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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 null
Published 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.
Keyphrases
  • septic shock
  • acute kidney injury
  • intensive care unit
  • staphylococcus aureus
  • gram negative
  • multidrug resistant
  • mesenchymal stem cells
  • bone marrow
  • drug induced