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Pathogen-based target attainment of optimized continuous infusion dosing regimens of piperacillin-tazobactam and meropenem in surgical ICU patients: a prospective single center observational study.

Thomas De CorteJarne VerhaegheSofie A M DhaeseSarah Van VoorenJerina BoelensAlain G VerstraeteVeronique StoveFemke OngenaeLiesbet De BusPieter DepuydtSofie Van HoeckeJan J De Waele
Published in: Annals of intensive care (2023)
Despite these pathogen-based data demonstrating that CRTA and TRA is higher than in the often-used theoretical worst-case scenario, a substantial proportion of samples did not attain commonly used PK/PD targets when using optimised continuous infusion dosing regimens. Therefore, more dosing optimization research seems warranted. At the same time, a 'pathogen-based analysis' approach might prove to be more sensible than a worst-case scenario approach when evaluating target attainment and linked clinical outcomes.
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