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Population Pharmacokinetics of Piperacillin/Tazobactam Across the Adult Lifespan.

Marion Hemmersbach-MillerStephen J BalevicPatricia L WinokurCornelia B LandersdorferKenan GuAustin W ChanMichael Cohen-WolkowiezThomas ConradGuohua AnCarl M J KirkpatrickGeeta K SwamyEmmanuel B WalterKenneth E Schmader
Published in: Clinical pharmacokinetics (2023)
The simulations suggested that adults ≤ 50 years of age infected with organisms with higher minimum inhibitory concentrations may benefit from continuous piperacillin/tazobactam infusions (12 g/day of piperacillin component) or extended infusions of 4 g every 8 hours. However, for a target of 50% fT + minimum inhibitory concentration, dosing based on renal function is generally preferable to dosing by age, and simulations suggested that patients with creatinine clearance ≥ 120 mL/min may benefit from infusions of 4 g every 8 hours for organisms with higher minimum inhibitory concentrations.
Keyphrases
  • gram negative
  • molecular dynamics
  • multidrug resistant
  • monte carlo