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Individual target pharmacokinetic/pharmacodynamic attainment rates among meropenem-treated patients admitted to the ICU with hospital-acquired pneumonia. | LitMetric

AI Article Synopsis

  • This study investigates how critical illness affects the effectiveness of β-lactam antibiotics in treating hospital-acquired pneumonia.
  • Researchers analyzed plasma data from 70 patients treated with meropenem to determine how often desired pharmacokinetic/pharmacodynamic (PK/PD) goals were met.
  • Results showed significant variability in meeting targets, indicating that personalized treatment strategies are necessary for critically ill patients.

Article Abstract

Objectives: Critical illness reduces β-lactam pharmacokinetic/pharmacodynamic (PK/PD) attainment. We sought to quantify PK/PD attainment in patients with hospital-acquired pneumonia.

Methods: Meropenem plasma PK data (n = 70 patients) were modelled, PK/PD attainment rates were calculated for empirical and definitive targets, and between-patient variability was quantified [as a coefficient of variation (CV%)].

Results: Attainment of 100% T>4×MIC was variable for both empirical (CV% = 92) and directed (CV% = 33%) treatment.

Conclusions: Individualization is required to achieve suggested PK/PD targets in critically ill patients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10205601PMC
http://dx.doi.org/10.1093/jac/dkac245DOI Listing

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