关键词: bone and joint infections dosage optimization pediatric patients population pharmacokinetics skin and soft tissue infections vancomycin

Mesh : Humans Child Vancomycin Anti-Bacterial Agents / pharmacokinetics Soft Tissue Infections / drug therapy Models, Biological

来  源:   DOI:10.1128/aac.01624-22   PDF(Pubmed)

Abstract:
Vancomycin is recommended for the treatment of skin and soft tissue infections (SSTI) and bone and joint infections (BJI). However, a detailed investigation of the pharmacokinetic profile and optimal dosing regimens of vancomycin in pediatric patients with SSTI and BJI is lacking. We successfully developed a new PopPK model of vancomycin in this population by using scavenged blood samples with the typical values for clearance (CL) of 0.14 L/h/kg and volume of distribution (V) of 0.5 L/kg. Body weight was confirmed as the significant covariate on CL and V. The optimal dosing regimens of 75 mg/kg/day and 80 mg/kg/day were recommended for this specific population.
摘要:
万古霉素被推荐用于治疗皮肤和软组织感染(SSTI)和骨和关节感染(BJI)。然而,目前尚缺乏对SSTI和BJI儿科患者中万古霉素的药代动力学特征和最佳给药方案的详细研究.我们通过使用清除率(CL)的典型值为0.14L/h/kg,分布体积(V)为0.5L/kg的清除血液样品,成功开发了该人群中万古霉素的新PopPK模型。体重被证实为CL和V的显著协变量。对于该特定群体,推荐75mg/kg/天和80mg/kg/天的最佳给药方案。
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