Beta-Lactam Antibiotic Exposure During Pediatric Extracorporeal Membrane Oxygenation: Retrospective Cohort Analysis of Drug Levels Using Standard Dosing, 2018–2020

In this retrospective cohort of pediatric ECMO cases, there is an associated risk of underexposure when prescribing conventional dosing of beta-lactams, which are likely associated with renal impairment and fluid overload. Prospective testing of therapeutic drug monitoring combined with pharmacokinetic/pharmacodynamic models should be tested as a risk-reduction strategy in this vulnerable population.

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Publication Details

Journal
Pediatric Critical Care Medicine
Published
2024-10-07
DOI
https://doi.org/10.1097/pcc.0000000000003605
Citations
3
Primary Topic
Antibiotics Pharmacokinetics and Efficacy
Type
article
Field-Weighted Citation Impact
1.34
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article

Beta-Lactam Antibiotic Exposure During Pediatric Extracorporeal Membrane Oxygenation: Retrospective Cohort Analysis of Drug Levels Using Standard Dosing, 2018–2020

Alice Marsaux, Sylvain Renolleau, Inès Gana, Julie Toubiana et al.
3 citations
Pediatric Critical Care Medicine
Antibiotics Pharmacokinetics and Efficacy
1.34
article

Beta-Lactam Antibiotic Exposure During Pediatric Extracorporeal Membrane Oxygenation: Retrospective Cohort Analysis of Drug Levels Using Standard Dosing, 2018–2020

Alice Marsaux, Sylvain Renolleau, Inès Gana, Julie Toubiana, Jérôme Rambaud, Sihem Benaboud, Mehdi Oualha, Agathe Béranger, Marion Grimaud, Jean‐Marc Tréluyer, Emmanuelle Bille, Pierre-Louis Léger, Matthie Lorrot
article en
3 citations

Abstract

In this retrospective cohort of pediatric ECMO cases, there is an associated risk of underexposure when prescribing conventional dosing of beta-lactams, which are likely associated with renal impairment and fluid overload. Prospective testing of therapeutic drug monitoring combined with pharmacokinetic/pharmacodynamic models should be tested as a risk-reduction strategy in this vulnerable population.

Pediatric Critical Care MedicineVol. 25(12)
Hôpital Necker-Enfants Malades (FR), Université Paris Cité (FR), Hôpital Cochin (FR), Assistance Publique – Hôpitaux de Paris (FR)
Openalex Percentile: Top 18%
Antibiotics Pharmacokinetics and Efficacy
1.34
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