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Target-Controlled Infusion of Cefepime in Critically Ill Patients
Author(s) -
Stijn Jonckheere,
Nikolaas De Neve,
Jan Verbeke,
Koen De Decker,
Inger Brandt,
An Boel,
Jan Van Bocxlaer,
Michel Struys,
Pieter Colin
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.01552-19
Subject(s) - cefepime , critically ill , dosing , pharmacodynamics , medicine , pharmacokinetics , antibiotics , pharmacology , intensive care medicine , therapeutic drug monitoring , drug , anesthesia , chemistry , antibiotic resistance , biochemistry , imipenem
Attainment of appropriate pharmacokinetic-pharmacodynamic (PK-PD) targets for antimicrobial treatment is challenging in critically ill patients, particularly for cefepime, which exhibits a relative narrow therapeutic-toxic window compared to other beta-lactam antibiotics. Target-controlled infusion (TCI) systems, which deliver drugs to achieve specific target drug concentrations, have successfully been implemented for improved dosing of sedatives and analgesics in anesthesia.

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