Optimizing Meropenem in Highly Resistant Klebsiella pneumoniae Environments: Population Pharmacokinetics and Dosing Simulations in Critically Ill Patients

Author:

Truong Anh Quan1ORCID,Dao Xuan Co2,Vu Dinh Hoa1ORCID,Nguyen Hoang Anh13,Do Thi Hong Gam3,Tran Nhan Thang3,Tran Nhat Minh1ORCID,Vu Ngan Binh4,Pham Hong Nhung5,Bui Van Cuong2,Trinh The Anh2,Dang Quoc Tuan2,Nguyen Gia Binh2,Lipman Jeffrey678ORCID,Cotta Menino O.6ORCID,Roberts Jason A.6789ORCID

Affiliation:

1. National Drug Information and Adverse Drug Reaction Monitoring Centre, Hanoi University of Pharmacy, Hanoi, Vietnam

2. Intensive Care Unit, Bach Mai Hospital, Hanoi, Vietnam

3. Department of Pharmacy, Bach Mai Hospital, Hanoi, Vietnam

4. Department of Analytical Chemistry and Toxicology, Hanoi University of Pharmacy, Hanoi, Vietnam

5. Department of Microbiology, Bach Mai Hospital, Hanoi, Vietnam

6. University of Queensland Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia

7. Department of Intensive Care Medicine, Royal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia

8. Division of Anaesthesiology Critical Care Emergency and Pain Medicine, Nîmes University Hospital, University of Montpellier, Nîmes, France

9. Pharmacy Department, Royal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia

Abstract

Critically ill patients are characterized by substantial pathophysiological changes that alter the pharmacokinetics (PK) of hydrophilic antibiotics, including carbapenems. Meropenem is a key antibiotic for multidrug-resistant Gram-negative bacilli, and such pathophysiological alterations can worsen treatment outcomes.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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