Fluconazole Pharmacokinetics in Burn Patients
Author(s) -
Bradley A. Boucher,
Stephen R. King,
Heidi L. Wandschneider,
William L. Hickerson,
Scott D. Hanes,
Vanessa L. Herring,
Todd W. Canada,
Mary M. Hess
Publication year - 1998
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.42.4.930
Subject(s) - pharmacokinetics , volume of distribution , fluconazole , body surface area , total body surface area , medicine , half life , metabolic clearance rate , anesthesia , gastroenterology , antifungal , dermatology
The pharmacokinetics of fluconazole in nine adult patients with severe (30 to 95% total body surface area) burns were studied. There was no significant difference in half-life (t1/2), clearance (CL), or volume of distribution (V) over time in five patients on days 3 and 8 of the study (P > 0.05). Combined parameter estimates (means +/- standard deviations) for all nine patients for the two study periods were as follows: t1/2, 24.4 +/- 5.8 h; CL, 0.36 +/- 0.09 ml/min/kg; and V, 0.72 +/- 0.12 liters/kg. These estimates of t1/2 and CL in burn patients were approximately 13% shorter and 30% more rapid, respectively, than the most extreme estimates reported for other populations.
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