Cefepime Dosing Requirements in Elderly Patients Attended in the Emergency Rooms
Objective This study aimed to assess the probability of reaching an adequate pharmacokinetic/pharmacodynamic (pK/pD) index for different cefepime dosages in frail patients with bacteremia treated in the emergency room. Methods Simulation study based on Gram-negative bacterial strains that cause bact...
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SAGE Publishing,
2022-01-01T00:00:00Z.
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LEADER | 00000 am a22000003u 4500 | ||
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001 | doaj_a4abe8f6a11b4a0f85c5a87c04f01e1c | ||
042 | |a dc | ||
100 | 1 | 0 | |a Jesus Ruiz-Ramos PhD |e author |
700 | 1 | 0 | |a Sergio Herrera-Mateo PhD |e author |
700 | 1 | 0 | |a Laia López-Vinardell PhD |e author |
700 | 1 | 0 | |a Ana Juanes-Borrego PhD |e author |
700 | 1 | 0 | |a Mireia Puig-Campmany PhD |e author |
700 | 1 | 0 | |a Maria Antonia Mangues-Bafalluy PhD |e author |
245 | 0 | 0 | |a Cefepime Dosing Requirements in Elderly Patients Attended in the Emergency Rooms |
260 | |b SAGE Publishing, |c 2022-01-01T00:00:00Z. | ||
500 | |a 1559-3258 | ||
500 | |a 10.1177/15593258221078393 | ||
520 | |a Objective This study aimed to assess the probability of reaching an adequate pharmacokinetic/pharmacodynamic (pK/pD) index for different cefepime dosages in frail patients with bacteremia treated in the emergency room. Methods Simulation study based on Gram-negative bacterial strains that cause bacteremia. The probability of reaching a time above the minimum inhibitory concentration (MIC) at 50% and 100% dosing intervals (fT > 50 and fT > 80% MIC) was assessed for two different renal clearance intervals. Results One hundred twenty nine strains were collected, the predominant species being Escherichia coli (n = 83 [64.3%]). In patients with a ClCr of 30 mL/min, an fT > 50% MIC was reached in more than 90% of the simulations. However, a dose of at least 1 g every 12 h must be administered to reach an fT > 80% MIC. In patients with a ClCr of 30-60 mL/min, the probability of reaching an fT > 50% MIC was higher than 90% with doses of 1 g every 8 h or more, but this value was not reached in > 90% simulations for any of the doses tested in this study. Conclusions Standard cefepime dosing can reach an adequate PK/PD index in frail patients. Nevertheless, a high dose or extended infusion is necessary to reach an fT > 80% MIC in patients with a ClCr > 60 mL/min. | ||
546 | |a EN | ||
690 | |a Therapeutics. Pharmacology | ||
690 | |a RM1-950 | ||
655 | 7 | |a article |2 local | |
786 | 0 | |n Dose-Response, Vol 20 (2022) | |
787 | 0 | |n https://doi.org/10.1177/15593258221078393 | |
787 | 0 | |n https://doaj.org/toc/1559-3258 | |
856 | 4 | 1 | |u https://doaj.org/article/a4abe8f6a11b4a0f85c5a87c04f01e1c |z Connect to this object online. |