在烧伤患者中影响万科米辛最低度的因素:单中心回顾性研究
Yan Shi1, Zongqi Yin1, Qin Zhang1
1Department of Burn, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Frontiers in pharmacology
|December 30, 2024
概括
一个很高的百分比的烧伤患者经历了亚治疗范科米辛的最低度. 血清肌素清除率和白蛋白水平预测了万科米辛水平,从而可以使用年龄和肌素进行估计.
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
- 燃烧管理 燃烧管理
背景情况:
- 范科米对于治疗烧伤患者感染至关重要.
- 达到治疗性万科米辛最低度对于疗效和安全至关重要.
- 烧伤患者的生理学可以显著改变药物的药理动力学.
研究的目的:
- 确定影响成年烧伤患者万科米辛最低度的因素.
- 建立一个基础,以优化在这个人群中的万科米辛剂量.
- 改进在烧伤护理中合理使用万科米辛.
主要方法:
- 从接受万科米的成年烧伤患者的临床数据的回顾性分析.
- 患者被分为治疗性 (10-20μg/mL) 和次治疗性 (<10μg/mL) 最低度组.
- 用于因子识别的接收器操作特征 (ROC) 曲线分析和线性渐进回归.
主要成果:
- 82.5%的患者具有治疗次的万科米辛最低度.
- 较高的血清肌素和较低的血清白蛋白水平与治疗度有关.
- ROC分析表明血清白蛋白和肌素清除率是显著的预测因素.
- 开发了一种回归方程,以根据年龄和血清肌素来估计万科米辛的最低度.
结论:
- 很大一部分烧伤患者在标准剂量下无法达到科米辛的目标最低水平.
- 血清肌素清除和白蛋白水平是预测治疗性万科米辛度的关键指标.
- 使用年龄和血清肌素的预测模型可以帮助调整烧伤患者的万科米辛剂量.
相关概念视频
Drug Concentration Versus Time Correlation
509
The plasma drug concentration-time curve is a crucial tool in pharmacokinetics, representing the drug's concentration in plasma at different time intervals post-administration. This curve illustrates the drug's journey from absorption into the systemic circulation, distribution to body tissues, and eventual elimination through excretion or biotransformation.
Two pivotal parameters are the minimum effective concentration (MEC) and the minimum toxic concentration (MTC). The MEC is the...
Two pivotal parameters are the minimum effective concentration (MEC) and the minimum toxic concentration (MTC). The MEC is the...
509
Factors Affecting Renal Clearance: Drug's Physicochemical Properties and Plasma Levels
113
Renal clearance of a drug is influenced by various factors, including its physicochemical properties and plasma levels. These factors play a significant role in determining how efficiently the kidneys eliminate a drug.
One important factor is the drug's molecular size. The kidneys readily excrete smaller molecules below 300 Daltons (Da). On the other hand, molecules weighing between 300 and 500 Da are excreted through both urine and bile. Larger molecules above 500 Da tend to be excreted...
One important factor is the drug's molecular size. The kidneys readily excrete smaller molecules below 300 Daltons (Da). On the other hand, molecules weighing between 300 and 500 Da are excreted through both urine and bile. Larger molecules above 500 Da tend to be excreted...
113
Time Course of Drug Effect
1.8K
The progression of a drug's impact can be analyzed by examining both the concentration-time course and the effect-time course. The concentration-time course is determined by the drug's half-life and is influenced by factors such as its pharmacokinetics, including absorption, distribution, metabolism, and elimination. The effect of the drug is often related to its concentration in the plasma and is calculated using the maximum drug effect and the plasma concentration that generates 50...
1.8K
Nonlinear Pharmacokinetics: Drug Elimination for IV Bolus Injection
21
In pharmacokinetics, the elimination rate of a drug following a capacity-limited model is primarily controlled by two parameters: Vmax and KM. These parameters are crucial in how the drug behaves inside the body after administration.
Following the administration of a single intravenous (IV) bolus injection, we can determine the concentration of the drug in the plasma at any given time. This calculation is achieved using a specific equation that integrates the values of Vmax and KM.
We can also...
Following the administration of a single intravenous (IV) bolus injection, we can determine the concentration of the drug in the plasma at any given time. This calculation is achieved using a specific equation that integrates the values of Vmax and KM.
We can also...
21
One-Compartment Open Model: Wagner-Nelson and Loo Riegelman Method for ka Estimation
217
This lesson introduces two critical methods in pharmacokinetics, the Wagner-Nelson and Loo-Riegelman methods, used for estimating the absorption rate constant (ka) for drugs administered via non-intravenous routes. The Wagner-Nelson method relates ka to the plasma concentration derived from the slope of a semilog percent unabsorbed time plot. However, it is limited to drugs with one-compartment kinetics and can be impacted by factors like gastrointestinal motility or enzymatic degradation.
On...
On...
217
Drug Concentrations: Measurements
273
Drug concentration is the quantity of a drug present in a biological sample. Measuring drug amounts in biological samples allows the clinician to understand how a drug is absorbed, distributed, metabolized, and excreted. Samples can be obtained through invasive or non-invasive methods. Invasive techniques involve surgical or parenteral interventions to gather blood, cerebrospinal fluid, or tissue biopsy. Conversely, non-invasive approaches provide samples like urine, feces, and saliva.
Plasma...
Plasma...
273


