Sepsis & infection

Efficiency of dosing software using Bayesian forecasting in achieving target antibiotic exposures in critically ill patients, a prospective cohort study

Anaesth Crit Care Pain MedPublished Prospective cohort study

Authors' conclusion

The use of TDM combined with Bayesian forecasting dosing software increases the efficiency for achieving target antibiotic exposures in the ICU.

Study context

Population
Adult intensive care unit (ICU) patients prescribed vancomycin, piperacillin-tazobactam or meropenem with subtherapeutic or supratherapeutic exposure on therapeutic drug monitoring (TDM)included in the analysis
Participants
70 patients
Outcome
Target antibiotic exposure achieved on repeat TDM
Methodological detailssingle-group, March 2020 to December 2021
  • Single-group
  • March 2020 to December 2021

Main finding

As reported in the abstract

Target antibiotic exposure achieved after one software recommendation

Patients achieving target exposures after one software recommendation (of 50 with repeated measurements)

43

86%

Patients achieving target exposures after 2 recommendations (of remaining 7)

3

Observational data: associations, not effects.

Secondary outcomes

Patients achieving clinical cure (of 50)
47 (94%)

Safety

No antibiotic exposure-related adverse events reported

Original publication

Efficiency of dosing software using Bayesian forecasting in achieving target antibiotic exposures in critically ill patients, a prospective cohort study. Anaesth Crit Care Pain Med. Published 12 August 2023. doi:10.1016/j.accpm.2023.101296

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