Publications by authors named "E Leegwater"

Article Synopsis
  • The study aimed to analyze how the body processes trimethoprim, sulfamethoxazole, and its metabolite N-acetyl sulfamethoxazole in hospitalized patients, especially in relation to dosing for infections like Pneumocystis jirovecii pneumonia.
  • It utilized data from 168 patients and established two pharmacokinetic models to optimize dosing regimens, taking into account factors like kidney function (eGFR) and continuous renal replacement therapy (CRRT).
  • Findings indicated that standard dosing was sufficient for patients with normal kidney function, but those with reduced kidney function needed lower doses, and CRRT patients required higher doses of sulfamethoxazole for effective treatment.
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Introduction: Remdesivir is a registered treatment for hospitalised patients with COVID-19 that has moderate clinical effectiveness. Anecdotally, some patients' respiratory insufficiency seemed to recover particularly rapidly after initiation of remdesivir. In this study, we investigated if this rapid improvement was caused by remdesivir, and which patient characteristics might predict a rapid clinical improvement in response to remdesivir.

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Background And Objectives: Posaconazole is used as prophylaxis of invasive fungal disease in immune-compromised haematological patients with prolonged neutropenia after intensive chemotherapy. During routine therapeutic drug monitoring of posaconazole, we repeatedly observed low posaconazole serum concentrations in patients that were concomitantly treated with flucloxacillin. A possible interaction between flucloxacillin and posaconazole was explored in this case series.

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Background And Objective: In neonates, β-Lactam antibiotics are almost exclusively administered by intermittent infusion. However, continuous or prolonged infusion may be more beneficial because of the time-dependent antibacterial activity. In this pharmacokinetic/pharmacodynamic simulation study, we aimed to compare treatment with continuous, extended and intermittent infusion of β-lactam antibiotics for neonates with infectious diseases.

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Synthetic Cannabinoid Receptor Agonists (SCRAs) are a group of New Psychoactive Substances. They are used recreationally to mimic the effects of THC in cannabis. However, THC is a partial agonist of the CB1-receptor and SCRAs are full agonists.

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