Pharmacokinetic/Pharmacodynamic Target Attainment of Different Antifungal Agents in De-escalation Treatment in Critically Ill Patients: a Step toward Dose Optimization Using Monte Carlo Simulation

Pharmacokinetic/Pharmacodynamic Target Attainment of Different Antifungal Agents in De-escalation Treatment in Critically Ill Patients: a Step toward Dose Optimization Using Monte Carlo Simulation
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危重患者降阶梯治疗中不同抗真菌药物的药代动力学/药效学目标实现:使用蒙特卡罗模拟实现剂量优化的一步

DOI:
10.1128/aac.00099-22
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发表时间:
2022-05
影响因子:
4.9
通讯作者:
Wang Yan
Wang Yan
中科院分区:
医学2区
文献类型:
--
作者:
Xie Jiao;Yang Qianting;Han Xinyan;Dong Yuzhu;Zhang Tao;Li Youjia;Ji Meixi;Liu Chenwei;Cai Yan;Wang Yan

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在重症患者更换抗真菌药物时,很少考虑药代动力学/药效学(PK/PD)目标达成的差异。本研究旨在探讨重症患者抗真菌降阶梯治疗策略以及棘白菌素新的间歇给药策略是否能够实现相应的PK/PD目标。利用已发表的重症患者抗真菌药物群体药代动力学模型以及来自MIMIC - III数据库(n = 662)的公共数据集来评估抗真菌药物不同给药方案的PK/PD目标达成情况。
Differences in pharmacokinetics/pharmacodynamics (PK/PD) target attainment are rarely considered when antifungals are switched in critically ill patients. This study intends to explore whether the antifungal de-escalation treatment strategy and the new intermittent dosing strategy of echinocandins in critically ill patients are able to achieve the corresponding PK/PD targets. The published population PK models of antifungals in critically ill patients and a public data set from the MIMIC-III database ( n = 662) were employed to evaluate PK/PD target attainment of different dosing regimens of antifungals.
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