Organ support & nutrition

Acute-on-chronic liver failure alters linezolid pharmacokinetics in critically ill patients with continuous hemodialysis: an observational study

Ann Intensive CarePublished Prospective cohort study

Authors' conclusion

Linezolid body clearance in ACLF was markedly lower than in NLF.

Study context

Population
Critically ill patients on continuous renal replacement therapy receiving linezolid 600 mg bid
Participants
18 patients
Exposure
Acute-on-chronic liver failure (ACLF) vs NLF
  • ACLFn = 9
Outcome
Linezolid body clearance
Methodological detailspopulation pharmacokinetic modelling, Monte-Carlo simulations
  • Population pharmacokinetic modelling
  • Monte-Carlo simulations

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Further findings

Trough concentration target attainment 2-7 mg/L with 600 mg bid (simulation)

Underexposed

Overexposed

Highest probability of target exposure (simulation)

Attained with 600 mg bid in NLF and 150 mg bid in ACLF
53%

Original publication

Acute-on-chronic liver failure alters linezolid pharmacokinetics in critically ill patients with continuous hemodialysis: an observational study. Ann Intensive Care. Published 12 September 2023. doi:10.1186/s13613-023-01184-z

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