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临床药代动力学中用于参数优化的微机程序(OPT)评估:庆大霉素和妥布霉素

Evaluation of a microcomputer program (OPT) for parameter optimisation in clinical pharmacokinetics: gentamicin and tobramycin.

作者信息

Zantvoort F A, Wagenvoort J H, Derkx F H, Michel M F

机构信息

Department of Clinical Pharmacology, University Hospital Dykzigt, Rotterdam, The Netherlands.

出版信息

Br J Clin Pharmacol. 1987 Oct;24(4):511-8. doi: 10.1111/j.1365-2125.1987.tb03205.x.

DOI:10.1111/j.1365-2125.1987.tb03205.x
PMID:3689631
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1386314/
Abstract
  1. Several nomograms and computer programs are available to aid in aminoglycoside dosing. 2. Due to the variability in the relationship between dosage and serum drug levels, monitoring through the acquisition of serum drug levels is mandatory. 3. All clinical data, including serum drug levels, are subject to errors. 4. The program we have evaluated, OPT, calculates the most likely set of pharmacokinetic parameter estimates for individual patients by applying Bayes' theorem and the principle of Maximum Likelihood Estimation. Through a feedback process all available data are used, taking possible errors into account. 5. Our study shows that OPT is able to predict serum aminoglycoside levels accurately in the routine clinical setting. It may thus contribute to the quality of aminoglycoside therapy.
摘要
  1. 有几种列线图和计算机程序可用于辅助氨基糖苷类药物的给药剂量计算。2. 由于剂量与血清药物水平之间关系的变异性,通过获取血清药物水平进行监测是必不可少的。3. 所有临床数据,包括血清药物水平,都可能存在误差。4. 我们评估的程序OPT,通过应用贝叶斯定理和最大似然估计原理,为个体患者计算最可能的一组药代动力学参数估计值。通过反馈过程,利用所有可用数据,并考虑到可能的误差。5. 我们的研究表明,OPT能够在常规临床环境中准确预测血清氨基糖苷类药物水平。因此,它可能有助于提高氨基糖苷类药物治疗的质量。

相似文献

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Evaluation of a microcomputer program (OPT) for parameter optimisation in clinical pharmacokinetics: gentamicin and tobramycin.临床药代动力学中用于参数优化的微机程序(OPT)评估:庆大霉素和妥布霉素
Br J Clin Pharmacol. 1987 Oct;24(4):511-8. doi: 10.1111/j.1365-2125.1987.tb03205.x.
2
Prospective comparison of traditional and pharmacokinetic aminoglycoside dosing methods.传统与药代动力学氨基糖苷类药物给药方法的前瞻性比较。
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A Bayesian feedback method of aminoglycoside dosing.一种氨基糖苷类药物给药的贝叶斯反馈方法。
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Experience with a once-daily dosing program of aminoglycosides in critically ill patients.危重症患者每日一次氨基糖苷类药物给药方案的经验
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引用本文的文献

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An updated comparison of drug dosing methods. Part III: Aminoglycoside antibiotics.药物给药方法的最新比较。第三部分:氨基糖苷类抗生素。
Clin Pharmacokinet. 1991 May;20(5):374-88. doi: 10.2165/00003088-199120050-00003.
2
Bayesian parameter estimation and population pharmacokinetics.
Clin Pharmacokinet. 1992 Jun;22(6):447-67. doi: 10.2165/00003088-199222060-00004.

本文引用的文献

1
Parameter optimisation in clinical pharmacokinetics.临床药代动力学中的参数优化
Comput Programs Biomed. 1982 Jun;14(3):239-48. doi: 10.1016/0010-468x(82)90029-0.
2
OPT: a package of computer programs for parameter optimisation in clinical pharmacokinetics.OPT:一套用于临床药代动力学参数优化的计算机程序。
Br J Clin Pharmacol. 1982 Aug;14(2):247-56. doi: 10.1111/j.1365-2125.1982.tb01969.x.
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The aminoglycosides.氨基糖苷类抗生素。
Med Clin North Am. 1982 Jan;66(1):303-12. doi: 10.1016/s0025-7125(16)31462-6.
4
The aminoglycoside panel: a new approach to monitoring aminoglycoside therapy.氨基糖苷类药物监测组合:监测氨基糖苷类药物治疗的新方法。
Ther Drug Monit. 1983 Jun;5(2):169-72.
5
Comparison of methods for estimating gentamicin clearance and retrospective analysis of changes in clearance with emphasis on patients with normal renal function.庆大霉素清除率估算方法的比较及清除率变化的回顾性分析,重点关注肾功能正常的患者。
Br J Clin Pharmacol. 1984 Feb;17(2):147-55. doi: 10.1111/j.1365-2125.1984.tb02329.x.
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A microcomputer program for tobramycin consult services, based on the two-compartment pharmacokinetic model.基于二室药代动力学模型的妥布霉素咨询服务微机程序。
Drug Intell Clin Pharm. 1983 Jul-Aug;17(7-8):528-31. doi: 10.1177/106002808301700706.
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Comparison of the predictions of one- and two-compartment microcomputer programs for long-term tobramycin therapy.
Ther Drug Monit. 1984;6(4):432-7. doi: 10.1097/00007691-198412000-00009.
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Cost analysis of an aminoglycoside pharmacokinetic dosing program.氨基糖苷类药物药代动力学给药方案的成本分析。
Am J Hosp Pharm. 1984 Nov;41(11):2347-51.
9
Clinical pharmacokinetics: a comprehensive system for therapeutic drug monitoring and prescribing.临床药代动力学:治疗药物监测与处方的综合系统。
Br Med J (Clin Res Ed). 1984 Feb 18;288(6416):541-5. doi: 10.1136/bmj.288.6416.541.
10
The unpredictability of serum concentrations of gentamicin: pharmacokinetics of gentamicin in patients with normal and abnormal renal function.庆大霉素血清浓度的不可预测性:肾功能正常和异常患者的庆大霉素药代动力学
J Infect Dis. 1974 Aug;130(2):150-4. doi: 10.1093/infdis/130.2.150.