对影响安培连续抗生素治疗的因素进行了回顾性队列分析
L Weber1, O Moerer2, J Wieditz3
1Emergency Department, University Medical Center Göttingen, Robert-Koch-Straße 40, 37075 Göttingen, Germany.
Life sciences
|October 25, 2024
概括
危急病患者的安皮西林/苏尔巴克坦剂量需要个性化. 功能,特别是估计的淋巴细胞过率 (eGFR),显著影响安比西林水平,需要剂量调整以进行最佳的治疗药物监测.
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
- 传染性疾病 传染性疾病
背景情况:
- 有限的数据存在于安培/苏尔巴克坦连续输注在危急病患者.
- 了解影响安皮西林血水平的因素对于有效治疗至关重要.
- 治疗药物监测 (TDM) 对于优化抗生素剂量至关重要.
研究的目的:
- 为了确定在重症监护病人的持续输液期间安皮西林血水平的预测因子.
- 评估患者特异性因素对实现治疗性安皮西林度的影响.
主要方法:
- 从225名重症患者 (2015-2022) 的466个安皮西林血水平测量的回顾性分析.
- 患者接受了标准的安西林/苏尔巴克坦剂量,并根据TDM进行调整.
- 目标安皮西林血度范围:30-60毫克/升.
主要成果:
- 在50%的患者中,初始安皮西林水平是次治疗的.
- 到第四次测量,目标实现率提高到70%.
- 估计的淋巴细胞过率 (eGFR) 和身高/体重是安皮西林水平的显著预测指标,解释了63%的变化.
结论:
- 基于功能 (eGFR) 的个性化安皮西林剂量对于重症患者是必要的.
- 患有正常或增强的eGFR的患者需要更高的安匹西林/苏尔巴克坦剂量来实现治疗目标.
- 优化安西林/苏尔巴克坦治疗需要个性化治疗策略.
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