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Early antibiotic use and incidence of necrotising enterocolitis in very preterm infants: a UK based observational study using routinely recorded data

Safe People

Organisation name

Newcastle Upon Tyne Hospitals NHS Foundation Trust

Applicant name(s)

Janet BerringtonDr Chris GalePer Torp SangildRene Liang ShenSabita UthayaGorm GriesenJulie FormanNicholas Embleton

Funders/ Sponsors

Novo Nordic FoundationNewcastle Upon Tyne Hospitals NHS Foundation Trust

DEA accredited researcher?

No

Safe Projects

Project ID

620A-4C6C-97D0-AC4D-22DC-D8FE

Lay summary

Necrotising enterocolitis (NEC) is a key cause of mortality and morbidity in preterm infants. Early antibiotic use has been shown to impact on rates of NEC, with data suggesting that receipt in the first days after birth is protective, but long duration has adverse impact on NEC rates. We aim to use the large UK dataset of preterm births known as the The National Neonatal Research Database (NNRD) to further delineate this relationship. The NNRD holds data on 'every' preterm neonate admitted in the United Kingdom in a link anonymised fashion, allowing exploration of the role of antibiotics in NEC development in a much bigger population than previously explored.

Public benefit statement

This data will help clinical decisions around early antibiotic receipt (empirical) in preterm infants immediately after birth. Around 3% of all infants are born at below 32 weeks, when risk of NEC development is highest. Better understanding of the role of early antibiotics in modifying NEC risk would have significant global impact.

Latest approval date

22/12/2022

Safe Data

Dataset(s) name
Legal basis for provision of data under Article 6

(a) the data subject has given consent to the processing of his or her personal data for one or more specific purposes;

Lawful conditions for provision of data under Article 9

Not applicable

Common Law Duty of Confidentiality

Section 251 support

Request frequency

One-off

Safe Setting

Access type

Release

How has data been processed to enhance privacy?

Only population level data will be published, ie risks of NEC given exposures to antibiotics