Pharmacokinetics/pharmacodynamics of antibacterials in the Intensive Care Unit : setting appropriate dosing regimens
Articolo
Data di Pubblicazione:
2008
Citazione:
Pharmacokinetics/pharmacodynamics of antibacterials in the Intensive Care Unit : setting appropriate dosing regimens / F. Scaglione, L. Paraboni. - In: INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS. - ISSN 0924-8579. - 32:4(2008 Oct), pp. 294-301. [10.1016/j.ijantimicag.2008.03.015]
Abstract:
Patients admitted to Intensive Care Units (ICUs) are at very high risk of developing severe nosocomial infections. Consequently, antimicrobials are among the most important and commonly prescribed drugs in the management of these patients. Critically ill patients in ICUs include representatives of all age groups with a range of organ dysfunction related to severe acute illness that may complicate long-term illness. The range of organ dysfunction, together with drug interactions and other therapeutic interventions (e.g. haemodynamically active
drugs and continuous renal replacement therapies), may strongly impact on antimicrobial pharmacokinetics in critically ill patients. In the last decade, it has become apparent that the intrinsic pharmacokinetic (PK) and pharmacodynamic (PD) properties are the major determinants of in vivo efficacy of antimicrobial agents. PK/PD parameters are essential in facilitating the translation of microbiological activity into clinical
situations, ensuring a successful outcome. In this review, we analyse the typical patterns of antimicrobial activity and the corresponding PK/PD parameters, with a special focus on a PK/PD dosing approach of the antimicrobial agent classes commonly utilised in the ICU setting.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Pharmacokinetics/pharmacodynamics ; Antibiotics ; Critically ill patients
Elenco autori:
F. Scaglione, L. Paraboni
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