Antibiotic stewardship in the intensive care unit

CE Luyt, N Bréchot, JL Trouillet, J Chastre - Critical care, 2014 - Springer
The rapid emergence and dissemination of antimicrobial-resistant microorganisms in ICUs
worldwide constitute a problem of crisis dimensions. The root causes of this problem are …

Pharmacokinetics–pharmacodynamics issues relevant for the clinical use of beta-lactam antibiotics in critically ill patients

RP Veiga, JA Paiva - Critical Care, 2018 - Springer
Antimicrobials are among the most important and commonly prescribed drugs in the
management of critically ill patients and beta-lactams are the most common antibiotic class …

Individualised antibiotic dosing for patients who are critically ill: challenges and potential solutions

JA Roberts, MH Abdul-Aziz, J Lipman… - The Lancet infectious …, 2014 - thelancet.com
Infections in critically ill patients are associated with persistently poor clinical outcomes.
These patients have severely altered and variable antibiotic pharmacokinetics and are …

Clinical implications of antibiotic pharmacokinetic principles in the critically ill

AA Udy, JA Roberts, J Lipman - Intensive care medicine, 2013 - Springer
Successful antibiotic therapy in the critically ill requires sufficient drug concentrations at the
site of infection that kill or suppress bacterial growth. The relationship between antibiotic …

Strategies to enhance rational use of antibiotics in hospital: a guideline by the German Society for Infectious Diseases

K De With, F Allerberger, S Amann, P Apfalter… - Infection, 2016 - Springer
Introduction In the time of increasing resistance and paucity of new drug development there
is a growing need for strategies to enhance rational use of antibiotics in German and …

Clinical outcomes of prolonged infusion (extended infusion or continuous infusion) versus intermittent bolus of meropenem in severe infection: A meta-analysis

Z Yu, X Pang, X Wu, C Shan, S Jiang - PloS one, 2018 - journals.plos.org
Background Meropenem exhibits time-dependent antimicrobial activity and prolonged
infusion (PI)(extended infusion or continuous infusion, EI or CI) of meropenem can better …

Prolonging β-lactam infusion: a review of the rationale and evidence, and guidance for implementation

SH MacVane, JL Kuti, DP Nicolau - International journal of antimicrobial …, 2014 - Elsevier
Given the sparse antibiotic pipeline and the increasing prevalence of resistant organisms,
efforts should be made to optimise the pharmacodynamic exposure of currently available …

Optimizing pharmacokinetics-pharmacodynamics of antimicrobial management in patients with sepsis: a review

K Phe, EL Heil, VH Tam - The Journal of Infectious Diseases, 2020 - academic.oup.com
Critically ill patients with sepsis or septic shock are at an increased risk of death. Early and
aggressive interventions are essential for improving clinical outcomes. There are a number …

Continuous and prolonged intravenous β-lactam dosing: implications for the clinical laboratory

M Grupper, JL Kuti, DP Nicolau - Clinical microbiology reviews, 2016 - Am Soc Microbiol
Beta-lactam antibiotics serve as a cornerstone in the management of bacterial infections
because of their wide spectrum of activity and low toxicity. Since resistance rates among …

Empiric antimicrobial therapy in severe sepsis and septic shock: optimizing pathogen clearance

SY Liang, A Kumar - Current infectious disease reports, 2015 - Springer
Mortality and morbidity in severe sepsis and septic shock remain high despite significant
advances in critical care. Efforts to improve outcome in septic conditions have focused on …