ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2026
PK/PD study of ceftazidime/avibactam in patients with severe intra-abdominal infections treated by continuous veno-venous hemofiltration.
Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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12 authors.
Funding
Abstract
purposeTo investigate the pharmacokinetics (PK) of ceftazidime/avibactam and optimize dosing regimens in patients with severe intra-abdominal infection (sIAI) receiving continuous veno-venous hemofiltration (CVVH).
methodsSeven patients with sIAI treated with ceftazidime/avibactam and CVVH were enrolled. Blood samples were collected at pre-dose and post-dose (2, 3, 4, 6, and 8 h) during hemodynamic stability. Plasma concentrations were measured, and PK parameters were calculated. Monte Carlo simulations (MCSs) were used to assess the probability of target attainment (PTA) and cumulative fraction of response (CFR) for different dosing regimens.
resultsCVVH increased the clearance (CL) significantly (ceftazidime: 2.46 ± 0.29 vs. 0.9 ± 0.11 L/h; avibactam: 2.89 ± 0.41 vs. 1.09 ± 0.08 L/h, p < 0.001). For the target of 100%fT ≥ MIC (ceftazidime) + 100%fT ≥ C
conclusionCVVH enhanced the CL significantly. Dosing should be "individualized" based on the MIC and patient-specific factors.
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