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在肥胖和胃绕道术后的患者中,使用人口药理动力学-药理动力学模型方法为阿莫西西林的最佳剂量
Gisela Myrian de Lima Leite Dalla Rosa1, Priscila Akemi Yamamoto2, Maria Madalena Corrêa Melo2
1Regional University Hospital of Maringá, Pharmacy, State University of Maringá, Maringá, Paraná, Brazil.
肥胖和Roux-en-Y胃绕道 (RYGB) 显著降低了阿莫西西林的生物可用性. 在这些人群中,需要更高的阿莫西西林剂量来实现对呼吸道感染的治疗目标.
科学领域:
- 药理动力学和药理动力学
- 人口建模的人口建模
- 药物暴露分析 药物暴露分析
背景情况:
- 肥胖和Roux-en-Y胃绕道手术 (RYGB) 改变了药物的药理动力学.
- 在这些患者群体中,对阿莫西西林的全身暴露可能会受到影响.
- 优化阿莫西西林剂量对于治疗呼吸道感染至关重要.
研究的目的:
- 在非肥胖,肥胖和后RYGB个体中对阿莫西西林暴露的特征.
- 评估肥胖和RYGB对阿莫西西林药理动学的影响.
- 为优化对呼吸道感染的阿莫西西林剂量策略.
主要方法:
- 用于分析氨基的药理动力学的人口建模方法.
- 包括非肥胖,肥胖和RYGB后患者 (24-50岁).
- 药理动力学/药理动力学 (PK/PD) 目标定义为%fT>MIC>40%的杀菌活性.
主要成果:
- 一个单间模型最好地描述了阿莫西西林PK.
- 与非肥胖者相比,RYGB后患者的口服生物可用性几乎减少了一半.
- 肥胖和RYGB后的个体需要1000mg q6h的阿莫西西林,MIC ≤1mg/L.
结论:
- 每6小时1000mg的阿莫西西林剂量最大限度地提高了肥胖和RYGB后患者的PK/PD目标.
- 降低生物利用性需要在这些人群中调整剂量.
- 这些发现支持在改变生理学的呼吸道感染中优化阿莫西西林治疗方案.
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