دورية أكاديمية
Should the Vancomycin Minimal Inhibitory Concentration be used as an Infant Critical Care Regular Criteria?
| العنوان: | Should the Vancomycin Minimal Inhibitory Concentration be used as an Infant Critical Care Regular Criteria? |
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| المؤلفون: | Bidu NS; Pharmacy Postgraduate Program, Faculty of Pharmacy, Federal University of Bahia/UFBA, Salvador, Bahia, Brazil., Fernandes BJD; Department of Clinical and Toxicological Analysis, Faculty of Pharmacy, Federal University of Bahia/UFBA, Salvador, Bahia, Brazil., Filho JNC; Pharmacy Postgraduate Program, Faculty of Pharmacy, Federal University of Bahia/UFBA, Salvador, Bahia, Brazil., Bastos REA; Department of Pediatrics, Hospital Roberto Santos, Salvador, Bahia, Brazil., Pedreira JNR; Pharmacy Postgraduate Program, Faculty of Pharmacy, Federal University of Bahia/UFBA, Salvador, Bahia, Brazil., Couto RD; Pharmacy Postgraduate Program, Faculty of Pharmacy, Federal University of Bahia/UFBA, Salvador, Bahia, Brazil. |
| المصدر: | Current pharmaceutical biotechnology [Curr Pharm Biotechnol] 2020; Vol. 21 (11), pp. 1052-1058. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Bentham Science Publishers Country of Publication: Netherlands NLM ID: 100960530 Publication Model: Print Cited Medium: Internet ISSN: 1873-4316 (Electronic) Linking ISSN: 13892010 NLM ISO Abbreviation: Curr Pharm Biotechnol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Hilversum, Netherlands ; Boca Raton, FL : Bentham Science Publishers, c2000- |
| مواضيع طبية MeSH: | Anti-Bacterial Agents/*administration & dosage , Critical Care/*methods , Drug Monitoring/*methods , Staphylococcal Infections/*drug therapy , Staphylococcus epidermidis/*drug effects , Vancomycin/*administration & dosage, Anti-Bacterial Agents/blood ; Anti-Bacterial Agents/therapeutic use ; Drug Resistance, Bacterial ; Female ; Humans ; Infant ; Infant, Newborn ; Microbial Sensitivity Tests ; Staphylococcal Infections/blood ; Staphylococcus epidermidis/isolation & purification ; Vancomycin/blood ; Vancomycin/therapeutic use |
| مستخلص: | Background: Vancomycin is the first-line antibiotic used for the treatment of staphylococcal infections. Because of its narrow therapeutic window and the pharmacokinetics variability, vancomycin trough serum concentration should be monitored. However, due to the increased cases of staphylococcus' commensal species infections and the case of vancomycin resistance, the minimal inhibitory concentration should be considered on antimicrobial therapy. Objective: This article aimed to show the importance of the minimal inhibitory concentration to infants on vancomycin therapy as regular criteria. Materials and Methods: Three infants in the use of vancomycin, hospitalized in the same maternity hospital, and that had at least one blood culture performed during the intensive-care-unit hospitalization were included in the study. Vancomycin serum concentrations were determined by particleenhanced- turbidimetric inhibition-immunoassay. The vancomycin minimal inhibitory concentration data were interpreted by following the Clinical and Laboratory Standards Institute (CLSI) and the European Committee on Antimicrobial Susceptibility Testing (EUCAST). The trough serum concentration range of 10 to 20 mg.L-1 was considered therapeutic. Results: All three patients had at least one infection by S. epidermidis, being one patient exhibit vancomycin- resistant S. epidermidis infection. All patients had stoppages in the vancomycin treatment, and the minimal inhibitory concentration was performed for only one patient. Conclusion: The data obtained from these patients also showed the need to perform therapeutic monitoring by using minimal inhibitory concentration values, because, although the serum concentrations were within the reference range, they are insufficient to guarantee patient therapeutic success. (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.) |
| فهرسة مساهمة: | Keywords: Infants vancomycin therapy; Staphylococcus epidermidis; antibiotic resistance; blood culture; drug monitoring; minimal inhibitory concentration |
| المشرفين على المادة: | 0 (Anti-Bacterial Agents) 6Q205EH1VU (Vancomycin) |
| تواريخ الأحداث: | Date Created: 20200329 Date Completed: 20201005 Latest Revision: 20201005 |
| رمز التحديث: | 20231215 |
| DOI: | 10.2174/1389201021666200327162402 |
| PMID: | 32216735 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1873-4316 |
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| DOI: | 10.2174/1389201021666200327162402 |