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Oseltamivir Dosing for Influenza Infection in Premature Neonates
Author(s) -
Edward P. Acosta,
Penelope Jester,
Péter Gál,
John Wimmer,
Joni Wade,
Richard J. Whitley,
David W. Kimberlin
Publication year - 2010
Publication title -
the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1086/654930
Subject(s) - oseltamivir , dosing , medicine , neonatal intensive care unit , population , intensive care unit , neuraminidase inhibitor , pediatrics , emergency medicine , intensive care medicine , pharmacology , covid-19 , environmental health , disease , infectious disease (medical specialty)
Under the Emergency Use Authorization issued in April 2009, oseltamivir can be used to treat 2009 influenza A (H1N1) virus infection in children aged <1 year. No data exist on the dosing of oseltamivir in premature babies. A hospital health care worker inadvertently exposed 32 neonatal intensive care unit babies to 2009 influenza A (H1N1); a protocol was expeditiously implemented to collect samples for pharmacokinetics and dosage evaluation. Results suggest 1.0 mg/kg/dose twice daily in premature babies produces oseltamivir carboxylate exposures similar to that in older children receiving 3.0 mg/kg/dose twice daily. These results provide initial guidance on dosing oseltamivir in this vulnerable population.

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