A41.9
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Sepsis, antimicrobial therapy with meropenem as indicated by the treating physician, age =18 years, in 30 patients: treatment with extended daily dialysis (n=15) or treatment with continuous hemodialysis (n=15)
Exclusion criteria
Exclusion criteria: age <18 years, pregnant or lactating women, meropenem in cerebral infections, participation in another interventional trial, other renal replacement therapy as daily extended dialysis or continuous hemodialysis, dialysis in the last 12 hours before study inclusion, acute kidney failure (creatinine clearance <80 ml/min) without indication for renal replacement therapy, no commitment for full organ support (i.e. DNR order), not expected to survive this hospital stay because of preexisting diseases, staff and their relatives
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of the area under the serum concentration-time curve (AUC) above 4fold minimal inhibitory concentration (MIC) (time points of measurement of meropenem serum levels see arm 1-3) | — |
Secondary
| Measure | Time frame |
|---|---|
| Course of meropenem serum levels, Clinical course of infection, procalcitonin, c-reactive protein, leukocytes at day 7, Meropenem concentrations in urine and ultrafiltrate, ICU and hospital length of stay, ICU (intensive care unit) and hospital mortality | — |
Countries
Germany
Contacts
Universitätsklinikum Jena - Klinik für Anästhesiologie und Intensivtherapie