The goal of this study was to evaluate the pharmacokinetics and safety of ampicillin for the treatment of sepsis and/or meningitis in infants at various gestational ages, chronological ages, and birth weights.
Adriana Tremoulet, MD, of Rady Children's Hospital, discusses the ampicillin study.
Ampicillin is the most commonly prescribed medication in the neonatal intensive care unit (NICU), used for treatment of bacterial infections including sepsis and meningitis. However, information was lacking on dosing and safety in the infant population.
We examined prospectively collected data from infants admitted between 1997 and 2010 at 305 intensive care nurseries managed by the Pediatrix Medical Group in the United States. A pharmacokinetic data analysis was performed, in combination with a retrospective chart review of collected information, to verify clinical data. We examined all recorded laboratory values and diagnoses associated with ampicillin use in infants with and without culture-proven infections. We also compared the odds of adverse events in infants receiving ampicillin alone or in combination with other antibiotics (e.g., cefotaxime, vancomycin, gentamicin).
Characterization of the population pharmacokinetics of ampicillin in neonates using an opportunistic study design.
Tremoulet A, Le J, Poindexter B, Sullivan JE, Laughon M, Delmore P, Salgado A, Chong SI, Melloni C, Gao J, Benjamin DK Jr, Capparelli EV, Cohen-Wolkowiez M; on behalf of the Administrative Core Committee of the Best Pharmaceuticals for Children Act — Pediatric Trials Network.
Antimicrobial Agents and Chemotherapy • June 2014, volume 58, issue 6, pages 3013-3020.
PMCID: PMC3904301 [Free PMC article]
Pediatric Academic Societies Annual Meeting, May 3-6, 2014
Ampicillin Exposure and Odds of Seizures in a Large Cohort of Hospitalized Neonates
Hornik CP, Benjamin DK Jr., Clark RH, Capparelli EV, Le J, Tremoulet A, Cohen-Wolkowiez M, Smith PB, for the Best Pharmaceuticals for Children Act–Pediatric Trials Network
Pediatric Academic Societies Annual Meeting, May 4-7, 2013
Ampicillin Safety in Hospitalized Infants
Hornik CP, Van Ginkel MW, Benjamin Jr, DK, Cohen-Wolkowiez M, Smith PB
Published; clinical study report submitted to FDA
Adriana Tremoulet, MD
UC San Diego, CA
Michael Cohen-Wolkowiez, MD, PhD
Duke Health, Durham, NC