Augmented renal clearance in critical illness: an important consideration in drug dosing

SH Mahmoud, C Shen - Pharmaceutics, 2017 - mdpi.com
Augmented renal clearance (ARC) is a manifestation of enhanced renal function seen in
critically ill patients. The use of regular unadjusted doses of renally eliminated drugs in …

Pharmacokinetics and target attainment of antibiotics in critically ill children: a systematic review of current literature

SJF Hartman, RJ Brüggemann, L Orriëns, N Dia… - Clinical …, 2020 - Springer
Background Pharmacokinetics (PK) are severely altered in critically ill patients due to
changes in volume of distribution (Vd) and/or drug clearance (Cl). This affects the target …

Personalized application of antimicrobial drugs in pediatric patients with augmented renal clearance: a review of literature

WX Xu, Q Qu, XQ Teng, HH Zhuang, SF Liu… - European Journal of …, 2024 - Springer
The effect of renal functional status on drug metabolism is a crucial consideration for
clinicians when determining the appropriate dosage of medications to administer. In critically …

Augmented renal clearance in pediatric intensive care: are we undertreating our sickest patients?

E Dhont, T Van Der Heggen, A De Jaeger… - Pediatric …, 2020 - Springer
Many critically ill patients display a supraphysiological renal function with enhanced renal
perfusion and glomerular hyperfiltration. This phenomenon described as augmented renal …

Individualized antibiotic dosage regimens for patients with augmented renal clearance

AX Shi, Q Qu, HH Zhuang, XQ Teng, WX Xu… - Frontiers in …, 2023 - frontiersin.org
Objectives: Augmented renal clearance (ARC) is a state of enhanced renal function
commonly observed in 30%–65% of critically ill patients despite normal serum creatinine …

Augmented renal clearance: a common condition in critically ill children

T Van Der Heggen, E Dhont, H Peperstraete… - Pediatric …, 2019 - Springer
Background Augmented renal clearance (ARC), an increase in kidney function with
enhanced elimination of circulating solute, has been increasingly recognized in critically ill …

Augmented renal clearance using population-based pharmacokinetic modeling in critically ill pediatric patients

SN Avedissian, E Bradley, D Zhang… - Pediatric Critical Care …, 2017 - journals.lww.com
Objectives: The objectives of this study were to: 1) evaluate the prevalence of augmented
renal clearance in critically ill pediatric patients using vancomycin clearance; 2) derive the …

Pharmacokinetics of antibiotics in pediatric intensive care: fostering variability to attain precision medicine

M Gijsen, D Vlasselaers, I Spriet, K Allegaert - Antibiotics, 2021 - mdpi.com
Children show important developmental and maturational changes, which may contribute
greatly to pharmacokinetic (PK) variability observed in pediatric patients. These PK …

Population pharmacokinetics and pharmacodynamic target attainment of meropenem in critically ill young children

JJ Cies, WS Moore, A Enache… - The Journal of …, 2017 - meridian.allenpress.com
OBJECTIVE This study aims to describe the population pharmacokinetics and
pharmacodynamic target attainment of meropenem in critically ill children. METHODS The …

Population pharmacokinetics of meropenem in critically ill children with different renal functions

M Rapp, S Urien, F Foissac, A Béranger… - European Journal of …, 2020 - Springer
Purpose We aimed to develop a meropenem population pharmacokinetic (PK) model in
critically ill children and simulate dosing regimens in order to optimize patient exposure …