2023
Challenges of Colistin Use in ICU and Therapeutic Drug Monitoring: A Literature Review
RYCHLÍČKOVÁ, Jitka, Vendula KUBICKOVA, Pavel SUK a Karel URBANEKZákladní údaje
Originální název
Challenges of Colistin Use in ICU and Therapeutic Drug Monitoring: A Literature Review
Autoři
RYCHLÍČKOVÁ, Jitka (203 Česká republika, domácí), Vendula KUBICKOVA (203 Česká republika), Pavel SUK (203 Česká republika, domácí) a Karel URBANEK (203 Česká republika, garant)
Vydání
Antibiotics-Basel, BASEL, MDPI, 2023, 2079-6382
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30104 Pharmacology and pharmacy
Stát vydavatele
Švýcarsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 4.800 v roce 2022
Kód RIV
RIV/00216224:14110/23:00130973
Organizační jednotka
Lékařská fakulta
UT WoS
000983473900001
Klíčová slova anglicky
colistin; quantification methods; drug stability; pharmacokinetics; drug monitoring
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 15. 6. 2023 15:12, Mgr. Tereza Miškechová
Anotace
V originále
The emerging resistance of Gram-negative bacteria is a growing problem worldwide. Together with the financial cost, limited efficacy, and local unavailability of newer antibiotics or their combinations, it has led to the reintroduction of colistin as a therapeutic alternative. Despite its protracted development and availability on the market, there is now a complex maze of questions surrounding colistin with a more or less straightforward relationship to its safety and efficacy. This review aims to offer a way to navigate this maze. We focus on summarizing the available literature regarding the use of colistin in critically ill patients, particularly on stability, pharmacokinetics, methods for determining plasma concentrations, and therapeutic drug monitoring benefits and limitations. Based on these data, we then highlight the main gaps in the available information and help define directions for future research on this drug. The first gap is the lack of data on the stability of intravenous and nebulization solutions at clinically relevant concentrations and under external conditions corresponding to clinical practice. Furthermore, pharmacokinetic-pharmacodynamic parameters should be validated using standardized dosing, including a loading dose. Based on the pharmacokinetic data obtained, a population model for critically ill patients should be developed. Finally, the interference of colistin with extracorporeal methods should be quantified.
Návaznosti
CZ.02.1.01/0.0/0.0/16_013/0001826, interní kód MU (Kód CEP: EF16_013/0001826) |
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LM2023049, projekt VaV |
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