Individual target pharmacokinetic/pharmacodynamic attainment rates among meropenem-treated patients admitted to the ICU with hospital-acquired pneumonia

© The Author(s) 2022. Published by Oxford University Press on behalf of British Society for Antimicrobial Chemotherapy. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com..

OBJECTIVES: Critical illness reduces β-lactam pharmacokinetic/pharmacodynamic (PK/PD) attainment. We sought to quantify PK/PD attainment in patients with hospital-acquired pneumonia.

METHODS: Meropenem plasma PK data (n = 70 patients) were modelled, PK/PD attainment rates were calculated for empirical and definitive targets, and between-patient variability was quantified [as a coefficient of variation (CV%)].

RESULTS: Attainment of 100% T>4×MIC was variable for both empirical (CV% = 92) and directed (CV% = 33%) treatment.

CONCLUSIONS: Individualization is required to achieve suggested PK/PD targets in critically ill patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:77

Enthalten in:

The Journal of antimicrobial chemotherapy - 77(2022), 11 vom: 28. Okt., Seite 2956-2959

Sprache:

Englisch

Beteiligte Personen:

Rohani, Roxane [VerfasserIn]
Scheetz, Marc H [VerfasserIn]
Donnelly, Helen K [VerfasserIn]
Donayre, Alvaro [VerfasserIn]
Kang, Mengjia [VerfasserIn]
Diaz, Estefani [VerfasserIn]
Dedicatoria, Kay [VerfasserIn]
Hauser, Alan R [VerfasserIn]
Ozer, Egon A [VerfasserIn]
Nozick, Sophia [VerfasserIn]
Qi, Chao [VerfasserIn]
Pawlowski, Anna E [VerfasserIn]
Neely, Michael N [VerfasserIn]
Misharin, Alexander V [VerfasserIn]
Wunderink, Richard G [VerfasserIn]
Rhodes, Nathaniel J [VerfasserIn]
NU SCRIPT Study investigators [VerfasserIn]
Abdala-Valencia, Hiam [Sonstige Person]
Alexander, Michael J [Sonstige Person]
Arnold, Jason M [Sonstige Person]
Bailey, Joseph Isaac [Sonstige Person]
Bartom, Elizabeth T [Sonstige Person]
Bharat, Ankit [Sonstige Person]
Bolig, Thomas [Sonstige Person]
Borkowski, Nicole [Sonstige Person]
Budinger, G R Scott [Sonstige Person]
Chandel, Navdeep S [Sonstige Person]
Clepp, Rebecca K [Sonstige Person]
Coleman, John [Sonstige Person]
Cuttica, Michael J [Sonstige Person]
Cybulski, Thaddeus R [Sonstige Person]
Dematte, Jane E [Sonstige Person]
Deters, Joseph S [Sonstige Person]
Fiala, Justin A [Sonstige Person]
Gadhvi, Gaurav T [Sonstige Person]
Gao, Catherine A [Sonstige Person]
Gates, Khalilah L [Sonstige Person]
Gatesy, Samuel W M [Sonstige Person]
Giri, Ritika [Sonstige Person]
Go, Pearl D [Sonstige Person]
Gottardi, Cara J [Sonstige Person]
Grant, Rogan A [Sonstige Person]
Green, Stefan J [Sonstige Person]
Gusman, Elen [Sonstige Person]
Guzman, Estefany R [Sonstige Person]
Han, SeungHye [Sonstige Person]
Hartmann, Erica Marie [Sonstige Person]
Horvath, Curt M [Sonstige Person]
Hukamdad, Mishaal [Sonstige Person]
Hyder, Sydney M [Sonstige Person]
Jain, Manu [Sonstige Person]
Joudi, Anthony M [Sonstige Person]
Kadar, Rachel B [Sonstige Person]
Kalhan, Ravi [Sonstige Person]
Kamp, David W [Sonstige Person]
Kandpal, Manoj [Sonstige Person]
Kidd, David A [Sonstige Person]
Kihshen, Hermon [Sonstige Person]
Klug, Zasu M [Sonstige Person]
Korth, Erin A [Sonstige Person]
Kruser, Jacqueline M [Sonstige Person]
Lawrence, Romy [Sonstige Person]
Leibenguth, Emily M [Sonstige Person]
Levenson, Anne R [Sonstige Person]
Gradone, Lindsey D [Sonstige Person]
Liu, Gabrielle Y [Sonstige Person]
Lomasney, Jon W [Sonstige Person]
Lombardo, Theresa A [Sonstige Person]
Lu, Ziyan [Sonstige Person]
Ludwig, Amy [Sonstige Person]
Mahmoud, Ali [Sonstige Person]
Malsin, Elizabeth S [Sonstige Person]
Markov, Nikolay S [Sonstige Person]
McQuattie-Pimentel, Alexandra C [Sonstige Person]
Meza, Daniel [Sonstige Person]
Morales, Felix Leonardo [Sonstige Person]
Morales-Nebreda, Luisa [Sonstige Person]
Morimoto, Richard I [Sonstige Person]
Mylvaganam, Ruben J [Sonstige Person]
Nannapaneni, Prasanth [Sonstige Person]
Amaral, Luís A Nunes [Sonstige Person]
Patel, Radhika [Sonstige Person]
Pesce, Lorenzo L [Sonstige Person]
Pickens, Chiagozie O [Sonstige Person]
Politanska, Yuliya [Sonstige Person]
Poor, Taylor A [Sonstige Person]
Prickett, Michelle Hinsch [Sonstige Person]
Querrey, Melissa [Sonstige Person]
Rasmussen, Luke V [Sonstige Person]
Ren, Ziyou [Sonstige Person]
Ridge, Karen M [Sonstige Person]
Rosenbaum, Madeline L [Sonstige Person]
Rosenberg, Sharon R [Sonstige Person]
Rowe, Timothy [Sonstige Person]
Russell, Susan R [Sonstige Person]
Sala, Marc A [Sonstige Person]
Schneider, Daniel [Sonstige Person]
Schroedl, Clara J [Sonstige Person]
Secunda, Katharine [Sonstige Person]
Seed, Patrick C [Sonstige Person]
Senkow, Karolina J [Sonstige Person]
Shamaly, Todd [Sonstige Person]
Shanes, Elisheva D [Sonstige Person]
Shen, Jiaxian [Sonstige Person]
Shilatifard, Ali [Sonstige Person]
Sichizya, Lango [Sonstige Person]
Singer, Benjamin D [Sonstige Person]
Smith, Sean [Sonstige Person]
Sporn, Peter H S [Sonstige Person]
Starren, Justin [Sonstige Person]
Stoeger, Thomas [Sonstige Person]
Sumner, Jack [Sonstige Person]
Swaminathan, Suchitra [Sonstige Person]
Sznajder, Jacob I [Sonstige Person]
Navarro, Heliodoro Tejedor [Sonstige Person]
Textor, Lindsey N [Sonstige Person]
Thakkar, Sanket [Sonstige Person]

Links:

Volltext

Themen:

Anti-Bacterial Agents
FV9J3JU8B1
Journal Article
Meropenem
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 01.11.2022

Date Revised 24.07.2023

published: Print

Citation Status MEDLINE

doi:

10.1093/jac/dkac245

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM343896923