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Investigation of the blood levels of selected antibiotics in critically ill patients undergoing dialysis

Conditions
Sepsis and acute renal failure (ARF) are pathological entities that commonly co-exist in patients admitted to intensive care. Antibiotic dosing in septic patients with ARF can be complicated and may result in either underdosing, causing treatment failure and antibiotic resistance, or overdosing resulting in drug toxicity. The aim of this study is to collect pharmacokinetic data for evaluating underdosing or overdosing of linezolid and meropenem in patients receiving renal replacement therapy.
Therapeutic area: Diseases [C] - Bacterial Infections and Mycoses [C01]
Registration Number
EUCTR2013-000899-16-DE
Lead Sponsor
Department of Pharmacy Unversitätsmedizin Mainz
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

- Patients have to be older than 18 years
- continuous renal replacement therapy
- antibiotic treatment with linezolid and/or meropenem
- written consent to the clinical trial by the patient or the legal representative
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 20
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 20

Exclusion Criteria

- patients younger than 18 years
- no continuous renal replacement therapy
- no antibiotic treatment with linezolid and/or meropenem
- unreadiness to the clinical trial
- participation in an other clinical trial
- pregnancy

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: The main objective of this trial is to evaluate the practiced antibiotic dosing of linezolid and meropenem in patients receiving continuous renal replacement therapy.;Secondary Objective: Secondary objective of the trial is to increase patient's security by therapeutic drug monitoring.;Primary end point(s): collected blood- and dialysate-samples over 24 hours under continuous renal replacement therapy;Timepoint(s) of evaluation of this end point: 24 hours after drawing the first sample
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): The results from the analysis are communicated to the treating physician. He can now optimize the antibiotic dosing if necessary.;Timepoint(s) of evaluation of this end point: 24 hours after analysis of the samples
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