Pharmacodynamic Target Attainment for Cefepime, Meropenem, and Piperacillin-Tazobactam Using a Pharmacokinetic/Pharmacodynamic-Based Dosing Calculator in Critically Ill Patients
Author(s) -
Emily L. Heil,
David P. Nicolau,
Andras Farkas,
Jason A. Roberts,
Kerri A. Thom
Publication year - 2018
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.01008-18
Subject(s) - cefepime , meropenem , piperacillin/tazobactam , pharmacodynamics , dosing , pharmacokinetics , medicine , piperacillin , pharmacology , tazobactam , antibiotics , intensive care medicine , imipenem , biology , microbiology and biotechnology , antibiotic resistance , genetics , bacteria , pseudomonas aeruginosa
This was a prospective study to determine if pharmacokinetic/pharmacodynamic (PK/PD)-based antibiotic dosing software aids in achieving concentration targets in critically ill patients receiving cefepime (n = 10), meropenem (n = 20), or piperacillin-tazobactam (n = 19). Antibiotic calculator doses targeting a >90% probability of target attainment (PTA) differed from package insert doses for 22.4% (11/49) of patients.
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