Infection During Hemodialysis
Conditions
Keywords
chronic hemodialysis, ampicillin, sulbactam, amoxicillin, clavulanic acid, pharmacokinetics
Brief summary
The study will be conducted to investigate the pharmacokinetics of ampicillin / sulbactam and amoxicillin/clavulanic acid during intermittent haemodialysis.
Interventions
Patients receive amoxicillin / clavulanic acid due to clinical necessity
Patients receive ampicillin / sulbactam due to clinical necessity
Blood will be sampled at multiple timepoints during multiple hemodialysis sessions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \>18 years * Suspected or proven bacterial infection requiring parenteral antibiotic therapy. * Renal replacement therapy (HD)
Exclusion criteria
* Known hypersensitivity to ampicillin / sulbactam, amoxicillin / clavulanic acid or other beta-lactames, or severe hypersensitivity (anaphylactic reaction) to beta-lactam antibacterial agents. * An expected survival of less than two days. * Known pregnancy * Co-administration of one of the following drugs: probenecid which cannot be discontinued for the duration of the study * Ampicillin / sulbactam respectively amoxicillin / clavulanic acid as monotherapy for resistant species or fungal infections. * Other reasons opposing the study participation on the discretion of the investigators.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Influence of hemodialysis on the area under concentration curve of ampicillin/sulbactam and amoxicillin / clavulanic acid plasma concentration levels. | day 15 | Pharmacokinetic samples are drawn on multiple timepoints from each patient during his participation. |
Countries
Austria