Personalized Amoxicillin Therapy in a Critically Ill Patient Undergoing Renal Replacement Therapy: A Grand Round.

IF 2.8 4区 医学 Q2 MEDICAL LABORATORY TECHNOLOGY Therapeutic Drug Monitoring Pub Date : 2024-10-01 Epub Date: 2024-06-26 DOI:10.1097/FTD.0000000000001242
Philippine Garrigue, Margot Reber, Sophie Perinel-Ragey, Manon Launay
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Abstract

Background: The case study discusses a complex scenario involving the use of amoxicillin in a critically ill patient undergoing intermittent renal replacement therapy.Severe infections are complicated by septic shock and organ failure, requiring urgent and effective antibiotic treatment.

Methods: The patient's comorbidities, including obesity and acute kidney injury, required careful consideration of the amoxicillin dosing strategies.

Results: Therapeutic drug monitoring is critical for dose adjustment during treatment.

Conclusions: This case highlights the importance of a collaborative approach between clinicians and therapeutic drug monitoring consultants to optimize antibiotic therapy for critically ill patients with renal impairment.

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接受肾脏替代疗法的重症患者的个性化阿莫西林疗法:大查房。
背景:本病例研究讨论了一名正在接受间歇性肾脏替代治疗的重症患者使用阿莫西林的复杂情况:重症感染会并发脓毒性休克和器官衰竭,需要紧急和有效的抗生素治疗:结果:治疗药物监测对于治疗过程中的剂量调整至关重要:本病例凸显了临床医生和治疗药物监测顾问合作优化肾功能损害重症患者抗生素治疗的重要性。
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来源期刊
Therapeutic Drug Monitoring
Therapeutic Drug Monitoring 医学-毒理学
CiteScore
5.00
自引率
8.00%
发文量
213
审稿时长
4-8 weeks
期刊介绍: Therapeutic Drug Monitoring is a peer-reviewed, multidisciplinary journal directed to an audience of pharmacologists, clinical chemists, laboratorians, pharmacists, drug researchers and toxicologists. It fosters the exchange of knowledge among the various disciplines–clinical pharmacology, pathology, toxicology, analytical chemistry–that share a common interest in Therapeutic Drug Monitoring. The journal presents studies detailing the various factors that affect the rate and extent drugs are absorbed, metabolized, and excreted. Regular features include review articles on specific classes of drugs, original articles, case reports, technical notes, and continuing education articles.
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