Organ support & nutrition

Target attainment and population pharmacokinetics of flucloxacillin in critically ill patients: a multicenter study

Crit CarePublished Prospective observational population pharmacokinetic study

Authors' conclusion

Based on our dosing simulations, standard flucloxacillin daily doses of up to 12 g may substantially enhance the risk of underdosing in critically ill patients.

Study context

Population
Adult critically ill patients given IV flucloxacillin, excluding RRT or liver cirrhosis, May 2017 to October 2019163 blood samples
Participants
31 participants
Exposure
Simulated continuous infusion of flucloxacillin 12 g vs 24 g daily
Outcome
Target attainment: unbound serum concentration four times the minimum inhibitory concentration (MIC) for ≥ 50% of the dosing interval (ƒT>4xMIC ≥ 50%)
Methodological detailsmulticentre, Monte Carlo dosing simulations
  • Multicentre
  • Monte Carlo dosing simulations

Main finding

As reported in the abstract

Simulated target attainment (ƒT>2 mg/L ≥ 50%)

Observational data: associations, not effects.

Original publication

Target attainment and population pharmacokinetics of flucloxacillin in critically ill patients: a multicenter study. Crit Care. Published 3 March 2023. doi:10.1186/s13054-023-04353-5

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