影响Nirmatrelvir/Ritonavir度在COVID-19患者中的因素
Ping Xu1, Lijun Zhang2, Qingguo Wu3
1Department of Respiratory and Critical Care Medicine, Shanghai Public Health Clinical Center, Shanghai, 201508, People's Republic of China.
BMC infectious diseases
|December 19, 2024
概括
在COVID-19患者中,涅马特里尔维尔/里托纳维尔 (NMV/RTV) 水平受到功能和营养状况等因素的影响. 基于肌素清除率和PNI的监测和调整剂量对于达到有效的治疗度至关重要.
科学领域:
- 药理学 药理学是指药理学的学科.
- 抗病毒疗法 抗病毒疗法
- 关于COVID-19的治疗方法
背景情况:
- 有效的抗病毒药物度缩短了恢复时间,减少了传播.
- 尼尔马特里尔维尔/里托纳维尔 (NMV/RTV) 用于抗病毒疗法.
- 确定NMV/RTV次治疗水平的因素是很重要的.
研究的目的:
- 以回顾分析影响NMV/RTV药物度的因素.
- 为了确定与次治疗性NMV/RTV水平相关的患者特征.
主要方法:
- 对114名COVID-19患者的NMV/RTV度进行了回顾性分析.
- 患者分为目标 (>987 ng/ml) 和非目标 (低度) 组.
- 影响因素的相关性和多变量分析.
主要成果:
- 血清NMV/RTV度与预后营养指数 (PNI),身高,体重和肌素清除率 (CrCl) 相相关.
- 身高,体重,PNI,淋巴细胞计数 (LYM) 和CrCl是NMV/RTV最低度的独立因素.
- 在校正后,没有发现NMV/RTV和BMI之间的相关性.
结论:
- 随着CrCl的增加,NMV/RTV度下降;对于高/低CrCl的患者,需要监测和剂量调整.
- PNI是关键因素;对于营养状况不佳的患者,建议密切监测和剂量调整.
- 根据CrCl和PNI调整NMV/RTV剂量方案对于达到目标度至关重要.
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