Right dose, right now: customized drug dosing in the critically ill

JA Roberts, A Kumar, J Lipman - Critical care medicine, 2017 - journals.lww.com
Drugs are key weapons that clinicians have to battle against the profound pathologies
encountered in critically ill patients. Antibiotics in particular are commonly used and can …

Continuous infusion versus intermittent bolus of beta-lactams in critically ill patients with respiratory infections: a systematic review and meta-analysis

YR Lee, PD Miller, SK Alzghari, DD Blanco… - European Journal of …, 2018 - Springer
Background Critically ill patients display altered pharmacokinetics and pharmacodynamics
and are more likely to be infected with more resistant pathogens. Beta-lactam antibiotics …

State of the management of infections caused by multidrug-resistant Gram-negative organisms

A Yassin, M Huralska, JM Pogue, D Dixit… - Clinical Infectious …, 2023 - academic.oup.com
In the past decade, the prevalence of multidrug-resistant gram-negative (MDR-GN) bacterial
infections has increased significantly, leading to higher rates of morbidity and mortality …

Therapeutic drug monitoring-based dose optimisation of piperacillin/tazobactam to improve outcome in patients with sepsis (TARGET): a prospective, multi-centre …

S Hagel, S Fiedler, A Hohn, A Brinkmann, OR Frey… - Trials, 2019 - Springer
Background Sepsis is a life-threatening organ dysfunction caused by a dysregulated host
response to infection with a hospital mortality in excess of 40%. Along with insufficient and …

Effectiveness and safety of beta-lactam antibiotics with and without therapeutic drug monitoring in patients with pseudomonas aeruginosa pneumonia or bloodstream …

AJ Kunz Coyne, M Alshaer, AM Casapao… - Antimicrobial Agents …, 2022 - Am Soc Microbiol
This objective of this study was to compare clinical outcomes in hospitalized patients with
Pseudomonas aeruginosa pneumonia (PNA) or bloodstream infection (BSI) receiving beta …

International survey of antibiotic dosing and monitoring in adult intensive care units

PG Williams, A Tabah, MO Cotta, I Sandaradura… - Critical Care, 2023 - Springer
Background In recent years, numerous dosing studies have been conducted to optimize
therapeutic antibiotic exposures in patients with serious infections. These studies have led to …

β-lactam dosing in critical patients: a narrative review of optimal efficacy and the prevention of resistance and toxicity

JG Pereira, J Fernandes, AR Duarte, SM Fernandes - Antibiotics, 2022 - mdpi.com
Antimicrobial prescription in critically ill patients represents a complex challenge due to the
difficult balance between infection treatment and toxicity prevention. Underexposure to …

Real-time TDM-based optimization of continuous-infusion meropenem for improving treatment outcome of febrile neutropenia in oncohaematological patients: results …

PG Cojutti, D Lazzarotto, A Candoni… - Journal of …, 2020 - academic.oup.com
Objectives To assess the role that real-time therapeutic drug monitoring (TDM)-guided
optimization of continuous-infusion (CI) meropenem may have in maximizing empirical …

Population pharmacokinetics of continuous infusion of piperacillin in critically ill patients

SAM Dhaese, JA Roberts, M Carlier… - International journal of …, 2018 - Elsevier
Dosing recommendations for continuous infusion of piperacillin, a broad-spectrum beta-
lactam antibiotic, are mainly guided by outputs from population pharmacokinetic models …

Augmented renal clearance: what have we known and what will we do?

Y Luo, Y Wang, Y Ma, P Wang, J Zhong… - Frontiers in …, 2021 - frontiersin.org
Augmented renal clearance (ARC) is a phenomenon of increased renal function in patients
with risk factors. Sub-therapeutic drug concentrations and antibacterial exposure in ARC …