从药量计的角度来看,抗菌剂的剂量个性化:当前的景观
Tim Preijers1,2, Anouk E Muller3,4,5, Alan Abdulla1,2,5
1Department of Hospital Pharmacy, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands.
个性化抗菌疗法使用治疗药物监测 (TDM) 和人群药动力学 (popPK) 模型来优化个体患者的药物剂量,改善结果并减少耐药性. 机器学习和新技术进一步提高了精确剂量策略.
科学领域:
- 药理学和制药科学 药理学和制药科学
- 传染性疾病 传染性疾病
- 生物医学工程 生物医学工程
背景情况:
- 抗微生物治疗的成功取决于患者特定的药物度和病原体易感性 (MIC).
- 患者间的药物动力学变化需要个性化剂量,以防止毒性和耐药性.
研究的目的:
- 探索剂量个性化策略,以优化抗微生物药物治疗.
- 突出治疗药物监测 (TDM) 和人口药物动力学 (popPK) 模型在精确剂量的作用.
- 讨论机器学习 (ML) 和新兴技术在增强抗菌治疗中的整合.
主要方法:
- 应用人口药理动力学 (popPK) 模型来描述人口中的药物行为.
- 整合患者特异性TDM数据与popPK模型,以实现基于模型的精确剂量 (MIPD).
- 利用机器学习 (ML) 在大型数据集中识别模式,以提高剂量个性化.
主要成果:
- 结合TDM和popPK模型的MIPD,可以实现优化剂量方案.
- ML技术有潜力识别复杂的模式,以进一步完善个性化剂量.
- 像实时生物传感器这样的新兴技术有望持续监测和快速调整剂量.
结论:
- 整合TDM,高级建模和ML可以显著增强抗菌疗法.
- 严格的模型验证,临床可用性和伦理考虑对于成功实施至关重要.
- 优化抗微生物治疗需要仔细关注模型开发和对个体患者需求的验证.
更多相关视频
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
04:59Author Spotlight: Developing a Disposable Dosator for Preclinical Testing of Dry Powder Inhalers in Small Animal Models
Published on: August 18, 2023
相关概念视频
Rational Dosage Regimen: Maintenance Dose and Loading Dose
In most cases, drugs are administered repetitively or infused continuously to maintain a steady-state concentration in the body. At a steady...
Drug Dosage Regimen: Overview
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Dosage Regimen: Fixed Dose
Fixed-dose regimens can be used for various routes of administration, including intravenous (IV) injections and oral medications. For IV administration, a predetermined amount of the drug is...
Factors Affecting Drug Response: Overview
Nonlinear Pharmacokinetics: Overview
Nonlinearity can arise due to the saturation of plasma protein-binding or...
Model-Independent Approaches for Pharmacokinetic Data: Noncompartmental Analysis
One important characteristic of noncompartmental analyses is that drug exposure increases proportionally with increasing doses. This...
