Evidence of Liver Transplantation Clinical Trial
Official title:
Cefepime Pharmacokinetics in Liver Transplant Recipients in an Intensive Care Unit
The purposes of this study are to:
I. Characterize the plasma concentration-time profile of cefepime in liver transplant
patients to determine the pharmacokinetic parameters in this patient population.
II. Perform stochastic modeling using the population pharmacokinetic parameters obtained in
Specific Aim I to determine the ideal dose and dosing regimen of cefepime required to attain
predetermined therapeutic targets in liver transplant patients.
The use of cefepime in liver transplant patients at conventional doses used for other patient populations leads to non-optimal drug exposure among liver transplant patients. Furthermore, using serum creatinine as a method of estimating creatinine clearance is not the optimal way to determine the best cefepime dose. The consequence of this non-optimal exposure is the unattainability of therapeutic targets. These therapeutic targets are correlated with positive microbiologic outcome and clinical cure. ;
Observational Model: Cohort, Time Perspective: Prospective
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