Population Pharmacokinetics and Dosing Optimization of Ceftazidime in Term Asphyxiated Neonates during Controlled Therapeutic Hypothermia

Author:

van der Veer Marlotte A. A.1ORCID,de Haan Timo R.2,Franken Linda G. W.1,Hodiamont Caspar J.3,Groenendaal Floris45,Dijk Peter H.6,de Boode Willem P.7,Simons Sinno8,Dijkman Koen P.9,van Straaten Henrica L. M.10,Rijken Monique11,Cools Filip12,Nuytemans Debbie H. G. M.2,van Kaam Anton H.2,Bijleveld Yuma A.1,Mathôt Ron A. A.1,Brouwer Mieke J.,van den Broek Marcel P.,Rademaker Carin M. A.,Liem Djien,Steiner Katerina,Simons Sinno H. P.,Bos Annelies A.,Mulder-de Tollenaer S. M.,Jebbink-Akkerman L. J. M. Groot,Sonnaert Michel,Camfferman Fleur Anne

Affiliation:

1. Department of Hospital Pharmacology and Clinical Pharmacology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands

2. Department of Neonatology, Emma Children’s Hospital, Amsterdam University Medical Center, Amsterdam, The Netherlands

3. Medical Microbiology, Amsterdam University Medical Center, Amsterdam, The Netherlands

4. Department of Neonatology, Wilhelmina Children’s Hospital, Utrecht, The Netherlands

5. Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands

6. University Medical Center Groningen, Beatrix Children’s Hospital, Department of Pediatrics, Division of Neonatology, University of Groningen, Groningen, The Netherlands

7. Department of Neonatology, Radboud University Medical Center, Radboud Institute for Health Sciences, Amalia Children’s Hospital, Nijmegen, The Netherlands

8. Department of Pediatrics, Division of Neonatology, Erasmus MC-Sophia Children’s Hospital, Rotterdam, The Netherlands

9. Department of Neonatology, Máxima Medical Center Veldhoven, Veldhoven, The Netherlands

10. Department of Neonatology, Isala Clinics, Zwolle, The Netherlands

11. Department of Neonatology, Leiden University Medical Center, Leiden, The Netherlands

12. Department of Neonatology, Vrije Universiteit Brussel, Brussels, Belgium

Abstract

Ceftazidime is an antibiotic commonly used to treat bacterial infections in term neonates undergoing controlled therapeutic hypothermia (TH) for hypoxic-ischemic encephalopathy after perinatal asphyxia. We aimed to describe the population pharmacokinetics (PK) of ceftazidime in asphyxiated neonates during hypothermia, rewarming, and normothermia and propose a population-based rational dosing regimen with optimal PK/pharmacodynamic (PD) target attainment.

Funder

ZonMw

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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