Investigation on amikacin use at Intensive Care Units, 108 Military Central Hospital
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Abstract
Objective: (1) To investigate characteristic of microbiological organisms and (2) to investigate amikacin dosage regimen and adverse drug events in the study patients. Subject and method: A cross-sectional retrospective study was conducted between January 2022 and May 2022 at ICUs 108 Military Central Hospital. Data was collected from patients’ medical profiles. Result: One hundred and twenty patients were included into the study, median age of patients is 74 years. Seventy-six patients received once-daily dosing (ODD) with the mean loading dose of 12.1 ± 2.8mg/kg. There were 16 patients with nephrotoxicity and 3 of them were indicated for dialysis. Conclusion: Amikacin dosage regimen in ICUs is lower than recommendation in guidelines. Amikacin is a drug with a narrow therapeutic range, it is necessary to amikacin therapeutic drug monitoring (TDM) and to adjust the dose according to the measured concentration values.
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References
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