作者
Eun Kyoung Chung, Megan R Fleming, S Christian Cheatham, Michael B Kays
发表日期
2017/3
期刊
Annals of Pharmacotherapy
卷号
51
期号
3
页码范围
209-218
出版商
SAGE Publications
简介
Background
Doripenem population pharmacokinetics and dosing recommendations are limited in obesity.
Objective
To evaluate the population pharmacokinetics and pharmacodynamics of doripenem in obese patients.
Methods
Hospitalized adults with a body mass index (BMI) ≥ 40 kg/m2 or total body weight (TBW) ≥45.5 kg over their ideal body weight received doripenem 500 mg every 8 hours, infused over 1 hour. Population pharmacokinetic analyses were performed using NONMEM, and Monte Carlo simulations were performed for 5 intermittent and prolonged infusion dosing regimens to calculate probability of target attainment (PTA) at 40% and 100% fT>MIC (free drug concentrations above the minimum inhibitory concentration).
Results
A total of 20 patients were studied: 10 in an intensive care unit (ICU) and 10 in a non-ICU. A 2-compartment model with first-order elimination best described the serum …
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