对于作为预防性抗生素的塞法佐林注的目标控制输液的药理学模型的外部验证
Sou Hyun Lee1, Hyeongseo Yoon2, Junik Park3
1Department of Anesthesiology and Pain Medicine, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, South Korea.
针对性控制输注 (TCI) 塞法林在胃切除术患者中显示出临床可接受的性能. 准总塞法林度,而不是未结合,在手术期间有效保持药物水平的稳定.
科学领域:
- 药理动力学 药理动力学
- 抗生素治疗 抗生素治疗
- 手术预防手术预防.
背景情况:
- 塞法索林是一种在外科手术中常用的预防性抗生素.
- 优化塞法林剂量对于有效预防感染和最大限度地减少毒性至关重要.
- 药理动力学 (PK) 模型指导药物管理策略.
研究的目的:
- 评估现有的塞法林药理动力学模型的预测准确度.
- 评估使用目标控制输注 (TCI) 进行塞法林的可行性.
- 为了确定最佳的TCI参数来维持治疗性塞法佐林度.
主要方法:
- 25名胃切除术患者通过TCI接受了塞法林.
- 设定了100微克/毫升的目标总血度.
- 在多个时间点测量了总和未结合的塞法林度.
主要成果:
- 该TCI系统显示了临床上可接受的性能.
- 聚合的中位偏差和不准确性在总度的可接受范围内.
- 所有测量的未结合的塞法林度都保持在10μg/mL的治疗值以上.
结论:
- 使用TCI方法给药Cefazolin在临床上是可行的.
- 向总塞法林血度是有效的维持稳定的水平.
- 在手术预防中,TCI为优化塞法林剂量提供了一种有前途的方法.
更多相关视频
11:17Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
09:17A Robust Pneumonia Model in Immunocompetent Rodents to Evaluate Antibacterial Efficacy against S. pneumoniae, H. influenzae, K. pneumoniae, P. aeruginosa or A. baumannii
Published on: January 2, 2017
相关概念视频
Two-Compartment Open Model: IV Infusion
The model illustrates the decrease in plasma drug concentration from the central compartment with a specific equation. It shows that under steady-state conditions, the drug's input rate...
One-Compartment Open Model for IV Bolus Administration: General Considerations
The drug's presence in the body is defined by an equation representing the difference between the rates of drug entry and exit. Key parameters—elimination rate constant,...
One-Compartment Model: IV Infusion
The one-compartment model for IV infusion uses mathematical equations to describe the rate of change in drug quantity in the body. At steady-state or infusion equilibrium, the drug input...
Pharmacokinetic Models: Comparison and Selection Criterion
Physiological models take a detailed approach by considering specific molecular processes. They can predict drug distribution, metabolism, and elimination changes, providing a comprehensive understanding of how drugs interact with the body.
One-Compartment Open Model for IV Bolus Administration: Estimation of Clearance
In the one-compartment open model for intravenous (IV) bolus administration, clearance is estimated by dividing the elimination rate by the plasma drug concentration. This equation leverages the elimination rate constant and the apparent...
One-Compartment Open Model for IV Bolus Administration: Estimation of Elimination Rate Constant, Half-Life and Volume of Distribution
