کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3359389 | 1591809 | 2012 | 4 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Augmented renal clearance in septic patients and implications for vancomycin optimisation Augmented renal clearance in septic patients and implications for vancomycin optimisation](/preview/png/3359389.png)
The aim of this study was to evaluate the effect of augmented renal clearance (ARC) on vancomycin serum concentrations in critically ill patients. This prospective, single-centre, observational, cohort study included 93 consecutive, critically ill septic patients who started treatment that included vancomycin by continuous infusion, admitted over a 2-year period (March 2006 to February 2008). ARC was defined as 24-h creatinine clearance (CLCr) > 130 mL/min/1.73 m2. Two groups were analysed: Group A, 56 patients with a CLCr ≤ 130 mL/min/1.73 m2; and Group B, 37 patients with a CLCr > 130 mL/min/1.73 m2. Vancomycin therapeutic levels were assessed on the first 3 days of treatment (D1, D2 and D3). Serum vancomycin levels on D1, D2 and D3, respectively, were 13.1, 16.6 and 18.6 μmol/L for Group A and 9.7, 11.7 and 13.8 μmol/L for Group B (P < 0.05 per day). The correlation between CLCr and serum vancomycin on D1 was −0.57 (P < 0.001). ARC was strongly associated with subtherapeutic vancomycin serum concentrations on the first 3 days of treatment.
Journal: International Journal of Antimicrobial Agents - Volume 39, Issue 5, May 2012, Pages 420–423