在特定人群中,曲线下方的万科米辛面积和沟度的比较
Kadaajah L T Johnson-Louis1, My-Linh Nguyen1, Rosemary K Zvonar1
1Pharmacy Department, The Ottawa Hospital, Ottawa ON, Canada.
Journal of pharmacy practice
|September 30, 2024
概括
在高风险患者中,万科米辛的最低水平并不总是反映曲线下的面积 (AUC). 监测万科米辛AUC可能有助于预防这些个体的损伤.
科学领域:
- 药理学 药理学是指药理学的学科.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 传染性疾病 传染性疾病
背景情况:
- 范科米辛是治疗严重感染的关键抗生素.
- 毒性是一种已知的风险,与万科米辛治疗有关.
- 针对特定的万科米辛最低度可能不会准确地反映整体药物暴露 (AUC).
研究的目的:
- 评估高风险患者群体中万科米辛最低度和AUC之间的差异.
- 为了确定当前的低谷监测是否足够预测老年,肥胖或功能障碍患者的AUC.
主要方法:
- 对接受静脉注射万科迈的成年患者进行前性观察性研究.
- 纳入标准:老年人,肥胖者,功能障碍者或每日高剂量 (≥4g).
- 测量了同时的万科米辛度最低值和峰值,以计算AUC.
主要成果:
- 在52.9%的分析对中,观察到万科米辛最低度和AUC之间的不一致.
- 在最低水平<15 mg/L的患者中,79%的AUC>400 mgh/L.
- 在最低水平为15-20 mg/L的患者中,57%的AUC>600 mgh/L.
结论:
- 在高风险患者中,万科米辛的最低水平和AUC之间存在显著的脱节.
- 仅依靠最低度可能会低估这些人群中的万科米辛暴露.
- 监测万科米辛AUC可能是一个更有效的策略,以减轻毒性风险.
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