影响自由米素度和度-时间曲线下自由区域的目标达到的因素
Toshiharu Urakami1, Yusuke Oka2, Takashi Matono2
1Division of Infectious Disease and Hospital Epidemiology, Saga University Hospital, 5-1-1, Nabeshima, Saga, 849- 8501, Japan. urakamitoshiharu@ybb.ne.jp.
总蛋白质水平显著影响了无米素 (VCM) 度. 免费的AUC导向治疗药物监测 (TDM) 可能在蛋白质水平不同的患者中提供更严格的VCM剂量.
科学领域:
- 药理动力学和药理动力学
- 临床药房 临床药房
- 药物新陈代谢 药物新陈代谢
背景情况:
- 范科米辛 (VCM) 蛋白结合率因人而异,影响药物的疗效.
- 了解影响自由VCM度的因素对于最佳剂量至关重要.
- 患者特异性蛋白质水平可以改变VCM的药理动力学.
研究的目的:
- 为了确定影响自由万科米辛 (VCM) 度的因素.
- 为了评估VCM的度-时间曲线 (fAUC) 下自由区域的目标实现.
- 为了比较AUC引导的治疗药物监测 (TDM) 与fAUC引导的治疗药物监测 (TDM).
主要方法:
- 对接受VCM的39名患者的回顾性分析.
- 多重回归分析以确定自由VCM度的预测因素.
- 计算 AUC 和 fAUC 的目标实现.
主要成果:
- 总蛋白质被确定为自由VCM度的显著共变量.
- 50.0%的患者实现了目标AUC (>600 mg·h/L).
- 66.7%的患者实现了目标fAUC (>300毫克·小时/升).
结论:
- 总蛋白质是估计自由VCM水平的关键预测因素.
- 以fAUC为指导的TDM可以使VCM在高蛋白或低蛋白患者中的剂量更精确.
- 根据fAUC调整VCM剂量可以改善治疗结果.
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