PromotIng Optimal Treatment for Community-acquired PNeumonia in EmErgency Rooms

Inclusion Criteria: Children aged 6 month to 18 years presenting to the Emergency Department who are diagnosed with CAP and are well enough to be discharged home (i.e. 'non-severe' CAP) will be eligible. They must have a fever (on exam or by history) and at least one of: * Tachypnoea measured at triage (\>60 bpm for age \<1, \>50 for 1-2 years of age, \>40bpm for 2-4 years of age, and \>30bpm for \>4 years of age) * Cough on exam or by history * Increased work of breathing on exam * Auscultatory finding (focal crackles, bronchial breathing, etc.) consistent with CAP Exclusion Criteria: Children will be excluded if they have any of the following * Cystic Fibrosis * Anatomic Lung Disease * Bronchiectasis * Chronic Lung Disease requiring home oxygen or home ventilation * Congenital heart Disease (requiring specific medical treatment or with exercise restrictions), * History of repeated aspiration/velopharyngeal incompetence * Malignancy * Immunodeficiency (primary, acquired or iatrogenic) * Pneumonia previously (clinically) diagnosed within the past month (that was presumed to have resolved prior to the episode prompting the current visit to the ED) * Lung abscess within the past 6 months * Children who present with ongoing fever after 4 days of amoxicillin, cefprozil, cefuroxime, levofloxacin, moxifloxacin or doxycycline are not eligible; as this duration of therapy with these drugs would normally be sufficient to treat bacterial CAP, a different approach would be required…