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多粘菌素B在重症患者中的群体药物代谢动力学研究进展

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在重症监护室中多重耐药菌具有复杂性、难治性的特点,会导致患者住院时间延长,病死率增加,多粘菌素B作为多重耐药性革兰氏阴性菌的最后选择之一.由于重症感染患者表现出个体间和个体内药代动力学的显著差异给抗感染治疗带来了巨大挑战.本文就多粘菌素B的药理作用、在重症患者中的药动学、药效学以及群体药物代谢动力学研究进展进行概述,以期为临床合理用药提供思路.
Advances in Population Pharmacokinetic Studies of Polymyxin B in Critically Ill Patients
Multidrug-resistant bacteria in the intensive care unit are complex and refractory,leading to prolonged hospitalisation and increased morbidity and mortality,and polymyxin B serves as one of the last options for multidrug-resistant Gram-negative bacteria.The sig-nificant inter-and intra-individual pharmacokinetic differences exhibited by patients with severe infections pose a great challenge to anti-infec-tive therapy.This article provides an overview of the pharmacological effects of polymyxin B,pharmacokinetics,pharmacodynamics,and progress in population pharmacokinetic studies in critically ill patients,with a view to providing ideas for rational clinical use of the drug.

Polymyxin BCritically ill patientPharmacokineticsPharmacodynamicsPopulation pharmacokinetics

程贤雄、莫银竹、吕仕杰、李志伟、任宝军、郑鹏肖、梁爱君、杨焕芝

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昆明医科大学附属甘美医院,云南 昆明 650000

昆明市第一人民医院,云南 昆明 650000

多粘菌素B 重症患者 药动学 药效学 群体药物代谢动力学

2024

中国药物评价
国家食品药品监督管理局信息中心

中国药物评价

影响因子:1.09
ISSN:2095-3593
年,卷(期):2024.41(6)