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老年患者抗菌药物的药代动力学及剂量优化研究

An insight into pharmacokinetics and dose optimization of antimicrobials agents in elderly patients.

作者信息

Fu Guanshuang, Sun Weijia, Tan Zhaoyi, Liang Beibei, Cai Yun

机构信息

Centre of Medicine Clinical Research, Department of Pharmacy, PLA General Hospital, Beijing, China.

College of Pharmacy, Chongqing Medical University, Chongqing, China.

出版信息

Front Pharmacol. 2024 Sep 30;15:1396994. doi: 10.3389/fphar.2024.1396994. eCollection 2024.

Abstract

The global elderly population is on the rise, and infections tend to have a higher mortality rate among older individuals. Aging is associated with the progressive impairment of multi-organ function, which can impact the pharmacokinetics of antimicrobials, potentially leading to the failure of anti-infective therapy. With the increasing life expectancy, a significant growth in the elderly demographic, and the escalating costs of healthcare, gaining a thorough understanding of pharmacokinetic changes in the elderly holds crucial clinical significance. This review compiles findings from published studies, offering a comprehensive overview of the pharmacokinetics of various antimicrobials in both adults and the elderly. Furthermore, it delves into advancements in pharmacokinetic methods specific to the elderly population.

摘要

全球老年人口正在增加,感染在老年人中的死亡率往往更高。衰老与多器官功能的逐渐受损有关,这可能会影响抗菌药物的药代动力学,从而可能导致抗感染治疗失败。随着预期寿命的增加、老年人口的显著增长以及医疗保健成本的不断上升,深入了解老年人的药代动力学变化具有至关重要的临床意义。本综述汇编了已发表研究的结果,全面概述了各种抗菌药物在成人和老年人中的药代动力学。此外,它还深入探讨了针对老年人群的药代动力学方法的进展。

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本文引用的文献

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Safety and Tolerability of Antimicrobial Agents in the Older Patient.老年患者中抗菌药物的安全性和耐受性。
Drugs Aging. 2023 Jun;40(6):499-526. doi: 10.1007/s40266-023-01019-3. Epub 2023 Mar 28.

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