From: Antibiotics in critically ill patients: a systematic review of the pharmacokinetics of β-lactams
PK parameters | Study | |||||
---|---|---|---|---|---|---|
Antibiotic drug classes and drugs | Vd, L | Cl, L/hour | T1/2, hours | Patient demographics | Study types[93] | References |
Carbapenems | ||||||
Meropenem | 21.2 ± 4.7b | 11.3 ± 4b | 1.4 ± 0.4b | N = 11 Age 63.1 years [23 to 81] Mild to severe intraabdominal sepsis | Descriptive | Lovering et al., 1995 [22] |
Meropenem | 26.6 ± 3.2c | 9.4 ± 1.2c | 2.0 | N = 15 Age 55.3 ± 14.3 years Severe sepsis | Randomized, controlled cross-over | Thalhammer et al., 1999 [27] |
Meropenem | 34.4 ± 15.9 | 11 ± 4.3 | 0.4 ± 0.12 | N = 8 Age 55 ± 8 years VAP | Descriptive | de Stoppelaar et al., 2000 [19] |
Meropenem | 19.7 ± 5 | 7.3 ± 3.1 | 3.1 ± 1.5 | N = 14 Age 73.3 ± 8.1 years Severe sepsis | Descriptive | Kitzes-Cohen et al., 2002 [21] |
Meropenem | 16.0 ± 3.7d | 8.5 ± 3.2d | 1.4 ± 0.6d | N = 9 Age 39.6 ± 15.7 years VAP | Not randomized, controlled cross-over | Jaruratanasirikul et al., 2005 [20] |
Imipenem | Imipenem 17.7 ± 4 | Imipenem 7.0 ± 2.5 | Imipenem 2 ± 0.3 | Imipenem N = 10 Age 65 ± 19 years | Randomized, parallel controlled | Novelli et al., 2005 [29] |
Meropenem | Meropenem 27.1 ± 7.7 | Meropenem 11.5 ± 3.1 | Meropenem 2.1 ± 0.5 | Meropenem N = 10 Age 67 ± 19 years Severe sepsis | ||
Meropenem | 23.8 ± 4.9 | 6.7 ± 4.2 | 3.7 ± 1.9 | N = 6 Age 65.7 ± 11.2 years Peritonitis | Descriptive | Karjagin et al., 2008 [25] |
Meropenem | 22.7 | 13.6 ± 1.3 | NR | N = 10 Age range 48 to 63 years Severe sepsis | Randomized, parallel controlled | Roberts et al., 2009 [24] |
Meropenem | Meropenem 30.1 [21.7 to 53.9]e | Meropenem 8 [5 to 10.99e | Meropenem 2.1 [1.7 to 3.4] | Meropenem N = 16 | Cross-sectional | Taccone et al., 2010 [23] |
Piperacillin | Piperacillin 26.6 [20.3 to 30.1]e | Piperacillin 8.4 [5.5 to 18.1]e | Piperacillin 2.6 [1.5 to 3.8] | Piperacillin N = 27 | ||
Ceftazidime | Ceftazidime 33.6 [25.2 to 49.7]e | Ceftazidime 3.8 [2.5 to 5.5]e | Ceftazidime 5.8 [4.1 to 7.4] | Ceftazidime N = 18 | ||
Cefepime | Cefepime 25.2 [23.1 to 30.8]e | Cefepime 5.5 [4.6 to 8.4]e | Cefepime 3.4 [2.3 to 5.3] | Cefepime N = 19 All patients: median age 63 years Severe sepsis or septic shock | ||
Imipenem | 31.4 ± 11.7 | 14.4 ± 4.5 | 1.6 ± 1.3 | N = 10 Age 44 ± 12.2 years Severe sepsis | Descriptive | McKindley et al., 1996 [34] |
Imipenem | 18.5 | 6.3 ± 0.8 | 2.0 | N = 6 Age 63.5 ± 16.7 years Severe sepsis | Not randomized, parallel, controlled | Tegeder et al., 2002 [32] |
Imipenem | 45.5 ± 47.2 | 12.1 ± 12.0 | 2.9 ± 1.7 | N = 50 Age 45.2 ± 17 years Presumed Gram-negative sepsis | Cross-sectional | Belzberg et al., 2004 [28] |
Imipenem | 12.2 ± 9.9f | 12.3 ± 4.2 | NR | N = 20 Age 60.5 years VAP | Randomized, parallel, controlled | Sakka et al., 2007 [31] |
Imipenem | 27.2 ± 6.5 | 13.3 ± 5.2 | 1.4 ± 0.2 | N = 6 Age 53.3 ± 19.9 years Severe sepsis | Not randomized, parallel, controlled | Dahyot et al., 2008 [33] |
Imipenem | 16.7 ± 5.3g | 8.7 ± 5.3g | 1.5 ± 0.7g | N = 9 Age 63.3 ± 14.9 years VAP | Not randomized, controlled, cross-over | Jaruratanasirikul and Sudsai, 2009 [30] |
Penicillins | ||||||
Piperacillin | 25.0 ± 17.2 | 23.8 ± 17.2 | 1.5 ± 2.1 | N = 11 Age 43.6 ± 15.9 years Surgical patients | Descriptive | Shikuma et al., 1990 [36] |
Piperacillin | 19.5 ± 3.4b | 8.4 ± 1.4b | 1.8 ± 0.3b | N = 10 Age 37.7 ± 2.8 years Burn patients | Descriptive | Bourget et al., 1996 [38] |
