Infection Clinical Trial
Official title:
Antimicrobial Pharmacokinetics in High Risk Infants (Urinary Proteomics in Antimicrobial/Antifungal-Treated Newborns - add-on Study)
The purpose of this protocol is to provide a mechanism for the ongoing collection of blood and urine samples in newborns that will be used to measure levels of antimicrobial products used in the newborn population where there are limited pharmacokinetic data in either premature or term infants.
Greater than 90% of infants born <32 weeks admitted to critical care nurseries are treated
with antimicrobial agents during their NICU hospitalization. Most antimicrobial products
used in the neonatal population lack some aspect of pharmacokinetic information specific to
neonates. Dosing is based largely on pharmacokinetic data from older children or in some
cases, adults. This study will also establish a bank of urine samples from newborns treated
with antimicrobial and/or antifungal therapy and to characterize the urinary proteome in
selected samples. The sites of the NIH-sponsored Pediatric Pharmacology Research Network
(PPRU) have access to appropriate assays using microliter amounts of serum and a large pool
of potential subjects to generate meaningful data that will
1. Guide dosing of commonly used antimicrobial agents, and
2. Provide preliminary data for future industry and government trials in the nursery.
;
Time Perspective: Retrospective
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