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持续低效透析治疗对危重症患者伊曲康唑血药浓度的影响。

Influence of Sustained Low-Efficiency Dialysis Treatment on Isavuconazole Plasma Levels in Critically Ill Patients.

机构信息

Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar der Technischen Universität Munich, Munich, Germany

Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar der Technischen Universität Munich, Munich, Germany.

出版信息

Antimicrob Agents Chemother. 2019 Oct 22;63(11). doi: 10.1128/AAC.01162-19. Print 2019 Nov.

Abstract

Isavuconazole plasma concentrations were measured before and after sustained low-efficiency dialysis (SLED) treatment in 22 critically ill adult patients with probable invasive aspergillosis and underlying hematological malignancies. Isavuconazole levels were significantly lower after SLED treatment (5.73 versus 3.36 μg/ml; < 0.001). However, even after SLED treatment, isavuconazole concentrations exceeded the MICs for several relevant species.

摘要

在 22 例患有疑似侵袭性曲霉菌病和潜在血液恶性肿瘤的重症成年患者中,在持续低效透析(SLED)治疗前后测量了伊曲康唑的血浆浓度。SLED 治疗后伊曲康唑水平显著降低(5.73 对 3.36μg/ml;<0.001)。然而,即使在 SLED 治疗后,伊曲康唑浓度仍超过了几种相关物种的 MIC 值。

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