Publications by authors named "S Wallis"

Article Synopsis
  • The study focused on developing an optimized lidocaine dosing regimen for obese patients during surgery, highlighting the need for more effective pain management.
  • Researchers gathered data from 30 patients, measuring plasma levels of lidocaine and its metabolites to create a pharmacokinetic model.
  • The findings suggested that current dosing was often inadequate, but an adjusted regimen could improve the likelihood of reaching therapeutic drug concentrations.
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Article Synopsis
  • Ventriculitis in critically ill neurocritical care patients increases the risk of complications and death, prompting a need for improved antibiotic dosing strategies.
  • The study aimed to create a population pharmacokinetic (PK) model for piperacillin-tazobactam (PTZ) by analyzing samples from neurosurgical patients to determine effective dosing for cerebrospinal fluid (CSF) treatment.
  • Results showed significant inter-individual variability in drug penetration into CSF, making it difficult to recommend optimal dosing regimens despite some patients achieving high plasma drug levels.
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This study aimed to describe the population pharmacokinetics of caspofungin in critically ill patients receiving extracorporeal membrane oxygenation (ECMO) and to identify dosing regimens with a high likelihood of achieving effective exposures. Serial blood samples were collected over a single-dosing interval during ECMO. Total plasma concentrations were measured by a validated chromatographic assay.

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Background: Subcutaneous (SC) administration of antibiotics is a practical alternative to IV administration. Cefazolin is widely used for skin and soft tissue infections and other complex infections by IV administration.

Methods: In this prospective, cross-over self-controlled study, a single dose of SC cefazolin was administered to 15 stable inpatients established on IV cefazolin as part of their management plan.

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Article Synopsis
  • Catheter-associated urinary tract infections (CA-UTIs) are common hospital infections; this study evaluates the effectiveness of ciprofloxacin against these infections using an in vitro model.
  • Researchers tested three standard bacterial strains and 45 clinical isolates to measure biofilm mass and bacterial density before and after treatment with ciprofloxacin.
  • Results showed that while K. pneumoniae biofilms were more resistant to disruption, E. coli showed persistent growth in the bladder, and Pseudomonas aeruginosa had higher rates of ciprofloxacin resistance.
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