Pharmacokinetic Considerations for Antimicrobial Therapy in Patients Receiving Renal Replacement Therapy

被引:0
作者
Federico Pea
Pierluigi Viale
Federica Pavan
Mario Furlanut
机构
[1] University of Udine,Institute of Clinical Pharmacology and Toxicology, Department of Experimental and Clinical Pathology and Medicine, Medical School
[2] University of Udine,Clinic of Infectious Diseases, Department of Medical and Morphological Research, Medical School
[3] University of Udine,Institute of Clinical Pharmacology and Toxicology, DPMSC
来源
Clinical Pharmacokinetics | 2007年 / 46卷
关键词
Renal Replacement Therapy; Linezolid; Meropenem; Therapeutic Drug Monitoring; Colistin;
D O I
暂无
中图分类号
学科分类号
摘要
Continuous renal replacement therapy (CRRT), particularly continuous venovenous haemofiltration (CVVH) and continuous venovenous haemodiafiltration (CVVHDF), are gaining increasing relevance in routine clinical management of intensive care unit patients. The application of CRRT, by leading to extracorporeal clearance (CLCRRT), may significantly alter the pharmacokinetic behaviour of some drugs. This may be of particular interest in critically ill patients presenting with life-threatening infections, since the risk of underdosing with antimicrobial agents during this procedure may lead to both therapeutic failure and the spread of breakthrough resistance. The intent of this review is to discuss the pharmacokinetic principles of CLCRRT of antimicrobial agents during the application of CVVH and CVVHDF and to summarise the most recent findings on this topic (from 1996 to December 2006) in order to understand the basis for optimal dosage adjustments of different antimicrobial agents.
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页码:997 / 1038
页数:41
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