Ceftazidime in Acute Myeloid Leukemia Patients with Febrile Neutropenia: Helpfulness of Continuous Intravenous Infusion in Maximizing Pharmacodynamic Exposure

Author:

Pea Federico1,Viale Pierluigi2,Damiani Daniela3,Pavan Federica1,Cristini Francesco2,Fanin Renato3,Furlanut Mario1

Affiliation:

1. Institute of Clinical Pharmacology and Toxicology, Department of Experimental and Clinical Pathology and Medicine

2. Clinic of Infectious Diseases, Department of Medical and Morphological Research

3. Chair of Hematology, Department of Medical and Morphologic Research, and Division of Hematology, Medical School, University of Udine, Udine, Italy

Abstract

ABSTRACT The pharmacokinetic-pharmacodynamic profile of a fixed 6-g daily continuous intravenous infusion of ceftazidime was assessed in 20 febrile neutropenic patients with acute myeloid leukemia. Mean steady-state ceftazidime concentrations averaging 40 mg/liter from day 2 on ensured maximized pharmacodynamic exposure (values close to four to five times the MIC breakpoint against Pseudomonas aeruginosa ). However, large intra- and interindividual pharmacokinetic variability was documented throughout the study period.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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