for children re-hospitalised with pneumonia
  • Severe anaemia, with a recorded haemoglobin level \< 70 grams per Litre.
  • Currently taking long-term antibiotic prophylaxis, TB treatment or immunosuppressive medications.
  • Diagnosis of an immunosuppressive illness, including HIV infection.

Exclusion

    Key Trial Info

    Start Date :

    October 1 2025

    Trial Type :

    OBSERVATIONAL

    Allocation :

    ESTIMATED

    End Date :

    August 1 2027

    Estimated Enrollment :

    350 Patients enrolled

    Trial Details

    Trial ID

    NCT07181200

    Start Date

    October 1 2025

    End Date

    August 1 2027

    Last Update

    September 18 2025

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