Therapeutic Drug Monitoring of Antimicrobials in Critically Ill Obese Patients
نویسندگان
چکیده
Obesity is a significant global public health concern that associated with an elevated risk of comorbidities as well severe postoperative and nosocomial infections. The treatment infections in critically ill obese patients can be challenging because obesity affects the pharmacokinetics pharmacodynamics antibiotics, leading to increased antibiotic therapy failure toxicity due inappropriate dosages. Precision dosing antibiotics using therapeutic drug monitoring may help improve management this patient population. This narrative review outlines pharmacokinetic pharmacodynamic changes result from provides comprehensive critical current available data on dosage adjustment patients.
منابع مشابه
Does Beta-lactam Pharmacokinetic Variability in Critically Ill Patients Justify Therapeutic Drug Monitoring? A Systematic Review
The pharmacokinetics of beta-lactam antibiotics in intensive care patients may be profoundly altered due to the dynamic, unpredictable pathophysiological changes that occur in critical illness. For many drugs, significant increases in the volume of distribution and/or variability in drug clearance are common. When "standard" beta-lactam doses are used, such pharmacokinetic changes can result in...
متن کاملNutritional Assessment in Critically Ill Patients
Background: Malnutrition is an important factor in the survival of critically ill patients. The purpose of the present study was to assess the nutritional status of patients in the intensive care unit (ICU) on the days of admission and discharge via a detailed nutritional assessment. Methods: Totally, 125 patients were followed up from admission to discharge at 8ICUs in Shiraz, Iran. The patien...
متن کاملHemodynamic monitoring in critically ill patients.
It can be difficult to find textbooks of anatomy and physiology that are pertinent to clinical practice. Books are too often weighed down with turgid facts that are often deemed irrelevant to the clinician practicing at the bedside. This book is different. This is the third edition of Hemodynamic Monitoring: Invasive and Non-Invasive Clinical Application that has been published. That fact alone...
متن کاملOnce versus thrice daily colistin in critically ill patients with multi-drug resistant infections
Objectives: The aim of this study was to evaluate the procalcitonin (PCT) changes in two different high-dose colistin regimens in the treatment of multi-drug resistant MDR gram negative infections in ICU patients. Method: This is a prospective study of adult ICU patients with bacteremia and ventilator associated pneumonia (VAP) caused by MDR gram negative pathogens. Patients were assigned to t...
متن کاملHaemodynamic monitoring in critically ill patients
It can be difficult to find textbooks of anatomy and physiology that are pertinent to clinical practice. Books are too often weighed down with turgid facts that are often deemed irrelevant to the clinician practicing at the bedside. This book is different. This is the third edition of Hemodynamic Monitoring: Invasive and Non-Invasive Clinical Application that has been published. That fact alone...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Antibiotics
سال: 2023
ISSN: ['2079-6382']
DOI: https://doi.org/10.3390/antibiotics12071099