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Reappraisal of the Optimal Dose of Meropenem in Critically Ill Infants and Children: a Developmental Pharmacokinetic-Pharmacodynamic Analysis

Zeming Wang, Xiaoyu Chen, Jing Bi, Meiying Wang, Baoping Xu, Bo‐Hao Tang, Cen Li, Wei Zhao, Adong Shen

2020Antimicrobial Agents and Chemotherapy31 citationsDOIOpen Access PDF

Abstract

Data of developmental pharmacokinetics (PK) of meropenem in critically ill infants and children with severe infections are limited. We assessed the population PK and defined the appropriate regimen to optimize treatment in this population based on developmental PK-pharmacodynamic (PD) analysis. Blood samples were collected from pediatric intensive care unit patients with severe infection treated with standard dosage regimens for meropenem. Population PK data were analyzed using NONMEM software. Fifty-seven patients (mean age, 2.

Topics & Concepts

MeropenemNONMEMPharmacodynamicsMedicinePharmacokineticsPopulation pharmacokineticsPopulationCritically illRegimenPediatric intensive care unitIntensive care unitIntensive care medicinePharmacologyPediatricsInternal medicineAntibioticsBiologyAntibiotic resistanceMicrobiologyEnvironmental healthAntibiotics Pharmacokinetics and EfficacyPneumonia and Respiratory InfectionsRenal function and acid-base balance