在儿童血液学/瘤学人群中对持续输液万科米辛的评估
Madeleine A King1, Shane J Cross1,2, Theodore H Morton2,3
1From the Department of Pharmacy and Pharmaceutical Services, St. Jude Children's Research Hospital.
持续输液万科米辛 (CIV) 在儿科患者中提供快速的治疗度. 这种安全有效的剂量方法非常适合门诊护理,简化了癌症儿童的治疗.
科学领域:
- 儿科血液学/瘤学
- 药理动力学 药理动力学
- 传染病管理 传染病管理
背景情况:
- 持续输液万科米辛 (CIV) 为那些在间歇剂量下努力达到治疗水平的儿科患者提供了替代方案.
- 通过减少剂量频率,CIV可以简化门诊管理.
研究的目的:
- 确定小儿血液学/瘤学患者所需的CIV总每日剂量 (TDD),以达到目标稳定状态度 (15-25μg/mL).
主要方法:
- 一项回顾性研究分析了2017年1月至2019年6月60名儿科患者 (0.4-20岁) 的71次CIV疗程.
- 主要结局:治疗稳定状态度的TDD. 二级结局:治疗度的时间,CIV指示和不良事件.
主要成果:
- 中位数的TDD是50.3毫克/公斤/天. 年龄较大的儿童需要显着较低的mg/kg剂量 (P < 0.001),但mg/m2剂量没有显著的年龄差异 (P = 0.97).
- 达到治疗度的中位时间为19.3小时.
- 门诊治疗是CIV最常见的原因 (69.0%);急性损伤是最小的 (4.2%).
结论:
- 持续输液万科米辛 (CIV) 能够在儿科血液学/瘤学患者中快速达到目标度.
- 对这一群体来说,CIV是一种安全且耐受良好的治疗选择.
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