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The Angel in the Marble: Antibiotic Duration in the Neonatal Intensive Care Unit

Research output: Contribution to journalReview articlepeer-review

Abstract

Antimicrobial stewardship in the neonatal intensive care unit is a critically important tool to optimize clinical outcomes. The ideal duration of antimicrobial treatment is a key area that contains many knowledge gaps. This narrative review has three aims. One, to highlight the existing evidence for empiric and definitive antibiotic treatment durations for infants; two, to focus on clinical situations where further studies are needed; and three, to propose a rational, goal-based approach to clinical studies that provide for infant safety as shorter treatment durations are investigated.

Original languageEnglish (US)
Article number228
JournalAntibiotics
Volume15
Issue number2
DOIs
StatePublished - Feb 2026
Externally publishedYes

Keywords

  • antibiotic
  • meningitis
  • necrotizing enterocolitis
  • neonate
  • sepsis
  • stewardship

ASJC Scopus subject areas

  • Microbiology
  • Biochemistry
  • General Pharmacology, Toxicology and Pharmaceutics
  • Microbiology (medical)
  • Pharmacology (medical)
  • Infectious Diseases

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