Prospective determination of plasma imipenem concentrations in critically ill children

被引:26
作者
Giannoni, Eric
Moreillon, Philippe
Cotting, Jacques
Moessinger, Adrien
Bille, Jacques
Decosterd, Laurent
Zanetti, Giorgio
Majcherczyk, Paul
Bugnon, Denis
机构
[1] Univ Lausanne, Inst Fundamental Microbiol, Dept Fundamental Microbiol, CH-1015 Lausanne, Switzerland
[2] CHU Vaudois, Dept Pediat, CH-1011 Lausanne, Switzerland
[3] CHU Vaudois, Inst Microbiol, CH-1011 Lausanne, Switzerland
[4] CHU Vaudois, Div Clin Pharmacol, CH-1011 Lausanne, Switzerland
[5] CHU Vaudois, Dept Hosp Hyg, CH-1011 Lausanne, Switzerland
[6] Sch Med, UPRES EA 1156, Lab Antibiol, F-44035 Nantes 01, France
关键词
D O I
10.1128/AAC.01149-05
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Plasma imipenem concentrations were measured in 19 critically ill children (median age, 0.8 year; range, 0.02 to 12.9 years). Wide interindividual variations (2 to 4X at peak and > 10X at trough concentrations) resulted in unpredictable plasma levels in several children. To avoid subtherapeutic drug levels, we recommend treatment with at least 100 mg/kg of body weight/day of imipenem-cilastatin for critically ill children requiring such therapy.
引用
收藏
页码:2563 / 2568
页数:6
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