Vancomycin-sparing care for premature babies

Implementing vancomycin-sparing regimens in preterm infants

NIH-funded research Children's Hosp of Philadelphia · NIH-11262228

This project introduces care plans that use less vancomycin and prefer narrower antibiotics for preterm infants in the NICU to lower side effects and resistant bacteria.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionChildren's Hosp of Philadelphia NIH-funded
Lab location1 site (Philadelphia, United States)
Project IDNIH-11262228 on NIH RePORTER

What this research studies

If your baby is born early and cared for in the NICU, doctors will follow new antibiotic plans that avoid automatic use of vancomycin and favor narrower drugs unless clearly needed. The team will create and spread vancomycin-reducing protocols, train NICU staff, and support consistent decision rules for suspected late-onset sepsis. Researchers will track antibiotic prescriptions, infection outcomes, side effects, and bacterial resistance using medical records and lab data. The aim is safer antibiotic use for preterm and low-birth-weight infants and less spread of drug-resistant germs in the unit.

Who could benefit from this research

Good fit: Preterm infants (around ≤35 weeks gestation) and low-birth-weight babies admitted to participating NICUs who are being considered for empiric antibiotics for suspected late-onset sepsis.

Not a fit: Full-term infants cared for outside participating NICUs or babies with confirmed infections that require vancomycin (for example MRSA) are unlikely to benefit from the vancomycin-sparing approach.

Why it matters

Potential benefit: Could reduce unnecessary vancomycin exposure, lower antibiotic side effects, and decrease antibiotic-resistant bacteria in NICUs.

How similar studies have performed: Prior single-center and smaller programs have safely reduced vancomycin use with similar protocols, but widespread adoption and sustained effects are still limited.

Where this research is happening

Philadelphia, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.