Evidence map›Paper›PMID 41826670›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

Evaluating the duration of post-discontinuation therapeutic ampicillin exposures in preterm infants.

Angelique E Boutzoukas, Jennifer Le, Ryan Kilpatrick, Michael J Smith, Matthew Laughon, Daniel Gonzalez, Kelly C Wade, Rachel G Greenberg, Melissa Babilonia-Rosa, Daniel K Benjamin and 2 more

Abstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Angelique E BoutzoukasDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, USA. Angelique.boutzoukas@duke.edu.ORCID http://orcid.org/0000-0002-9477-1492
Jennifer LeSkaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, La Jolla, CA, USA.
Ryan KilpatrickDepartment of Pediatrics, Tufts University School of Medicine, Boston, MA, USA.ORCID http://orcid.org/0000-0003-1059-2401
Michael J SmithDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Matthew LaughonUniversity of North Carolina, Chappel Hill, NC, USA.ORCID http://orcid.org/0000-0002-4052-3215
Daniel GonzalezDuke Clinical Research Institute, Durham, NC, USA.
Kelly C WadeDepartment of Pediatrics, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-7859-0771
Rachel G GreenbergDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, USA.ORCID http://orcid.org/0000-0003-4156-8543
Melissa Babilonia-RosaDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Daniel K BenjaminDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Michael Cohen-WolkowiezDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Kanecia O ZimmermanDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, USA.

Funding

Unified Program for Therapeutics in Children (UPTiC)T32HD094671 · NICHD · DUKE UNIVERSITY · PI Ian J Davis, Kanecia Obie Zimmerman · 2019 to 2026
$2.9M
Short-course ampicillin in preterm neonates to promote antimicrobial stewardshipK23HD113839 · NICHD · DUKE UNIVERSITY · PI Angelique Eleni Boutzoukas · 2025 to 2026
$385k
U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) K23HD113839U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) T32HD094671
6 · The paper itself

Abstract

objectiveDetermine if preterm infants have prolonged therapeutic post-discontinuation antibiotic exposures (PDAE) following empiric ampicillin. STUDY

designProspective study of 27 infants ≤7 days and <37 weeks gestational age (GA) receiving ampicillin (200 mg/kg/day); 49 post-discontinuation PK samples were collected. Exposures were predicted using PK simulations and a prior ampicillin PK model. The probability of target attainment 24- and 36-h after the final ampicillin dose for various minimum inhibitory concentrations (MICs) and the duration of therapeutic PDAE was calculated.

resultAt 24- and 36-h after ampicillin, the probability of exposures ≥1 μg/mL was 95% and 60%, respectively. PDAE (≥1 μg/mL) lasted a median 33 h (95% confidence interval: 15, 79), and varied with GA, from median 53 h (<28 weeks GA) to 27 h (34-36 weeks GA).

conclusionMany preterm infants experience therapeutic exposures at least 24 h after the final ampicillin dose. Shorter courses could be considered.

Indexed as

AmpicillinAnti-Bacterial AgentsInfant, PrematureFemaleGestational AgeHumansInfant, NewbornMaleMicrobial Sensitivity TestsProspective StudiesTime FactorsAmpicillinAnti-Bacterial Agents

Identifiers

PMID41826670
PMCPMC13290478

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.