Effect of therapeutic drug monitoring-based dose optimization of piperacillin/tazobactam on sepsis-related organ dysfunction in patients with sepsis: a randomized controlled trial.
Stefan HagelFriedhelm BachThorsten BrennerHendrik BrachtAlexander BrinkmannThorsten AnneckeAndreas HohnMarkus WeigandGuido MichelsStefan KlugeAxel NierhausDominik JarczakChristina KönigDirk WeismannOtto FreyDominic WitzkeCarsten MüllerMichael BauerMichael KiehntopfSophie NeugebauerThomas LehmannJason A RobertsMathias W Pletznull nullPublished in: Intensive care medicine (2022)
TDM-guided therapy showed no beneficial effect in patients with sepsis and continuous infusion of piperacillin/tazobactam with regard to the mean SOFA score. Larger studies with strategies to ensure optimization of antimicrobial exposure are needed to definitively answer the question.