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Recommendation of Antimicrobial Dosing Optimization During Continuous Renal Replacement Therapy

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机构: [1]Department of Pharmacy, College of Medicine, The First Affiliated Hospital, Zhejiang University, Hangzhou, China [2]Department of Pharmacy, Second Hospital of Jilin University, Changchun, China [3]Department of Pharmacy, The FirstAffiliated Hospital, Sun Yat-sen University, Guangzhou, China [4]Department of Pharmacy, Xuanwu Hospital of CapitalMedical University, Beijing, China [5]Department of Pharmacy, First Affiliated Hospital of Nanchang University, Nanchang,China [6]Department of Pharmacy, Nanjing Drum Tower Hospital, Nanjing, China [7]Department of Pharmacy, Tianjin FirstCentral Hospital, Tianjin, China [8]School of Medicine, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, China [9]Department of Pharmacy, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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关键词: antimicrobials continuous renal replacement therapy dosing optimization pharmacokinetic pharmacodynamics

摘要:
Continuous Renal Replacement Therapy (CRRT) is more and more widely used in patients for various indications recent years. It is still intricate for clinicians to decide a suitable empiric antimicrobial dosing for patients receiving CRRT. Inappropriate doses of antimicrobial agents may lead to treatment failure or drug resistance of pathogens. CRRT factors, patient individual conditions and drug pharmacokinetics/pharmacodynamics are the main elements effecting the antimicrobial dosing adjustment. With the development of CRRT techniques, some antimicrobial dosing recommendations in earlier studies were no longer appropriate for clinical use now. Here, we reviewed the literatures involving in new progresses of antimicrobial dosages, and complied the updated empirical dosing strategies based on CRRT modalities and effluent flow rates. The following antimicrobial agents were included for review: flucloxacillin, piperacillin/tazobactam, ceftriaxone, ceftazidime/avibactam, cefepime, ceftolozane/tazobactam, sulbactam, meropenem, imipenem, panipenem, biapenem, ertapenem, doripenem, amikacin, ciprofloxacin, levofloxacin, moxifloxacin, clindamycin, azithromycin, tigecycline, polymyxin B, colistin, vancomycin, teicoplanin, linezolid, daptomycin, sulfamethoxazole/trimethoprim, fluconazole, voriconazole, posaconzole, caspofungin, micafungin, amphotericin B, acyclovir, ganciclovir, oseltamivir, and peramivir.

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基金编号: 81671889 81703578 81800594 2019QNA7032

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出版当年[2019]版:
大类 | 2 区 医学
小类 | 2 区 药学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 药学
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出版当年[2018]版:
Q1 PHARMACOLOGY & PHARMACY
最新[2023]版:
Q1 PHARMACOLOGY & PHARMACY

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [1]Department of Pharmacy, College of Medicine, The First Affiliated Hospital, Zhejiang University, Hangzhou, China
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