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


Journal

The Journal of antimicrobial chemotherapy
ISSN: 1460-2091
Titre abrégé: J Antimicrob Chemother
Pays: England
ID NLM: 7513617

Informations de publication

Date de publication:
28 10 2022
Historique:
received: 08 04 2022
accepted: 24 06 2022
pubmed: 24 7 2022
medline: 2 11 2022
entrez: 23 7 2022
Statut: ppublish

Résumé

Critical illness reduces β-lactam pharmacokinetic/pharmacodynamic (PK/PD) attainment. We sought to quantify PK/PD attainment in patients with hospital-acquired pneumonia. 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%)]. Attainment of 100% T>4×MIC was variable for both empirical (CV% = 92) and directed (CV% = 33%) treatment. Individualization is required to achieve suggested PK/PD targets in critically ill patients.

Identifiants

pubmed: 35869779
pii: 6648979
doi: 10.1093/jac/dkac245
pmc: PMC10205601
doi:

Substances chimiques

Meropenem FV9J3JU8B1
Anti-Bacterial Agents 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

2956-2959

Subventions

Organisme : NHLBI NIH HHS
ID : R01 HL153122
Pays : United States
Organisme : NIA NIH HHS
ID : P01 AG049665
Pays : United States
Organisme : NIAID NIH HHS
ID : U19 AI135964
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001422
Pays : United States
Organisme : NHLBI NIH HHS
ID : P01 HL154998
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL149883
Pays : United States
Organisme : NCI NIH HHS
ID : R50 CA221848
Pays : United States
Organisme : NHLBI NIH HHS
ID : K08 HL159356
Pays : United States

Investigateurs

Hiam Abdala-Valencia (H)
Michael J Alexander (MJ)
Jason M Arnold (JM)
Joseph Isaac Bailey (JI)
Elizabeth T Bartom (ET)
Ankit Bharat (A)
Thomas Bolig (T)
Nicole Borkowski (N)
G R Scott Budinger (GRS)
Navdeep S Chandel (NS)
Rebecca K Clepp (RK)
John Coleman (J)
Michael J Cuttica (MJ)
Thaddeus R Cybulski (TR)
Jane E Dematte (JE)
Joseph S Deters (JS)
Justin A Fiala (JA)
Gaurav T Gadhvi (GT)
Catherine A Gao (CA)
Khalilah L Gates (KL)
Samuel W M Gatesy (SWM)
Ritika Giri (R)
Pearl D Go (PD)
Cara J Gottardi (CJ)
Rogan A Grant (RA)
Stefan J Green (SJ)
Elen Gusman (E)
Estefany R Guzman (ER)
SeungHye Han (S)
Erica Marie Hartmann (EM)
Curt M Horvath (CM)
Mishaal Hukamdad (M)
Sydney M Hyder (SM)
Manu Jain (M)
Anthony M Joudi (AM)
Rachel B Kadar (RB)
Ravi Kalhan (R)
David W Kamp (DW)
Manoj Kandpal (M)
David A Kidd (DA)
Hermon Kihshen (H)
Zasu M Klug (ZM)
Erin A Korth (EA)
Jacqueline M Kruser (JM)
Romy Lawrence (R)
Emily M Leibenguth (EM)
Anne R Levenson (AR)
Lindsey D Gradone (LD)
Gabrielle Y Liu (GY)
Jon W Lomasney (JW)
Theresa A Lombardo (TA)
Ziyan Lu (Z)
Amy Ludwig (A)
Ali Mahmoud (A)
Elizabeth S Malsin (ES)
Nikolay S Markov (NS)
Alexandra C McQuattie-Pimentel (AC)
Daniel Meza (D)
Felix Leonardo Morales (FL)
Luisa Morales-Nebreda (L)
Richard I Morimoto (RI)
Ruben J Mylvaganam (RJ)
Prasanth Nannapaneni (P)
Luís A Nunes Amaral (LAN)
Radhika Patel (R)
Lorenzo L Pesce (LL)
Chiagozie O Pickens (CO)
Yuliya Politanska (Y)
Taylor A Poor (TA)
Michelle Hinsch Prickett (MH)
Melissa Querrey (M)
Luke V Rasmussen (LV)
Ziyou Ren (Z)
Karen M Ridge (KM)
Madeline L Rosenbaum (ML)
Sharon R Rosenberg (SR)
Timothy Rowe (T)
Susan R Russell (SR)
Marc A Sala (MA)
Daniel Schneider (D)
Clara J Schroedl (CJ)
Katharine Secunda (K)
Patrick C Seed (PC)
Karolina J Senkow (KJ)
Todd Shamaly (T)
Elisheva D Shanes (ED)
Jiaxian Shen (J)
Ali Shilatifard (A)
Lango Sichizya (L)
Benjamin D Singer (BD)
Sean Smith (S)
Peter H S Sporn (PHS)
Justin Starren (J)
Thomas Stoeger (T)
Jack Sumner (J)
Suchitra Swaminathan (S)
Jacob I Sznajder (JI)
Heliodoro Tejedor Navarro (HT)
Lindsey N Textor (LN)
Sanket Thakkar (S)
Rade Tomic (R)
Betty Tran (B)
Kaitlyn Vitale (K)
Ajay A Wagh (AA)
James M Walter (JM)
Firas Wehbe (F)
Deborah R Winter (DR)
Alexis Rose Wolfe (AR)
Lisa F Wolfe (LF)
Anjana V Yeldandi (AV)

Informations de copyright

© The Author(s) 2022. Published by Oxford University Press on behalf of British Society for Antimicrobial Chemotherapy. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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Auteurs

Roxane Rohani (R)

Midwestern University College of Pharmacy Downers Grove Campus, Downers Grove, IL, USA.
Midwestern University College of Pharmacy Downers Grove Campus, Pharmacometrics Center of Excellence, Downers Grove, IL, USA.
Department of Pharmacy, Northwestern Medicine, Chicago, IL, USA.

Marc H Scheetz (MH)

Midwestern University College of Pharmacy Downers Grove Campus, Downers Grove, IL, USA.
Midwestern University College of Pharmacy Downers Grove Campus, Pharmacometrics Center of Excellence, Downers Grove, IL, USA.
Department of Pharmacy, Northwestern Medicine, Chicago, IL, USA.

Helen K Donnelly (HK)

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Alvaro Donayre (A)

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Mengjia Kang (M)

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Estefani Diaz (E)

Robert H. Lurie Comprehensive Cancer Research Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Kay Dedicatoria (K)

Midwestern University College of Pharmacy Downers Grove Campus, Downers Grove, IL, USA.

Alan R Hauser (AR)

Department of Microbiology-Immunology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Division of Infectious Diseases, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Egon A Ozer (EA)

Division of Infectious Diseases, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Sophia Nozick (S)

Department of Microbiology-Immunology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Chao Qi (C)

Department of Pathology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Anna E Pawlowski (AE)

Clinical and Translational Sciences Institute, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Michael N Neely (MN)

Laboratory of Applied Pharmacokinetics and Bioinformatics, The Saban Research Institute, Children's Hospital of Los Angeles, Los Angeles, CA, USA.
Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Alexander V Misharin (AV)

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Richard G Wunderink (RG)

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Nathaniel J Rhodes (NJ)

Midwestern University College of Pharmacy Downers Grove Campus, Downers Grove, IL, USA.
Midwestern University College of Pharmacy Downers Grove Campus, Pharmacometrics Center of Excellence, Downers Grove, IL, USA.
Department of Pharmacy, Northwestern Medicine, Chicago, IL, USA.

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Classifications MeSH