ICG clearance as an indicator of augmented hepatic clearance and subtherapeutic drug concentrations in septic patients

AHC is a prevalent phenotype in sepsis and identifies a patient subgroup at high risk for subtherapeutic concentrations of hepatically or partially cleared antibiotics. ICG-derived parameters, particularly ICG-PDR, are robust predictors of inadequate drug exposure, supporting the use of dynamic liver function monitoring to optimize antibiotic dosing in septic patients.

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Publication Details

Journal
BMC Anesthesiology
Published
2025-12-10
DOI
https://doi.org/10.1186/s12871-025-03534-9
Primary Topic
Sepsis Diagnosis and Treatment
Type
article
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ICG clearance as an indicator of augmented hepatic clearance and subtherapeutic drug concentrations in septic patients

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ICG clearance as an indicator of augmented hepatic clearance and subtherapeutic drug concentrations in septic patients

Danjiang Dong, Xiaoting Wu, Ying Xu, Chen Qu, Wenkui Yu, Ming Yan, Ning Liu
article en

Abstract

AHC is a prevalent phenotype in sepsis and identifies a patient subgroup at high risk for subtherapeutic concentrations of hepatically or partially cleared antibiotics. ICG-derived parameters, particularly ICG-PDR, are robust predictors of inadequate drug exposure, supporting the use of dynamic liver function monitoring to optimize antibiotic dosing in septic patients.

BMC AnesthesiologyVol. 26(1)
Nanjing Drum Tower Hospital (CN), Second Affiliated Hospital of Nanjing Medical University (CN)
Openalex Percentile: Top 49%
Sepsis Diagnosis and Treatment
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