Therapeutisches Drug Monitoring von Antiinfektiva bei Intensivpatienten – für welche Arzneistoffe und wie?
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Therapeutisches Drug Monitoring von Antiinfektiva bei Intensivpatienten – für welche Arzneistoffe und wie? / König, Christina; Kluge, Stefan; Wicha, Sebastian G.
In: DEUT MED WOCHENSCHR, Vol. 145, No. 24, 12.2020, p. 1764-1769.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Therapeutisches Drug Monitoring von Antiinfektiva bei Intensivpatienten – für welche Arzneistoffe und wie?
AU - König, Christina
AU - Kluge, Stefan
AU - Wicha, Sebastian G
N1 - Thieme. All rights reserved.
PY - 2020/12
Y1 - 2020/12
N2 - Pharmacokinetic and pharmacodynamic changes in intensive care unit patients can increase the risk for therapeutic failure or adverse effects of anti-infective therapy. Therapeutic drug monitoring (TDM) can inform required dose adaptions. The present article reviews the current practice and outlines modern approaches for decision making such as model-informed precision dosing software using the area-under-the-concentration-time-curve as target in favor of simplistic decision making based on trough concentrations. Moreover, the current recommendations for performing TDM of beta-lactams, aminoglycosides, linezolid, glycopeptides and voriconazole are concisely summarized.
AB - Pharmacokinetic and pharmacodynamic changes in intensive care unit patients can increase the risk for therapeutic failure or adverse effects of anti-infective therapy. Therapeutic drug monitoring (TDM) can inform required dose adaptions. The present article reviews the current practice and outlines modern approaches for decision making such as model-informed precision dosing software using the area-under-the-concentration-time-curve as target in favor of simplistic decision making based on trough concentrations. Moreover, the current recommendations for performing TDM of beta-lactams, aminoglycosides, linezolid, glycopeptides and voriconazole are concisely summarized.
KW - Anti-Infective Agents/administration & dosage
KW - Clinical Decision-Making
KW - Critical Care
KW - Drug Monitoring
KW - Humans
KW - Intensive Care Units
KW - Software
U2 - 10.1055/a-1207-1914
DO - 10.1055/a-1207-1914
M3 - SCORING: Review
C2 - 33254251
VL - 145
SP - 1764
EP - 1769
JO - DEUT MED WOCHENSCHR
JF - DEUT MED WOCHENSCHR
SN - 0012-0472
IS - 24
ER -