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Intradialytic Administration of Daptomycin in End Stage Renal Disease Patients on Hemodialysis
Author(s) -
Noha N. Salama,
Jonathan H. Segal,
Mariann D. Churchwell,
Jignesh H. Patel,
Lihong Gao,
Michael Heung,
Bruce A. Mueller
Publication year - 2009
Publication title -
clinical journal of the american society of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.755
H-Index - 151
eISSN - 1555-905X
pISSN - 1555-9041
DOI - 10.2215/cjn.01650309
Subject(s) - daptomycin , medicine , hemodialysis , pharmacokinetics , end stage renal disease , urology , pharmacodynamics , crossover study , vancomycin , staphylococcus aureus , placebo , alternative medicine , pathology , biology , bacteria , genetics
Infusion of intravenous antibiotics after hemodialysis (HD) may delay initiation of treatment for the next HD shift. Intradialytic administration of drugs such as vancomycin during the final hour of HD obviates these delays. Daptomycin has potent activity against Gram-positive bacteria, but the manufacturer recommends that the dose be infused after HD ends. This study determined the pharmacokinetics of intradialytically dosed daptomycin in patients with ESRD.

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