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1.
Antibiotics (Basel) ; 10(10)2021 Oct 09.
Article in English | MEDLINE | ID: covidwho-1480539

ABSTRACT

1.1 Based on the initial data from Table 1 there were errors in the original article [...].

2.
Antibiotics (Basel) ; 10(6)2021 May 28.
Article in English | MEDLINE | ID: covidwho-1285366

ABSTRACT

Cefiderocol is a new siderophore-cephalosporin for the treatment of multi-drug resistant Gram-negative pathogens. As a reserve agent, it will and should be used primarily in critically ill patients in the upcoming years. Due to the novelty of the substance little data on the pharmacokinetics in critically ill patients with septic shock and renal failure (including continuous renal replacement therapy and cytokine adsorber therapy) is available. We performed therapeutic drug monitoring in a cohort of five patients treated with cefiderocol, to improve the knowledge on pharmacokinetics in this vulnerable patient population. As expected for a cephalosporin with predominantly renal elimination the maintenance dose could be reduced in patients with renal impairment or on continuous renal replacement therapy. The manufacturer's dosing instructions were sufficient to achieve a drug level well above the MIC. However, the addition of a cytokine adsorber might reduce serum levels substantially, so that in this context therapeutic drug monitoring and dose adjustment are recommended.

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