Optimization of antimicrobial treatment in sepsis
- PMID: 36285854
- PMCID: PMC9717460
- DOI: 10.37201/req/s03.07.2022
Optimization of antimicrobial treatment in sepsis
Abstract
Sepsis represents a serious risk to the life of any patient, which is why it is crucial to start an effective treatment in all its extremes as soon as possible, that is, the chosen antibiotics must have activity against the pathogen that produces the condition and, in addition, they must be dosed considering the patient's situation in all its extremes. It should be considered that it will be necessary to adjust the dose when there is edema (drugs with reduced volume of distribution), hypoproteinemia (drugs bound to proteins in a high proportion), obesity, and also when they require the use of external techniques such as ECMO or any of the different types of hemodialysis and hemofiltration.
©The Author 2022. Published by Sociedad Española de Quimioterapia. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)(https://creativecommons.org/licenses/by-nc/4.0/).
Conflict of interest statement
Authors declare no conflict of interest
Figures
Similar articles
-
Meropenem dosing in critically ill patients with sepsis receiving high-volume continuous venovenous hemofiltration.Antimicrob Agents Chemother. 2010 Jul;54(7):2974-8. doi: 10.1128/AAC.01582-09. Epub 2010 May 17. Antimicrob Agents Chemother. 2010. PMID: 20479205 Free PMC article.
-
Blood and plasma treatments: the rationale of high-volume hemofiltration.Contrib Nephrol. 2007;156:387-95. doi: 10.1159/000102129. Contrib Nephrol. 2007. PMID: 17464149 Review.
-
Blood and plasma treatments: high-volume hemofiltration--a global view.Contrib Nephrol. 2007;156:371-86. doi: 10.1159/000102128. Contrib Nephrol. 2007. PMID: 17464148 Review.
-
Hemofiltration, adsorption, sieving and the challenge of sepsis therapy design.Crit Care. 2002 Oct;6(5):394-6. doi: 10.1186/cc1826. Epub 2002 Sep 4. Crit Care. 2002. PMID: 12398774 Free PMC article. Review.
-
[Effect of CRRT on the clearance of antibiotics in the treatment of sepsis].Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2017 Jul;29(7):662-665. doi: 10.3760/cma.j.issn.2095-4352.2017.07.019. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2017. PMID: 28743349 Chinese.
References
-
- Ulldemolins M, Roberts JA, Rello J, Paterson DL, Lipman J. The effects of hypoalbuminaemia on optimizing antibacterial dosing in critically ill patients. Clin Pharmacokinet. 2011. Feb;50(2):99-110. - PubMed
-
- Janson B, Thursky K. Dosing of antibiotics in obesity. Curr Opin Infect Dis. 2012. Dec;25(6):634-49. - PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical