Division of Infectious Diseases, Department of Medicine, Thomas, Jefferson University Hospital, Lankenau Hospital, Lankenau Medical Building, Suite 164, Wynnewood, PA 19096, USA.
Infect Dis Clin North Am. 2009 Dec;23(4):899-924, viii. doi: 10.1016/j.idc.2009.06.009.
This article provides background information on the pharmacokinetics of antibacterial agents in patients who have normal and impaired renal function. Tables are provided to allow quick determination of appropriate dosages for varying degrees of renal failure. The use of serum levels; newer strategies for cefazolin, vancomycin and aminoglycoside dosing; methods of dialysis and associated antibiotics dosage adjustments, and antibiotic toxicity in renal failure are reviewed.
本文提供了肾功能正常和受损患者中抗菌药物药代动力学的背景信息。提供了表格,以便快速确定不同程度肾衰竭的适当剂量。还回顾了血清水平的应用;头孢唑林、万古霉素和氨基糖苷类药物剂量的新策略;透析方法及相关抗生素剂量调整,以及肾衰竭中的抗生素毒性。