Title |
Dosierung von Antiinfektiva bei Nierenversagen und Nierenersatztherapie in der Intensivmedizin
|
---|---|
Published in |
Medizinische Klinik - Intensivmedizin und Notfallmedizin, March 2018
|
DOI | 10.1007/s00063-018-0416-z |
Pubmed ID | |
Authors |
D. Czock, V. Schwenger, D. Kindgen-Milles, M. Joannidis, S. John, M. Schmitz, A. Jörres, A. Zarbock, M. Oppert, J. T. Kielstein, C. Willam |
Abstract |
Many anti-infective drugs require dose adjustments in critically ill patients with acute kidney injury (AKI) and renal replacement therapy, in order to achieve adequate therapeutic drug concentrations. The fundamental pharmacokinetic and pharmacodynamic principles of drug dose adjustment are presented. Recommendations on anti-infective drug dosage in intensive care are provided. We established dose recommendations of selected anti-infective drugs based on information in the summary of product characteristics, published studies and recommendations, pharmacokinetic and pharmacodynamic considerations, and the experience and expert opinion of the authors. Out of a total of 37 anti-infective drugs (31 antibiotics, 2 antivirals, 4 antifungals) 8 can be administered independent of renal function. For 29 anti-infective drugs, a specific recommendation on drug dosage could be made in case of intermittent hemodialysis and for 24 anti-infective drugs in case of continuous hemo(dia)filtration. Recommendations on dosing of important anti-infective drugs in critically ill patients with AKI and renal replacement therapy are provided. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 15 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 4 | 27% |
Researcher | 4 | 27% |
Student > Bachelor | 1 | 7% |
Student > Doctoral Student | 1 | 7% |
Professor | 1 | 7% |
Other | 1 | 7% |
Unknown | 3 | 20% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 8 | 53% |
Nursing and Health Professions | 1 | 7% |
Unknown | 6 | 40% |