严重病情严重的成年人内静脉克拉里思罗米辛:一个人口的药理动力学研究
Reya V Shah1,2, Karin Kipper1,3,4, Emma H Baker1,2
1Institute for Infection and Immunity, City St George's, University of London, London SW17 0RE, UK.
这项研究描述了静脉注射克拉里思罗米辛在重症成人中的药理动力学. 目前的剂量似乎在许多感染中实现了药理动力学-药理动力学目标,但可能可以进行优化.
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
- 传染性疾病 传染性疾病
背景情况:
- 克拉里思罗米是一种广泛使用的宏类抗生素.
- 感染是重症监护中死亡的一个重要原因.
- 抗生素的药理动力学可以在危急疾病中发生变化,可能导致治疗失败.
研究的目的:
- 描述静脉注射克拉里思罗米辛在重症成年人中的药理动力学.
- 评估使用标准剂量达到药理动力学-药理动力学 (PKPD) 目标.
主要方法:
- 对接受静脉清素的19名严重病情的成年人的数据进行了群体药理动力学分析.
- 药物度通过HPLC/MS.测量.
- 对1万名患者进行模拟,以评估PKPD目标的实现.
主要成果:
- 一个两部分的模型最好地描述了克拉里胺的药理动力学.
- 人口清除和分布量估计低于之前报告的,具有很高的个体间变异性.
- 模拟表明,在当前剂量下,大多数向生物体的PKPD目标达到合理的目标.
结论:
- 这是第一个报告IV克拉里思罗米辛在人类中的药理动力学的研究.
- 目前的剂量可能达到治疗目标,但对PKPD目标和断点的进一步研究可以优化重症患者的剂量.
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