Obesity related alterations in pharmacokinetics and pharmacodynamics of drugs: emerging clinical implications in obese patients-part I

IG Telessy, HS Buttar - Adipobiology, 2018 - journals.mu-varna.bg
Obesity is escalating among children and adults all over the world. This non-communicable
disorder contributes heavily to severe morbidity and mortality in humans due to the …

Measurement of skeletal muscle area improves estimation of aminoglycoside clearance across body size

RL Crass, BE Ross, BA Derstine, M Lichty… - Antimicrobial Agents …, 2018 - Am Soc Microbiol
ABSTRACT A consistent approach to the dosing of aminoglycosides across the modern
body size distribution has been elusive. We evaluated whether radiologically derived …

Effects of obesity and sex on antimicrobial pharmacokinetics and acute kidney injury: validation of a preclinical model

MP Pai, WZ Chen, A Garba, H Cui, B Zaffo… - Antimicrobial agents …, 2013 - Am Soc Microbiol
Obese patients may be at a greater risk for acute kidney injury (AKI) with the use of certain
antimicrobial agents that are dosed by weight. Current preclinical models of AKI utilize the …

[HTML][HTML] Tobramycin clearance is best described by renal function estimates in obese and non-obese individuals: results of a prospective rich sampling …

C Smit, RE Wasmann, MJ Wiezer… - Pharmaceutical …, 2019 - Springer
Purpose Tobramycin is an aminoglycoside antibiotic of which the 24 h exposure correlates
with efficacy. Recently, we found that clearance of the aminoglycoside gentamicin correlates …

Obesity is not associated with antimicrobial treatment failure for intra-abdominal infection

ZC Dietch, TM Duane, CH Cook, PJ O'Neill… - Surgical …, 2016 - liebertpub.com
Background: Obesity and commonly associated comorbidities are known risk factors for the
development of infections. However, the intensity and duration of antimicrobial treatment are …

[HTML][HTML] Prophylactic cefazolin dosing in obesity—a systematic review

M Coates, A Shield, GM Peterson, Z Hussain - Obesity Surgery, 2022 - Springer
Currently, there is no consensus on whether a standard 2-g prophylactic cefazolin dose
provides sufficient antimicrobial coverage in obese surgical patients. This systematic review …

Development and validation of a fast and uniform approach to quantify β-lactam antibiotics in human plasma by solid phase extraction-liquid chromatography …

P Colin, L De Bock, H T'jollyn, K Boussery… - Talanta, 2013 - Elsevier
Monitoring of plasma antibiotic concentrations is necessary for individualization of
antimicrobial chemotherapy dosing in special patient populations. One of these special …

Antimicrobial dosing in obese patients

R Wurtz, G Itokazu, K Rodvold - Clinical Infectious Diseases, 1997 - academic.oup.com
Although the dose of some drugs is commonly adjusted for weight, weight-related dosage
adjustments are rarely made for most antimicrobials. We reviewed the English-language …

Influence of weight on aminoglycoside pharmacokinetics in normal weight and morbidly obese patients

LA Bauer, WAD Edwards, EP Dellinger… - European journal of …, 1983 - Springer
Aminoglycoside pharmacokinetics were determined in 30 normal weight patients and 30
morbidly obese patients (> 90% overweight). All had normal renal function and a gram …

Relationships of vancomycin pharmacokinetics to body size and composition using a novel pharmacomorphomic approach based on medical imaging

MP Pai, BA Derstine, M Lichty, BE Ross… - Antimicrobial Agents …, 2017 - Am Soc Microbiol
Antibiotics such as vancomycin are empirically dosed on the basis of body weight, which
may not be optimal across the expanding adult body size distribution. Our aim was to …