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 …

Optimizing antimicrobial drug dosing in critically ill patients

P Póvoa, P Moniz, JG Pereira, L Coelho - Microorganisms, 2021 - mdpi.com
A fundamental step in the successful management of sepsis and septic shock is early
empiric antimicrobial therapy. However, for this to be effective, several decisions must be …

How to optimise antimicrobial prescriptions in the Intensive Care Unit: principles of individualised dosing using pharmacokinetics and pharmacodynamics

JA Roberts, GM Joynt, GYS Choi, CD Gomersall… - International journal of …, 2012 - Elsevier
Optimising antimicrobial dosing for critically ill patients is highly challenging and when it is
not achieved can lead to worse patient outcomes. To this end, use of dosing regimens …

Antibiotic use in the intensive care unit: optimization and de-escalation

M Campion, G Scully - Journal of intensive care medicine, 2018 - journals.sagepub.com
Appropriate antimicrobial therapy is essential to ensuring positive patient outcomes.
Inappropriate or suboptimal utilization of antibiotics can lead to increased length of stay …

DALI: defining antibiotic levels in intensive care unit patients: are current β-lactam antibiotic doses sufficient for critically ill patients?

JA Roberts, SK Paul, M Akova, M Bassetti… - Clinical infectious …, 2014 - academic.oup.com
Background. Morbidity and mortality for critically ill patients with infections remains a global
healthcare problem. We aimed to determine whether β-lactam antibiotic dosing in critically ill …

The role of infection models and PK/PD modelling for optimising care of critically ill patients with severe infections

T Tängdén, V Ramos Martín, TW Felton… - Intensive care …, 2017 - Springer
Critically ill patients with severe infections are at high risk of suboptimal antimicrobial dosing.
The pharmacokinetics (PK) and pharmacodynamics (PD) of antimicrobials in these patients …

Rationalizing antimicrobial therapy in the ICU: a narrative review

JF Timsit, M Bassetti, O Cremer, G Daikos… - Intensive care …, 2019 - Springer
The massive consumption of antibiotics in the ICU is responsible for substantial ecological
side effects that promote the dissemination of multidrug-resistant bacteria (MDRB) in this …

[PDF][PDF] What's behind the failure of emerging antibiotics in the critically ill?: understanding the impact of altered pharmacokinetics and augmented renal clearance

AA Udy, JA Roberts, J De Waele… - International journal …, 2012 - biblio.ugent.be
Successful application of antibiotic therapy in the critically ill requires not only timely
administration of an agent of appropriate spectrum but the provision of adequate drug …

Antibiotic use and impact on outcome from bacteraemic critical illness: the BActeraemia Study in Intensive Care (BASIC)

A Corona, G Bertolini, J Lipman… - Journal of …, 2010 - academic.oup.com
Background The lack of prospective, randomized, controlled trial data to guide optimal
antibiotic use in bacteraemic critically ill patients has led to a wide variety of strategies and …

Pharmacokinetic/pharmacodynamic considerations for the optimization of antimicrobial delivery in the critically ill

D Tsai, J Lipman, JA Roberts - Current opinion in critical care, 2015 - journals.lww.com
Optimization of antimicrobial dosing in accordance with pharmacokinetics/
pharmacodynamics targets can improve survival and clinical cure. Dosing regimens for …