Neonatal Quick Assays (NeoQUACK)

  • Research type

    Research Study

  • Full title

    Neonatal Quick Assays (NeoQUACK)

  • IRAS ID

    352977

  • Contact name

    Janet Berrington

  • Contact email

    janet.berrington1@nhs.net

  • Sponsor organisation

    NUTH

  • Duration of Study in the UK

    0 years, 11 months, 28 days

  • Research summary

    We wish to explore targeted testing in neonatal intensive care to help decision making around best management of an unwell baby. The tests we explore will be currently or potentially deliverable using point of care test (POCT) – these give rapid answers to clinical teams. We will use targeted sampling of blood, urine, stool or saliva over the first hours and days after a baby becomes unwell to see how different tests might help teams when management decisions are being made. These include decisions around antibiotic duration, pausing or restarting milk feeds, and types and amounts of fluids and intravenous feeds being given. We have chosen POCT based on what is already known about sick babies but are not yet used as part of normal care. The POCT results will not be shared with the clinical team and will not change care delivered. We will explore whether they perform well enough to help guide management decisions like stopping or re-starting feeds, stopping, reducing or re-starting intravenous nutrition, duration of antibiotics etc. We will also examine illness scores and how they correlate with POCT. We will also explore how clinical teams currently make decisions and how they would ‘value’ additional POCT information. The study is being undertaken as a higher degree (MD) by a medical doctor. The findings will help inform the design of a future study where clinicians would be given the results in real time to guide decision making.

  • REC name

    North East - Newcastle & North Tyneside 1 Research Ethics Committee

  • REC reference

    25/NE/0021

  • Date of REC Opinion

    24 Feb 2025

  • REC opinion

    Further Information Favourable Opinion