在患有PD相关腹膜炎的患者中,腹膜内注射的万科米辛对血清和腹膜废液中药物水平的表现不佳
Ezhilnilavan Sampath1, Kapil Navin Sejpal2, Apurba S Sastry3
1Department of Nephrology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), JIPMER Campus, Puducherry, India.
Indian journal of nephrology
|September 2, 2025
概括
每96小时服用15毫克/ 千克的腹腔内素不足以治疗腹腔透析腹腔炎. 大多数患者未达到治疗性范胺血清水平,因此需要调整剂量并进行进一步的药理动力学研究.
科学领域:
- 肝脏病学
- 药物动力学
- 传染性疾病
背景情况:
- 腹腔内素是腹腔透析相关腹腔炎的标准治疗方法.
- 在慢性病患者中,优化胺剂量至关重要.
- 这项研究使用常见的剂量方案研究了PD患者的膜炎血清水平.
研究的目的:
- 在患有腹膜炎的PD患者中,评估标准腹膜内素剂量是否达到治疗性血清水平.
- 在末期脏疾病 (ESRD) 患者接受PD时,评估范素剂量的适当性.
主要方法:
- 对41次与PD相关的腹膜炎的药理动力学分析.
- 患者每96小时接受15毫克/ 千克的腹腔内素.
- 使用液体染色体- 双重质谱法测量了血清和透析剂中的米素度.
主要成果:
- 在41例中,只有2例达到建议的血清菌素最低水平 (> 15 mg/ L).
- 在大多数PD周周炎病例中,标准剂量方案未能达到治疗水平.
- 在21次病例中,需要切除尿管,这表明治疗存在挑战.
结论:
- 间歇性腹膜内素 (15 mg/ kg Q96H) 不足以达到PD相关腹膜炎的治疗水平.
- 需要进行药理动力学研究来指导PD患者服用抗生素.
- 目前的剂量策略可能需要修改以改善治疗效果和结果.
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