Monitorización terapéutica de antibióticos: Nuevas metodologías: biosensores

The pharmacokinetics of antibiotics, especially in severely ill patients, may be profoundly altered due to multiple pathophysiological changes. Recent studies have shown that empiric dosing recommendations for ICU patients are inadequate to effectively treat a broad range of susceptible organisms an...

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Autores principales: Soto,Dagoberto, Silva,Camila, Andresen V,Max, Soto,Natalia, Wong,Kwok-Yin, Andresen,Max
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2015
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000800013
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spelling oai:scielo:S0034-988720150008000132015-10-01Monitorización terapéutica de antibióticos: Nuevas metodologías: biosensoresSoto,DagobertoSilva,CamilaAndresen V,MaxSoto,NataliaWong,Kwok-YinAndresen,Max Anti-bacterial agents Beta-Lactamase inhibitors Drug monitoring Fluorescein Pharmacokinetics The pharmacokinetics of antibiotics, especially in severely ill patients, may be profoundly altered due to multiple pathophysiological changes. Recent studies have shown that empiric dosing recommendations for ICU patients are inadequate to effectively treat a broad range of susceptible organisms and need to be reconsidered. Therapeutic drug monitoring (TDM) is an important mean for optimizing drug utilization and doses for the purpose of improving the clinical effectiveness. However, it is very challenging to quantify plasma antibiotic concentrations in clinical situations as a routine practice, because of the high costs and complexities associated with advanced instrumental techniques. Currently there are not routine and low cost methods to determine the presence and concentration of β-lactam antibiotics in plasma patients in a clinical setup. Indeed, such analytical methods are based on chromatographic techniques mainly used in research. Here we describe and comment different techniques, focusing on our preliminary experience using biosensors.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.143 n.8 20152015-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000800013es10.4067/S0034-98872015000800013
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Anti-bacterial agents
Beta-Lactamase inhibitors
Drug monitoring
Fluorescein
Pharmacokinetics
spellingShingle Anti-bacterial agents
Beta-Lactamase inhibitors
Drug monitoring
Fluorescein
Pharmacokinetics
Soto,Dagoberto
Silva,Camila
Andresen V,Max
Soto,Natalia
Wong,Kwok-Yin
Andresen,Max
Monitorización terapéutica de antibióticos: Nuevas metodologías: biosensores
description The pharmacokinetics of antibiotics, especially in severely ill patients, may be profoundly altered due to multiple pathophysiological changes. Recent studies have shown that empiric dosing recommendations for ICU patients are inadequate to effectively treat a broad range of susceptible organisms and need to be reconsidered. Therapeutic drug monitoring (TDM) is an important mean for optimizing drug utilization and doses for the purpose of improving the clinical effectiveness. However, it is very challenging to quantify plasma antibiotic concentrations in clinical situations as a routine practice, because of the high costs and complexities associated with advanced instrumental techniques. Currently there are not routine and low cost methods to determine the presence and concentration of β-lactam antibiotics in plasma patients in a clinical setup. Indeed, such analytical methods are based on chromatographic techniques mainly used in research. Here we describe and comment different techniques, focusing on our preliminary experience using biosensors.
author Soto,Dagoberto
Silva,Camila
Andresen V,Max
Soto,Natalia
Wong,Kwok-Yin
Andresen,Max
author_facet Soto,Dagoberto
Silva,Camila
Andresen V,Max
Soto,Natalia
Wong,Kwok-Yin
Andresen,Max
author_sort Soto,Dagoberto
title Monitorización terapéutica de antibióticos: Nuevas metodologías: biosensores
title_short Monitorización terapéutica de antibióticos: Nuevas metodologías: biosensores
title_full Monitorización terapéutica de antibióticos: Nuevas metodologías: biosensores
title_fullStr Monitorización terapéutica de antibióticos: Nuevas metodologías: biosensores
title_full_unstemmed Monitorización terapéutica de antibióticos: Nuevas metodologías: biosensores
title_sort monitorización terapéutica de antibióticos: nuevas metodologías: biosensores
publisher Sociedad Médica de Santiago
publishDate 2015
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000800013
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AT sotonatalia monitorizacionterapeuticadeantibioticosnuevasmetodologiasbiosensores
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