Drug Effect
Conditions
Brief summary
This study will measure plasma concentrations of piperacillin-tazobactam and cefazolin in pediatric patients supported with extracorporeal membrane oxygenation (ECMO) aiming to better understand the pharmacokinetics of these medications in this in vivo setting.
Interventions
Administered for infection treatment or prophylaxis per hospital protocol
Administered for infection treatment or prophylaxis per hospital protocol
Sponsors
Study design
Eligibility
Inclusion criteria
* supported on ECMO * receive piperacillin-tazobactam or cefazolin as part of routine care or infection management
Exclusion criteria
* \>= 18 years * No Consent provided
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Plasma concentration: piperacillin-tazobactam | Peri drug dose administration until cessation of antibiotic therapy or cessation of ECMO support up to a maximum of 4 weeks. | Drug levels will be checked at baseline followed by additional measurements after the dose based on the dosing intervals but anticipated to be 30, 60, 120, 360, 480 minutes after the dose. Dosing regime will be q8-12 hourly pending end organ function (at the discretion of the treating team). The study will be continued for the duration of the Antibiotic therapy whilst on ECMO support and for one set of samples following decannulation. |
| Plasma concentration: cefazolin | Peri drug dose administration until cessation of antibiotic therapy or cessation of ECMO support up to a maximum of 4 weeks. | Drug levels will be checked at baseline followed by additional measurements after the dose based on the dosing intervals but anticipated to be 30, 60, 120, 360, 480 minutes after the dose. Dosing regime will be q8-12 hourly pending end organ function (at the discretion of the treating team). The study will be continued for the duration of the Antibiotic therapy whilst on ECMO support and for one set of samples following decannulation. |
Countries
United States