Therapeutic Drug Monitoring in Non-Tuberculosis Mycobacteria Infections.
Journal
Clinical pharmacokinetics
ISSN: 1179-1926
Titre abrégé: Clin Pharmacokinet
Pays: Switzerland
ID NLM: 7606849
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
accepted:
06
02
2021
pubmed:
23
3
2021
medline:
16
10
2021
entrez:
22
3
2021
Statut:
ppublish
Résumé
Nontuberculous mycobacteria can cause minimally symptomatic self-limiting infections to progressive and life-threatening disease of multiple organs. Several factors such as increased testing and prevalence have made this an emerging infectious disease. Multiple guidelines have been published to guide therapy, which remains difficult owing to the complexity of therapy, the potential for acquired resistance, the toxicity of treatment, and a high treatment failure rate. Given the long duration of therapy, complex multi-drug treatment regimens, and the risk of drug toxicity, therapeutic drug monitoring is an excellent method to optimize treatment. However, currently, there is little available guidance on therapeutic drug monitoring for this condition. The aim of this review is to provide information on the pharmacokinetic/pharmacodynamic targets for individual drugs used in the treatment of nontuberculous mycobacteria disease. Lacking data from randomized controlled trials, in vitro, in vivo, and clinical data were aggregated to facilitate recommendations for therapeutic drug monitoring to improve efficacy and reduce toxicity.
Identifiants
pubmed: 33751415
doi: 10.1007/s40262-021-01000-6
pii: 10.1007/s40262-021-01000-6
pmc: PMC8195771
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
711-725Subventions
Organisme : NIAID NIH HHS
ID : R01 AI137080
Pays : United States
Organisme : NIAID NIH HHS
ID : U01 AI115594
Pays : United States
Organisme : NIAID NIH HHS
ID : R21 AI148096
Pays : United States
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