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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2023, Vol. 28 ›› Issue (5): 561-571.doi: 10.12092/j.issn.1009-2501.2023.05.011

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Optimization strategy of antibiotic dosing regimen in intensive care unit patients with augmented renal clearance

DANG Zilong1,2, LIU Haiyang2, ZHANG Yangfan2, LIU Jinfeng2, ZHANG Tianwei2, LI Bin3, GUO Hong3, CHENG Wenyuan1, XU Xiaohui4, LI Yile5, WEI Yuhui1, WU Xin'an1,2,6   

  1. 1Department of Pharmacy, The First Hospital of Lanzhou University; 2The First School of Clinical Medicine, Lanzhou University; 3Department of Critical Care Medicine, The First Hospital of Lanzhou University, Lanzhou 730000, Gansu, China; 4Lanzhou Institute for Food and Drug Control, Lanzhou 730050, Gansu, China; 5School of Pharmacy, Lanzhou University, Lanzhou 730000, China; 6Engineering Research Centre of Prevention and Control for Clinical Medication Risk, Gansu Province, Lanzhou 730000, Gansu, China
  • Received:2022-12-13 Revised:2023-02-18 Online:2023-05-26 Published:2023-06-08

Abstract:

The incidence of augmented renal clearance (ARC) in intensive care patients (ICU) is exceptionally high, and these patients are often comorbid with infection. The occurrence of ARC will significantly increase the clearance rate of antibiotics, making it difficult for conventional doses to reach effective therapeutic concentrations and affect the patient's anti-infective treatment effect and prognosis. It can be seen that it is crucial to formulate a reasonable dosing regimen for ICU patients with ARC. Regrettably, few reports in China about the adjustment strategy of antibiotic dosing regimens for ARC patients. Therefore, this article reviews the domestic and foreign literature for reference to provide evidence for medical personnel to adjust the dose of antibacterial drugs for such patients.

Key words: augmented renal clearance, antibacterial drugs, intensive care unit patients, optimization strategy

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