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莫西沙星在慢性阻塞性肺疾病中的应用:住院患者和重症监护病房患者的药代动力学和支气管分泌物穿透率。

Moxifloxacin in Chronic Obstructive Pulmonary Disease: Pharmacokinetics and Penetration into Bronchial Secretions in Ward and Intensive Care Unit Patients.

机构信息

Pulmonary Department, Aristotle University of Thessaloniki, G. H. "G. Papanikolaou" (Exohi), Thessaloniki, Greece

Respiratory Intensive Care Unit, Aristotle University of Thessaloniki, G. H. "G. Papanikolaou" (Exohi), Thessaloniki, Greece.

出版信息

Antimicrob Agents Chemother. 2019 Feb 26;63(3). doi: 10.1128/AAC.01974-18. Print 2019 Mar.

Abstract

This study aimed to evaluate the pharmacokinetic profile of moxifloxacin (MXF) in serum and sputum/bronchial secretions of 22 patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) hospitalized in the ward and intensive care unit (ICU). The data showed that ICU patients had lower concentrations in secretions ( = 0.01). However, no other statistically significant differences were observed in pharmacokinetic parameters and penetration in secretions between ward and ICU patients. MXF showed a favorable pharmacokinetic profile, and the pharmacodynamic targets for common pathogens for AECOPD were achieved.

摘要

本研究旨在评估 22 例慢性阻塞性肺疾病急性加重(AECOPD)住院患者(普通病房和重症监护病房)的血清和痰液/支气管分泌物中莫西沙星(MXF)的药代动力学特征。数据显示,重症监护病房患者的分泌物中浓度较低(=0.01)。然而,普通病房和重症监护病房患者的药代动力学参数和分泌物中的渗透情况没有观察到其他统计学上的显著差异。莫西沙星表现出良好的药代动力学特征,达到了 AECOPD 常见病原体的药效学目标。

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