Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2005-1-13
pubmed:abstractText
The pharmacokinetics of piperacillin/tazobactam (4 g/0.5 g every 6 or 8 hours, by 20-minute intravenous infusion) were studied in 14 patients with acute renal failure who underwent continuous venovenous hemofiltration with AN69 membranes. Patients were grouped according to severity (CL(CR) < or =10 mL/min, 10 < CL(CR) < or =50 mL/min, and CL(CR) > 50 mL/min). A noncompartmental analysis was performed. The sieving coefficient (0.78 +/- 0.28) was similar to the unbound fraction (0.65 +/- 0.24) for tazobactam, but it was significantly different (0.34 +/- 0.25) from the unbound fraction (0.78 +/- 0.14) for piperacillin. Extracorporeal clearance was 37.0% +/- 28.8%, 12.7% +/- 12.6%, and 2.8% +/- 3.2% for piperacillin in each group and 62.5% +/- 44.9%, 35.4% +/- 17.0%, and 13.1% +/- 8.0% for tazobactam. No patients presented tazobactam accumulation. In patients with CL(CR) < 50 mL/min, t(%)ss >MIC90 values were 100% for a panel of 19 pathogens, but in those with CL(CR) > 50 mL/min, t(%)ss >MIC90 indexes were 55.5% and 16.6% for pathogens with MIC90 values of 32 and 64. The extracorporeal clearance of piperacillin/tazobactam is clinically significant in patients with CL(CR) > 50 mL/min, in which the risk of underdosing and clinical failure is important and extra doses are required.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0091-2700
pubmed:author
pubmed:issnType
Print
pubmed:volume
45
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
168-76
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:15647409-Aged, pubmed-meshheading:15647409-Area Under Curve, pubmed-meshheading:15647409-Chromatography, High Pressure Liquid, pubmed-meshheading:15647409-Drug Therapy, Combination, pubmed-meshheading:15647409-Female, pubmed-meshheading:15647409-Half-Life, pubmed-meshheading:15647409-Hemofiltration, pubmed-meshheading:15647409-Humans, pubmed-meshheading:15647409-Inpatients, pubmed-meshheading:15647409-Intensive Care, pubmed-meshheading:15647409-Intensive Care Units, pubmed-meshheading:15647409-Kidney, pubmed-meshheading:15647409-Kidney Failure, Chronic, pubmed-meshheading:15647409-Male, pubmed-meshheading:15647409-Microbial Sensitivity Tests, pubmed-meshheading:15647409-Middle Aged, pubmed-meshheading:15647409-Penicillanic Acid, pubmed-meshheading:15647409-Piperacillin, pubmed-meshheading:15647409-Time Factors
pubmed:year
2005
pubmed:articleTitle
Influence of renal function on the pharmacokinetics of piperacillin/tazobactam in intensive care unit patients during continuous venovenous hemofiltration.
pubmed:affiliation
Laboratorio de Farmacia y Tecnología Farmacéutica, Facultad de Farmacia, Paseo de la Universidad no. 7, 01006 Vitoria-Gasteiz, Spain.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't