Pediatric anesthesia & critical care

Continuous infusion of beta-lactam antibiotics in pediatric intensive care unit: A monocenter before/after implementation study

Anaesth Crit Care Pain MedPublished Retrospective before/after implementation study

Authors' conclusion

Protocolization of Beta-lactam continuous infusion was associated with more frequent target concentration achievements in PICU.

Study context

Population
PICU patients with beta-lactam treatment for more than 2 days and at least one therapeutic drug monitoring (TDM) sample214 and 199 assays
Participants
72 vs 103
Exposure
P2 vs P1
  • P2n = 72
  • P1n = 103reference
Outcome
Target concentration achievement (fT>4× Minimum Inhibitory Concentration = 100%)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Target concentration achievement

P < 0.001

Observational data: associations, not effects.

Further findings

C-reactive protein · Day 5/6 after beta-lactam initiation

P < 0.05

Daily average reconstitution time of beta-lactam syringes per child

P < 0.001

OutcomeP1P2P value
Daily average cost of beta-lactam vial consumption per child5.04 ± 2.63.21 ± 2.7P < 0.001

Factors associated with target achievement (multivariable logistic regression)

P2, BSA and albumin positively associated; urea and male sex negatively associated

Original publication

Continuous infusion of beta-lactam antibiotics in pediatric intensive care unit: A monocenter before/after implementation study. Anaesth Crit Care Pain Med. Published 13 February 2024. doi:10.1016/j.accpm.2024.101354

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