北美结核病患者的莱涅佐利德剂量和药理动力学
Nicole Maranchick1, Charles A Peloquin1, Connie A Haley2
1Department of Pharmacotherapy and Translational Research, College of Pharmacy, and the Emerging Pathogens Institute, University of Florida, Gainesville, FL, USA.
概括
在超过三分之一的结核病患者中发现了高度的线化物,许多人甚至在标准剂量下也超过了推水平. 治疗药物监测对于调整线索利德剂量以优化患者结果至关重要.
科学领域:
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
- 临床药房 临床药房
背景情况:
- 利尼佐利德是抗结核病的关键治疗方法.
- 显著的药物动力学变化和不良影响限制了其长期使用.
- 本研究通过治疗药物监测对结核病患者的线化物药理动力学进行了检查.
研究的目的:
- 在结核病患者中评估linezolid的药理动力学.
- 通过使用国际治疗药物监测服务来评估血清线索利德度.
- 为了识别linezolid剂量的变化及其对患者结局的影响.
主要方法:
- 分析了来自500名患者 (2019-2023) 的1604个线化物样本.
- 使用液体染色学-并联质谱法测量总血清度.
- 将低度和高度与已确定的治疗范围进行比较.
主要成果:
- 34.6%的最低度超过了2微克/毫升的值.
- 在接受标准剂量 (600毫克每天或每周5天) 的患者中,43.2%的患者有升高的低谷值.
- 44%的峰值度超出了目标范围,其中89%是次治疗性 (<12mcg/mL).
结论:
- 大约三分之一的样本显示了高线索化物最低度.
- 在服用推剂量的患者中,超过40%的患者的低谷值升高.
- 治疗药物监测可以指导linezolid剂量调整以改善患者的治疗结果.
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