Organ support & nutrition

Higher doses of fluconazole are needed to ensure target attainment in critically ill adults on continuous Veno-venous hemodialysis

J Crit CarePublished Retrospective cohort study

Authors' conclusion

According to the results of the study, increasing the fluconazole dose to at least 400 mg twice daily is sufficient to reach the desired target in critically ill patients undergoing CVVHD.

Study context

Population
Critically ill adults undergoing continuous veno-venous hemodialysis (CVVHD)
Exposure
Higher vs standard doses of intravenous fluconazole
Outcome
Fluconazole target attainment

Main finding

As reported in the abstract

Target attainment

Higher doses

100 %

Only fluconazole dose significantly influenced target attainment; no other predefined factor had a significant impact
P < 0.001

Observational data: associations, not effects.

Original publication

Higher doses of fluconazole are needed to ensure target attainment in critically ill adults on continuous Veno-venous hemodialysis. J Crit Care. Published 26 September 2024. doi:10.1016/j.jcrc.2024.154924

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