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Impact of Triazole Therapeutic Drug Monitoring Availability and Timing
Author(s) -
Erin K McCreary,
Meg L. Bayless,
Ahn P. Van,
Alexander J. Lepak,
Donald A. Wiebe,
Lucas Schulz,
David R. Andes
Publication year - 2019
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.01245-19
Subject(s) - therapeutic drug monitoring , medicine , drug , antifungal , triazole , serum concentration , pharmacology , therapeutic effect , intensive care medicine , chemistry , organic chemistry , dermatology
Therapeutic drug monitoring (TDM) is an established strategy to optimize antifungal therapy with certain triazoles. While established relationships exist between concentration and safety or efficacy, the impact of TDM timing on outcomes is unknown. We report clinical outcomes, including antifungal exposure and mortality, in patients receiving institutional versus reference laboratory TDM.

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