Abstract
National guidelines make two recommendations for treatment of young children with mild
pneumonia - one to avoid routine antibiotics and another to use narrow-spectrum antibiotics.
No studies have compared the effectiveness of these two approaches. This pilot study will
evaluate study processes and feasibility of a future clinical trial that proposes to test
whether low-risk children managed as outpatients with mild community-acquired pneumonia (CAP)
treated with supportive treatment without antibiotics will have a similar clinical response,
with fewer adverse effects, compared with those treated with a supportive treatment plan that
includes antibiotics.

