个性化抗生素剂量方案用于患有干净度增加的患者
A-Xi Shi1,2, Qiang Qu3,4,5, Hai-Hui Zhuang1
1Department of Pharmacy, The Second Xiangya Hospital, Institute of Clinical Pharmacy, Central South University, Changsha, China.
Frontiers in pharmacology
|August 11, 2023
概括
在重症患者中,增加清除 (ARC) 可能导致抗生素剂量无效. 个性化抗生素剂量和管理策略对于优化这些患者治疗结果至关重要.
科学领域:
- 药理学 药理学是指药理学的学科.
- 关键护理医学 关键护理医学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 增加清除 (ARC) 影响30%-65%的重症患者,其特点是功能增强,尽管肌素正常.
- 在ARC患者中,标准药物剂量往往会导致亚治疗性药物度,导致不良结果和抗菌素耐药性.
研究的目的:
- 审查关于ARC定义,机制和风险因素的研究.
- 为了指导个性化抗生素剂量和优化ARC患者的结果.
主要方法:
- 在MEDLINE (2010-2022) 中对ARC和抗生素的研究进行系统的文献搜索.
- 总结了关于ARC和抗生素剂量的现有研究.
主要成果:
- 确定了25种针对ARC患者的抗生素剂量方案.
- 概述了优化策略,包括延长/连续输液,剂量增加和组合疗法.
结论:
- 患有ARC的重症患者需要个性化的抗生素调整 (剂量,频率,施用).
- 需要进一步研究ARC分期,更广泛的抗生素建议和确定的剂量指南.
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