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Medication use in the neonatal intensive care unit #MMPMID24347262
Hsieh EM; Hornik CP; Clark RH; Laughon MM; Benjamin DK; Smith PB
Am J Perinatol 2014[Oct]; 31 (9): 811-22 PMID24347262show ga
Objective: We provide an update on medication use in infants admitted to the neonatal intensive care unit (NICU) in the United States and examine how use has changed over time. Study Design: We performed a retrospective review (2005?2010) of a large prospectively collected administrative database. Result: Medications most commonly administered during the study period were ampicillin, gentamicin, caffeine citrate, vancomycin, beractant, furosemide, fentanyl, dopamine, midazolam, and calfactant (56?681 exposures per 1000 infants). Those with the greatest relative increase in use included azithromycin, sildenafil, and milrinone. Medications with the greatest relative decrease in use included theophylline, metoclopramide, and doxapram. Conclusion: Medication use in the NICU has changed substantially over time, and only 35% of the most commonly prescribed medications are FDA-approved in infants.