Title |
Altered Pharmacokinetics of Piperacillin in Febrile Neutropenic Patients with Hematological Malignancy
|
---|---|
Published in |
Antimicrobial Agents and Chemotherapy, March 2014
|
DOI | 10.1128/aac.02340-14 |
Pubmed ID | |
Authors |
Fekade Bruck Sime, Michael S. Roberts, Morgyn S. Warner, Uwe Hahn, Thomas A. Robertson, Sue Yeend, Andy Phay, Sheila Lehman, Jeffrey Lipman, Sandra L. Peake, Jason A. Roberts |
Abstract |
This study assessed the pharmacokinetics and dosing adequacy of piperacillin in febrile neutropenic patients after the first dose. Pharmacokinetic analysis was performed using noncompartmental methods. We observed an elevated volume of distribution (29.7 ± 8.0 liters [mean ± standard deviation]) and clearance (20.2 ± 7.5 liters/h) compared to data from other patient populations. Antibiotic exposure did not consistently result in therapeutic targets. We conclude that alternative dosing strategies guided by therapeutic drug monitoring may be required to optimize exposure. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Spain | 2 | 50% |
Unknown | 2 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 4 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Japan | 1 | 3% |
Unknown | 38 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 8 | 21% |
Student > Ph. D. Student | 6 | 15% |
Student > Master | 4 | 10% |
Student > Doctoral Student | 3 | 8% |
Student > Postgraduate | 3 | 8% |
Other | 7 | 18% |
Unknown | 8 | 21% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 14 | 36% |
Pharmacology, Toxicology and Pharmaceutical Science | 13 | 33% |
Unspecified | 2 | 5% |
Environmental Science | 1 | 3% |
Computer Science | 1 | 3% |
Other | 1 | 3% |
Unknown | 7 | 18% |