About: Vancomycin removal during low-flux and high-flux extended daily hemodialysis in critically ill septic patients     Goto   Sponge   NotDistinct   Permalink

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Description
  • To determine the extent of vancomycin removal and vancomycin pharmacokinetics in septic patients with AKI using daily hemodialysis with polysulphone high-flux and low-flux membrane. Five patients received 6 h daily dialysis with low-flux polysulphone membrane, four patients with high-flux polysulphone membrane. Vancomycin was administered over the last hour of dialysis. The maintenance dose was adjusted based on pre-hemodialysis serum concentrations. Patients were followed up for two days. Median percentage of vancomycin removal by low-flux membrane dialysis was 17% (8 - 38%) and by high-flux membrane dialysis was 31% (13-43%). Vancomycin clearance was only moderately higher in high-flux membrane dialysis (median 3.01 l/h, range 2.34-3.5 l/h) compared to low-flux dialysis (median 2.48 l/h, range 0.53-5.68 l/h) in the first day of the study. About two-fold higher vancomycin clearance in high-flux dialysis (median 3.62 l/h, range 1.37-5.07 l/h) was observed on the second day of the study than low-flux dialysis (median 1.74 l/h, range 0.75-30.94 l/h). Both high-flux and low-flux membrane dialysis remove considerable amounts of vancomycin in critically ill septic patients with AKI. Application of vancomycin after each dialysis was required to maintain therapeutic concentrations.
  • To determine the extent of vancomycin removal and vancomycin pharmacokinetics in septic patients with AKI using daily hemodialysis with polysulphone high-flux and low-flux membrane. Five patients received 6 h daily dialysis with low-flux polysulphone membrane, four patients with high-flux polysulphone membrane. Vancomycin was administered over the last hour of dialysis. The maintenance dose was adjusted based on pre-hemodialysis serum concentrations. Patients were followed up for two days. Median percentage of vancomycin removal by low-flux membrane dialysis was 17% (8 - 38%) and by high-flux membrane dialysis was 31% (13-43%). Vancomycin clearance was only moderately higher in high-flux membrane dialysis (median 3.01 l/h, range 2.34-3.5 l/h) compared to low-flux dialysis (median 2.48 l/h, range 0.53-5.68 l/h) in the first day of the study. About two-fold higher vancomycin clearance in high-flux dialysis (median 3.62 l/h, range 1.37-5.07 l/h) was observed on the second day of the study than low-flux dialysis (median 1.74 l/h, range 0.75-30.94 l/h). Both high-flux and low-flux membrane dialysis remove considerable amounts of vancomycin in critically ill septic patients with AKI. Application of vancomycin after each dialysis was required to maintain therapeutic concentrations. (en)
Title
  • Vancomycin removal during low-flux and high-flux extended daily hemodialysis in critically ill septic patients
  • Vancomycin removal during low-flux and high-flux extended daily hemodialysis in critically ill septic patients (en)
skos:prefLabel
  • Vancomycin removal during low-flux and high-flux extended daily hemodialysis in critically ill septic patients
  • Vancomycin removal during low-flux and high-flux extended daily hemodialysis in critically ill septic patients (en)
skos:notation
  • RIV/61989592:15110/12:33138910!RIV13-MZ0-15110___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • P(NS10309), V
http://linked.open...iv/cisloPeriodika
  • 4
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
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http://linked.open...dnocenehoVysledku
  • 176954
http://linked.open...ai/riv/idVysledku
  • RIV/61989592:15110/12:33138910
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • vancomycin; sepsis; polysulphone membrane; low-flux; high-flux; hemodialysis; acute kidney injury (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • CZ - Česká republika
http://linked.open...ontrolniKodProRIV
  • [53545A6A91CF]
http://linked.open...i/riv/nazevZdroje
  • Biomedical Papers-Olomouc
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http://linked.open...ichTvurcuVysledku
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http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 156
http://linked.open...iv/tvurceVysledku
  • Martínek, Arnošt
  • Urbánek, Karel
  • Brozmanová, Hana
  • Grundmann, Milan
  • Zahálková, Jana
  • Petejová, Naděžda
  • Kacířová, Ivana
  • Ďuricová, Jana
issn
  • 1213-8118
number of pages
http://bibframe.org/vocab/doi
  • 10.5507/bp.2012.002
http://localhost/t...ganizacniJednotka
  • 15110
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