Population pharmacokinetics of meropenem in critically ill patients

Objective: The pharmacokinetics of meropenem are significantly altered in critically ill patients. A population pharmacokinetic study was designed to estimate typical values of meropenem clearance in critically ill patients and evaluate potential factors of influence. Methods: After meropenem reached a steady state in each patient, two blood samples were taken within the dose interval. The one-compartment pharmacokinetic model based on the data from 101 intensive care unit patients was built using NONMEM software. Results: Typical values of meropenem clearance and volume of distribution were 3.80 L/h and 3.52 L, respectively. In the final model, meropenem clearance was influenced by serum concentrations of creatinine (CRE), leukocyte count (WBC), hypertension (HTA), and concomitant use of vancomycin (VAN) or colistimethate (COL): CL (L/h) = 5.29 × CRE ^ 0.000001 × WBCs ^ (−0.165) + 0.000001 × HTA + 0.825 × VAN + 1.28 × COL. Conclusion: In order to achieve effective plasma concentrations of meropenem in critically ill patients, the meropenem dosing regimen should be adjusted according to individual values of drug clearance.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Population pharmacokinetics of meropenem in critically ill patients ; volume:19 ; number:1 ; year:2024 ; extent:10
Open medicine ; 19, Heft 1 (2024) (gesamt 10)

Creator
Rančić, Aleksandar
Milosavljević, Miloš N.
Rosić, Nikola
Milovanović, Dragan
Folić, Marko
Zečević, Dejana Ružić
Petrović, Nemanja
Čorbić, Mirjana Milojević
Dabanović, Vera
Janković, Slobodan M.

DOI
10.1515/med-2024-1004
URN
urn:nbn:de:101:1-2407231535568.967903684441
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
14.08.2025, 10:53 AM CEST

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Associated

  • Rančić, Aleksandar
  • Milosavljević, Miloš N.
  • Rosić, Nikola
  • Milovanović, Dragan
  • Folić, Marko
  • Zečević, Dejana Ružić
  • Petrović, Nemanja
  • Čorbić, Mirjana Milojević
  • Dabanović, Vera
  • Janković, Slobodan M.

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