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- W4311852483 endingPage "1769" @default.
- W4311852483 startingPage "1769" @default.
- W4311852483 abstract "The outcome for critically ill patients is burdened by a double mortality rate and a longer hospital stay in the case of sepsis or septic shock. The adequate use of antibiotics may impact on the outcome since they may affect the pharmacokinetics (Pk) and pharmacodynamics (Pd) of antibiotics in such patients. Acute renal failure (ARF) occurs in about 50% of septic patients, and the consequent need for continuous renal replacement therapy (CRRT) makes the renal elimination rate of most antibiotics highly variable. Antibiotics doses should be reduced in patients experiencing ARF, in accordance with the glomerular filtration rate (GFR), whereas posology should be increased in the case of CRRT. Since different settings of CRRT may be used, identifying a standard dosage of antibiotics is very difficult, because there is a risk of both oversimplification and failing the therapeutic efficacy. Indeed, it has been seen that, in over 25% of cases, the antibiotic therapy does not reach the necessary concentration target mainly due to lack of the proper minimal inhibitory concentration (MIC) achievement. The aim of this narrative review is to clarify whether shared algorithms exist, allowing them to inform the daily practice in the proper antibiotics posology for critically ill patients undergoing CRRT." @default.
- W4311852483 created "2023-01-01" @default.
- W4311852483 creator A5003946443 @default.
- W4311852483 creator A5017639441 @default.
- W4311852483 creator A5083798648 @default.
- W4311852483 date "2022-12-07" @default.
- W4311852483 modified "2023-09-25" @default.
- W4311852483 title "Antibiotic Therapy in the Critically Ill with Acute Renal Failure and Renal Replacement Therapy: A Narrative Review" @default.
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- W4311852483 doi "https://doi.org/10.3390/antibiotics11121769" @default.
- W4311852483 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36551426" @default.
- W4311852483 hasPublicationYear "2022" @default.
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