Title |
Population Pharmacokinetics of Fosfomycin in Critically Ill Patients
|
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Published in |
Antimicrobial Agents and Chemotherapy, August 2015
|
DOI | 10.1128/aac.01321-15 |
Pubmed ID | |
Authors |
Suzanne L. Parker, Frantzeska Frantzeskaki, Steven C. Wallis, Chryssa Diakaki, Helen Giamarellou, Despoina Koulenti, Ilias Karaiskos, Jeffrey Lipman, George Dimopoulos, Jason A. Roberts |
Abstract |
This study describes the population pharmacokinetics of fosfomycin in critically ill patients. In this observational study, serial blood samples were taken over several dosing intervals of intravenous fosfomycin. Blood samples were analysed using a validated liquid chromatography tandem mass spectrometry technique. A population pharmacokinetic analysis was performed using non-linear mixed effects modeling. Five hundred and fifteen blood samples were collected over one to six dosing intervals from 12 patients. The mean (SD) age was 62 (17) years, 67% were male and creatinine clearance (CLCR) ranged from 30 to 300 mL/min. A two-compartment model with between-subject variability on clearance and volume of distribution of the central compartment (Vc) described the data adequately. Calculated CLCR was supported as a covariate on fosfomycin clearance. The mean parameter estimates for clearance on the first day were 2.06 L/h, Vc 27.2 L, intercompartmental clearance 19.8 L/h and volume of the peripheral compartment 22.3 L. We found significant pharmacokinetic variability of fosfomycin in this heterogeneous patient sample, which may be explained somewhat by the observed variations in renal function. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Spain | 3 | 43% |
United Kingdom | 1 | 14% |
Unknown | 3 | 43% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 4 | 57% |
Practitioners (doctors, other healthcare professionals) | 3 | 43% |
Mendeley readers
Geographical breakdown
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Netherlands | 1 | 1% |
Unknown | 68 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 12 | 17% |
Student > Ph. D. Student | 10 | 14% |
Other | 8 | 12% |
Student > Master | 7 | 10% |
Student > Postgraduate | 5 | 7% |
Other | 9 | 13% |
Unknown | 18 | 26% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 22 | 32% |
Pharmacology, Toxicology and Pharmaceutical Science | 15 | 22% |
Agricultural and Biological Sciences | 4 | 6% |
Biochemistry, Genetics and Molecular Biology | 3 | 4% |
Immunology and Microbiology | 1 | 1% |
Other | 1 | 1% |
Unknown | 23 | 33% |