Critically Ill Patients with Renal Hyperfiltration: Optimizing Antibiotic Dose

Autor: Rico-Fontalvo, Jorge, Correa-Guerrero, José, Martínez-Ávila, María Cristina, Daza-Arnedo, Rodrigo, Rodriguez-Yanez, Tomás, Almanza-Hurtado, Amilkar, Cabrales, José, Mendoza-Paternina, Carmen Julia, Frías-Salazar, Alvaro, Morales-Fernández, Julio
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: International Journal of Nephrology.
ISSN: 2090-214X
DOI: 10.1155/2023/6059079
Popis: Renal hyperfiltration (RHF) is a prevalent phenomenon in critically ill patients characterized by augmented renal clearance (ARC) and increased of elimination of renally eliminated medications. Multiple risk factors had been described and potential mechanisms may contribute to the occurrence of this condition. RHF and ARC are associated with the risk of suboptimal exposure to antibiotics increasing the risk of treatment failure and unfavorable patient outcomes. The current review discusses the available evidence related to the RHF phenomenon, including definition, epidemiology, risk factors, pathophysiology, pharmacokinetic variability, and considerations for optimizing the dosage of antibiotics in critically ill patients.
Databáze: OpenAIRE
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