Personalized Amoxicillin Therapy in a Critically Ill Patient Undergoing Renal Replacement Therapy: A Grand Round

Author:

Garrigue Philippine1,Reber Margot2,Perinel-Ragey Sophie2,Launay Manon23ORCID

Affiliation:

1. Pharmacie à usage intérieur, CHU de Saint Etienne, Saint Etienne, France;

2. Médecine Intensive Réanimation G, CHU de Saint-Etienne, Saint Etienne, France; and

3. Centre Régional de Pharmacovigilance, CHU Nord de St Etienne, Saint Etienne, France.

Abstract

Background: The case study discusses a complex scenario involving the use of amoxicillin in a critically ill patient undergoing intermittent renal replacement therapy. Severe infections are complicated by septic shock and organ failure, requiring urgent and effective antibiotic treatment. Methods: The patient's comorbidities, including obesity and acute kidney injury, required careful consideration of the amoxicillin dosing strategies. Results: Therapeutic drug monitoring is critical for dose adjustment during treatment. Conclusions: This case highlights the importance of a collaborative approach between clinicians and therapeutic drug monitoring consultants to optimize antibiotic therapy for critically ill patients with renal impairment.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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