Piperacillin | 40.7 ± 8.7 | 8.2 ± 2 | 4.1 ± 1.3 | N = 6 Age 64 ± 7 years Septic shock | Not randomized, parallel, controlled | Joukhadar et al., 2001 [44] |
Piperacillin | 34.6 ± 6.8c | 11.8 ± 4.3c | 2.4 ± 1.2c | N = 7 Age range 45 to 76 years Severe sepsis | Not randomized, controlled, cross-over | Langgartner et al., 2007 [39] |
Piperacillin | 11.7f | 17.2 | 0.4 | N = 13 Age 37.5 ± 19.4 years Severe sepsis | Randomized, parallel, controlled | Roberts et al., 2009 [45] |
Cephalosporins | ||||||
Cefpirome | 23.6 ± 8.0 | 8.0 ± 3.0 | 2.2 ± 0.5 | N = 9 Age 31 years [19 to 53] Severe sepsis | Not randomized, parallel, controlled | Jacolot et al., 1999 [47] |
Cefpirome | 26.4 ± 7.9 | 8.8 ± 3.4 | 3.1 ± 1.2 | N = 12 Age 41.2 ± 19 years Severe sepsis | Descriptive | Lipman et al., 2001 [48] |
Cefpirome | 25.9 ± 7.1 | 4.5 ± 0.7 | 3.3 ± 0.5 | N = 12 Age 67.2 ± 8.1 years Severe sepsis or septic shock | Not randomized, parallel, controlled | Joukhadar et al., 2002 [52] |
Cefpirome | 21.9 ± 4.5 | 4.8 ± 1.6 | 3.1 ± 0.9 | N = 11 Age 66 ± 8 years Severe sepsis | Not randomized, parallel, controlled | Sauermann et al., 2005 [51] |
Cefepime | 32.6 ± 17.5 | 7.5 ± 3.1 | 3.5 ± 1.1 | N = 7 Age 73.7 ± 4.9 years Severe sepsis | Descriptive | Kieft et al., 1993 [53] |
Cefepime | 21.8 ± 5.1 | 7.6 ± 2.0 | 3 ± 1.2 | N = 13 Age 55 years Severe sepsis | Descriptive | Lipman et al., 1999 [56] |
Cefepime | 36.1 ± 11.8 | 8.8 ± 2.4 | 2.8 ± 0.6 | N = 12 Age 41 ± 13 years Burn patients | Descriptive | Bonapace et al., 1999 [57] |
Cefepime | 26.0b | 9.1 ± 1.5b | 2.5 ± 0.6b | N = 6 Age 39.8 ± 11.3 years Burn patients | Descriptive | Sampol et al., 2000 [61] |
Cefepime | Cefepime 19.6 | Cefepime 7.1 ± 3.6 | Cefepime 2.9 ± 3.2 | Cefepime N = 13 Age 48.2 ± 21.2 years | Cross-sectional | Conil et al., 2007 [54] |
Ceftazidime | Ceftazidime 28.8 | Ceftazidime 7.5 ± 3.8 | Ceftazidime 3.1 ± 2.1 | Ceftazidime N = 17 Age 62.9 ± 22.4 years Burn patients | ||
Cefepime | 28.7 ± 13.3d | 9.1 ± 5.6d | 4.3 ± 4.2 | N = 21 Age 55.1 years (median) Nosocomial pneumonia | Cross-sectional | Chapuis et al., 2010 [55] |
Ceftazidime | 24.5 | 7.5 | 2.1 | N = 16 Age range 18 to 70 years Pseudomonas infection | Descriptive | Rondanelli et al., 1986 [64] |
Ceftazidime | 49.3 ± 18.2e | 15.5 ± 2.5e | 1.8 ± 0.5e | N = 5 Age 52.3 years [21 to 69] VAP | Not randomized, controlled, cross-over | Langer et al., 1991 [76] |
Ceftazidime | 29.5 ± 8.7 | 4.2 ± 1.9 | 6.1 ± 2.5 | N = 12 Age 60 ± 13 years VAP | Not randomized, controlled, cross-over | Bressolle et al., 1992 [77] |
Ceftazidime | 18.9 ± 9c | 5.1c | 3.5 ± 1.6c | N = 12 Age 57 ± 12 years Suspected Gram-negative sepsis | Not randomized, controlled, cross-over | Benko et al., 1996 [67] |
Ceftazidime | 15.0 ± 4.3 | 5.2 ± 2.2 | 1.3 ± 1.2 | N = 10 Age 48 ± 15.1 years Severe sepsis | Descriptive | Young et al., 1997 [65] |
Ceftazidime | 56.9 ± 25.9 | 9.1 ± 4.8 | 4.8 ± 1.9 | N = 15 Age 59.3 ± 14.6 years Severe sepsis | Descriptive | Gómez et al., 1999 [66] |
Ceftazidime | 22.9 [11.8 to 28.1] | 2.8 [0.2 to 7.8] | 7.7 [2 to 44.7] | N = 21 Age range 27 to 73 years Melioidosis | Not randomized, parallel, controlled | Angus et al., 2000 [71] |
Ceftazidime | 25.6 ± 11.2c | 11.0 ± 5.3c | 1.7 ± 0.7c | N = 14 Age 36.1 ± 12.8 years Gram-negative nosocomial pneumonia | Not randomized, parallel, controlled | Hanes et al., 2000 [70] |
Ceftazidime | 19.6 [14 to 28]c, e | 5.1 [2.3 to 8.9]c | 4.2 [1.3 to 12.3]c | N = 6 Age 64 years [42 to 87] Surgical peritonitis | Not randomized, parallel, controlled | Buijk et al., 2002 [74] |