We aim to assess implementation of our revisedinstitutional guidelines pertaining to:(1) Initial empiric antibiotic givenAmpicillin/amoxicillin are first-line for healthy, fullyimmunizedchild; use of broad-spectrum antibiotic isdependent on various factors (Table 3)(2) Time to antibiotic de-escalationAppropriate de-escalation from a broad- to narrowspectrumantibiotic is ≤72 hours(3) Total antibiotic durationAppropriate duration of antibiotic therapy is 5-7 days