High-Dosage Fosfomycin Results in Adequate Plasma and Target-Site Exposure in Morbidly Obese and Nonobese Nonhyperfiltration Patients

Author:

Busse D.12ORCID,Simon P.345,Petroff D.46,El-Najjar N.7,Schmitt L.12,Bindellini D.12,Dietrich A.3,Zeitlinger M.8ORCID,Huisinga W.9,Michelet R.1ORCID,Wrigge H.41011,Kloft C.1

Affiliation:

1. Freie Universitaet Berlin, Institute of Pharmacy, Department of Clinical Pharmacy and Biochemistry, Berlin, Germany

2. Graduate Research Training Program PharMetrX, Berlin/Potsdam, Germany

3. University of Leipzig Medical Centre, Department of Anesthesiology and Intensive Care Medicine, Leipzig, Germany

4. University of Leipzig, Integrated Research and Treatment Center (IFB) Adiposity Diseases, Leipzig, Germany

5. University of Augsburg, Department of Anesthesiology and Intensive Care Medicine, Augsburg, Germany

6. University of Leipzig, Clinical Trial Centre Leipzig, Leipzig, Germany

7. University Hospital Regensburg, Institute of Clinical Microbiology and Hygiene, Faculty of Medicine, Regensburg, Germany

8. Medical University of Vienna, Department of Clinical Pharmacology, Vienna, Austria

9. University of Potsdam, Institute of Mathematics, Potsdam, Germany

10. Bergmannstrost Hospital Halle, Department of Anesthesiology, Intensive Care, Emergency Medicine, and Pain Therapy, Halle, Germany

11. Medical Faculty, Martin-Luther-University Halle/Wittenberg, Halle, Germany

Abstract

The objectives of this study were the identification in (morbidly) obese and nonobese patients of (i) the most appropriate body size descriptor for fosfomycin dose adjustments and (ii) adequacy of the currently employed dosing regimens. Plasma and target site (interstitial fluid of subcutaneous adipose tissue) concentrations after fosfomycin administration (8 g) to 30 surgery patients (15 obese/15 nonobese) were obtained from a prospective clinical trial.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference47 articles.

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4. World Health Organization. 2021. Executive summary: the selection and use of essential medicines 2021: report of the 23rd WHO Expert Committee on the selection and use of essential medicines. https://www.who.int/publications/i/item/WHO-MHP-HPS-EML-2021.01. Accessed 15 December 2021.

5. Prevalence of obesity and severe obesity among adults: United States, 2017-2018;Hales CM;NCHS Data Brief,2020

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