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 …

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 …

Risk factors for target non-attainment during empirical treatment with β-lactam antibiotics in critically ill patients

JJ De Waele, J Lipman, M Akova, M Bassetti… - Intensive care …, 2014 - Springer
Purpose Risk factors for β-lactam antibiotic underdosing in critically ill patients have not
been described in large-scale studies. The objective of this study was to describe …

How severe is antibiotic pharmacokinetic variability in critically ill patients and what can be done about it?

TW Felton, WW Hope, JA Roberts - Diagnostic microbiology and infectious …, 2014 - Elsevier
The pharmacokinetics (PK) of antimicrobial agents administered to critically ill patients
exhibit marked variability. This variability results from pathophysiological changes that occur …

Population pharmacokinetics of imipenem in critically ill patients with suspected ventilator‐associated pneumonia and evaluation of dosage regimens

C Couffignal, O Pajot, C Laouénan… - British Journal of …, 2014 - Wiley Online Library
Aims Significant alterations in the pharmacokinetics (PK) of antimicrobials have been
reported in critically ill patients. We describe PK parameters of imipenem in intensive care …

[HTML][HTML] Challenges and potential solutions–individualised antibiotic dosing at the bedside for critically ill patients: a structured review

JA Roberts, MMHA Aziz, J Lipman… - The Lancet. Infectious …, 2014 - ncbi.nlm.nih.gov
Infections in critically ill patients are associated with persistently poor clinical outcomes.
These patients have severely altered and variable antibiotic pharmacokinetics and are …

Population pharmacokinetics and dosing simulations of cefuroxime in critically ill patients: non-standard dosing approaches are required to achieve therapeutic …

M Carlier, M Noë, JA Roberts, V Stove… - Journal of …, 2014 - academic.oup.com
Objectives To investigate the population pharmacokinetics of cefuroxime in critically ill
patients. Methods In this observational pharmacokinetic study, multiple blood samples were …

Pharmacokinetics of short versus extended infusion meropenem dosing in critically ill patients: a pilot study

KM Langan, J Jacob, J Li, RL Nation, R Bellomo… - Critical Care and …, 2014 - Elsevier
Objective: To test whether a prolonged 3-hour infusion of meropenem 500mg achieves an
equivalent proportion of time above the minimal inhibitory concentration (MIC)(% T MIC) to …

Management of Pseudomonas aeruginosa pneumonia: one size does not fit all

J Rello, B Borgatta, L Lagunes - Critical Care, 2014 - Springer
In view of the mortality associated with Pseudomonas aeruginosa (PSA) ventilator-
associated pneumonia (VAP) and the frequency of inadequate initial empiric therapy, recent …

[PDF][PDF] Augmented renal clearance in the critically ill: Prevalence, risk factors and implications for beta-lactam therapy

AA Udy - 2014 - core.ac.uk
Background: Beta-lactams are often used empirically in the intensive care unit (ICU), as they
possess a wide spectrum of antibacterial activity. Most agents in this class are renally …