Patient-specific modelling of regional tobramycin concentration levels in airways of patients with cystic fibrosis: can we dose once daily?
Author(s) -
Aukje C. Bos,
Johan W. Mouton,
Mireille van Westreenen,
EleniRosalina Andrinopoulou,
Hettie M. Janssens,
Harm A.W.M. Tiddens
Publication year - 2017
Publication title -
journal of antimicrobial chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.124
H-Index - 194
eISSN - 1460-2091
pISSN - 0305-7453
DOI - 10.1093/jac/dkx293
Subject(s) - tobramycin , cystic fibrosis , medicine , antibiotics , intensive care medicine , microbiology and biotechnology , biology , gentamicin
Inhaled tobramycin is important in the treatment of Pseudomonas aeruginosa (Pa) infections in cystic fibrosis (CF). However, despite its use it fails to attenuate the clinical progression of CF lung disease. The bactericidal efficacy of tobramycin is known to be concentration-dependent and hence changing the dosing regimen from a twice-daily (q12h) inhalation to a once-daily (q24h) inhaled double dose could improve treatment outcomes.
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