The management of anti-infective agents in intensive care units: the potential role of a "fast" pharmacology.

The management of anti-infective agents in intensive care units: the potential role of a "fast" pharmacology. Expert Rev Clin Pharmacol. 2020 Apr 22;: Authors: Cattaneo D, Corona A, De Rosa FG, Gervasoni C, Kocic D, Marriott DJ Abstract Introduction: Patients in intensive care units (ICU) are often develop severe infections in which are associated with significant mortality rates. A number of novel technologies for the rapid microbiological diagnosis of these infections have been developed, introducing the era of 'fast microbiology'. Treatment of bacterial and fungal infections in ICU is however complicated by alterations in the pharmacokinetics of antimicrobial agents.Areas covered: We review novel pharmacologic tools that can be used to optimize anti-infective therapies and patient management in ICU. A MEDLINE Pubmed search for articles published from January 1995 to 2019 was completed matching the terms pharmacokinetics and pharmacology with antimicrobial agents and ICU or critically-ill patients. Moreover, additional studies were identified from the reference list of retrieved articles.Expert opinion: Several tools are in development for the full automation of the analytical methods used for the quantification of antimicrobial concentrations within a few hours after sample collection. Ad hoc software with adaptive feedback is also available for appropriate dose adjustments based on both individual patient covariate data and thera...
Source: Expert Review of Clinical Pharmacology - Category: Drugs & Pharmacology Tags: Expert Rev Clin Pharmacol Source Type: research