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Pharmacokinetic Variability of Daptomycin during Prolonged Therapy for Bone and Joint Infections
Author(s) -
Sylvain Goutelle,
Sandrine Roux,
MarieClaude Gagnieu,
Florent Valour,
Sébastien Lustıg,
Florence Ader,
Frédéric Laurent,
Christian Chidiac,
Tristan Ferry
Publication year - 2016
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.02597-15
Subject(s) - daptomycin , pharmacokinetics , medicine , renal function , population , therapeutic drug monitoring , pharmacology , biology , vancomycin , environmental health , bacteria , genetics , staphylococcus aureus
The interindividual and intraindividual variabilities in daptomycin pharmacokinetics were investigated in 23 patients (69 pharmacokinetic profiles) who were treated for several months for bone and joint infections. Population daptomycin clearance was significantly influenced by renal function and was significantly higher in male than in female patients. We observed significant intraindividual changes in daptomycin clearance, which were uncorrelated with changes in renal function, suggesting that therapeutic drug monitoring is important in patients receiving prolonged daptomycin therapy.

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