Sepsis & infection

Population pharmacokinetics and model-based dosing optimization of teicoplanin in elderly critically ill patients with pneumonia

J Crit CarePublished Population pharmacokinetic study

Authors' conclusion

Standard teicoplanin dosages for pneumonia may provide inadequate systemic exposures in elderly critically ill patients.

Study context

Population
Critically ill patients ≥ 60 years with pneumonia receiving teicoplanin 6 mg/kg ×3 then 6 mg/kg q24h with renal dosing adjustment9 men
Participants
15 patients
Outcome
Teicoplanin population PK (CL, V2 by CrCl) and probability of target attainment (PTA) of dosing regimens
Methodological detailsNONMEM population pharmacokinetic modeling, Monte Carlo simulations
  • NONMEM population pharmacokinetic modeling
  • Monte Carlo simulations

Main finding

As reported in the abstract

Median (IQR) peak concentration, mg/L

46.5

42.7–51.0

Median (IQR) trough concentration, mg/L

8.7

7.2–9.5

Original publication

Population pharmacokinetics and model-based dosing optimization of teicoplanin in elderly critically ill patients with pneumonia. J Crit Care. Published 25 August 2023. doi:10.1016/j.jcrc.2023.154402

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