• Ann Pharmacother · Nov 2009

    Review Comparative Study

    Comparative pharmacodynamics of intermittent and prolonged infusions of piperacillin/tazobactam using Monte Carlo simulation and steady-state pharmacokinetic data from hospitalized patients.

    • John C Rotschafer and Mary Ullman.
    • Antibiotic Pharmacodynamic Research Institute, College of Pharmacy, University of Minnesota, Minneapolis, MN, USA. rotsc001@umn.edu
    • Ann Pharmacother. 2009 Nov 1;43(11):1887-9.

    AbstractWith increasing antibiotic resistance in gram-negative pathogens, dosing strategies that optimize pharmacodynamic parameters of currently available antibiotics play an important role in treatment. The likelihood of success with piperacillin/tazobactam, a widely used broad-spectrum antibiotic, can be manipulated by increasing the amount of time that unbound drug concentrations remain above the pathogen's minimum inhibitory concentration (MIC). However, this success depends greatly on knowing the MIC value as well as accurately estimating the individual's pharmacokinetic parameters. Clinicians should carefully factor these variables into their decision-making process when considering prolonged infusion strategies with piperacillin/tazobactam.

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