Infection, particularly pneumonia is often the event leading to death in children with terminal illnesses
Discuss and record a course of action with the parents ± child in advance of the terminal phase if possible, making it clear that any decisions can be revised as time goes on
Sometimes antibiotics will improve a symptom and improve quality of life in which case they may be appropriate in the terminal phase
Treatment of infection may not change the outcome but may allow parents to feel they did everything possible for their child. Whatever the decision ensure the parents are as comfortable as possible with it as it may seriously affect the grieving process if this is not the case