Development of a model-informed dosing tool to optimise initial antibiotic dosing—A translational example for intensive care units

FA Weinelt, MS Stegemann, A Theloe, F Pfäfflin… - Pharmaceutics, 2021 - mdpi.com
The prevalence and mortality rates of severe infections are high in intensive care units
(ICUs). At the same time, the high pharmacokinetic variability observed in ICU patients …

Concentration of meropenem in patients with sepsis and acute kidney injury before and after initiation of continuous renal replacement therapy: a prospective …

I Nowak-Kozka, KJ Polok, J Górka, J Fronczek… - Pharmacological …, 2020 - Springer
Background The effect of renal replacement therapy on drug concentrations in patients with
sepsis has not been fully elucidated because the pharmacokinetic properties of many …

Software-and TDM-Guided Dosing of Meropenem Promises High Rates of Target Attainment in Critically Ill Patients

U Chiriac, D Richter, OR Frey, AC Röhr, S Helbig… - Antibiotics, 2023 - mdpi.com
Various studies have reported insufficient beta-lactam concentrations in critically ill patients.
The optimal dosing strategy for beta-lactams in critically ill patients, particularly in septic …

Early target attainment with continuous infusion meropenem and piperacillin/tazobactam and utilization of therapeutic drug monitoring in critically ill patients: a …

S Dräger, M von Rotz, ND Labhardt… - Open Forum …, 2023 - academic.oup.com
Background We analyzed the attainment of early pharmacological targets of continuous
infusion meropenem and piperacillin/tazobactam and the use and effect of a real-time …

Clinical and microbiological efficacy of continuous versus intermittent application of meropenem in critically ill patients: a randomized open-label controlled trial

I Chytra, M Stepan, J Benes, P Pelnar, A Zidkova… - Critical care, 2012 - Springer
Introduction Meropenem bactericidal activity depends on the time when the free drug
concentrations remain above the minimum inhibitory concentration of pathogens. The goal …

Pharmacokinetic–pharmacodynamic target attainment analysis of meropenem in Japanese adult patients

K Ikawa, N Morikawa, K Ikeda, H Ohge, T Sueda… - Journal of infection and …, 2010 - Elsevier
This study was a pharmacokinetic (PK)–pharmacodynamic (PD) target attainment analysis
of meropenem in Japanese adult patients. Plasma drug concentration data (265 samples …

Optimizing meropenem in highly resistant Klebsiella pneumoniae environments: population pharmacokinetics and dosing simulations in critically ill patients

AQ Truong, XC Dao, DH Vu, HA Nguyen… - Antimicrobial Agents …, 2022 - Am Soc Microbiol
Critically ill patients are characterized by substantial pathophysiological changes that alter
the pharmacokinetics (PK) of hydrophilic antibiotics, including carbapenems. Meropenem is …

Optimized meropenem dosage regimens using a pharmacokinetic/pharmacodynamic population approach in patients undergoing continuous venovenous …

A Padullés Zamora, R Juvany Roig… - Journal of …, 2019 - academic.oup.com
Background The pharmacokinetics (PK) of antibiotics change during sepsis and continuous
renal replacement therapies in critically ill patients. Limited evidence exists on the use of the …

Evaluation of meropenem extended versus intermittent infusion dosing protocol in critically ill patients

N Ahmed, SP Jen, D Altshuler… - Journal of Intensive …, 2020 - journals.sagepub.com
Extended infusion (EI) administration of β-lactams can improve target attainment in critically
ill patients with altered pharmacokinetics/pharmacodynamics. To optimize meropenem …

Continuous infusion versus intermittent administration of meropenem in critically ill patients (MERCY): A multicenter randomized double-blind trial. Rationale and …

G Monti, C Galbiati, F Toffoletto, MG Calabrò… - Contemporary clinical …, 2021 - Elsevier
Objective Meropenem is a β-lactam, carbapenem antibacterial agent with antimicrobial
activity against gram-negative, gram-positive and anaerobic micro-organisms and is …