Sepsis
Conditions
Keywords
pharmacokinetics, aminoglycosides
Brief summary
The aim of the study is the evaluation of PK/PD target attainment of amikacin in ED patients with severe sepsis and septic shock.
Interventions
Amikacin administered in a single dose for critical care patients
Sponsors
Study design
Eligibility
Inclusion criteria
\- patients admitted at the emergency department with a diagnosis of severe sepsis or septic shock in whom amikacin is indicatied
Exclusion criteria
* \< 18 years * pregnancy * burns * amikacin treatment in the previous 2 weeks * known allergy to aminoglycosides * Do Not Reanimate Code ≥ 2 * Hospitalized patients with a prolonged deep venous or arterial catheder * Continuous renal replacement, intermittent hemodialysis and death within the time of start of amikacin replacement and 1 hour later
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with amikacin PK/PD target attainment | Participants will be followed for the duration of hospital stay, an expected average of 5 weeks | The primary outcome of this study was evaluation of PK/PD target attainment defined as amikacin peak concentration/Minimal Inhibitory Concentration \> 8 in the 15 vs.25 mg/kg amikacin group in function of 1) actual MIC of isolated pathogens 2) breakpoints of European Committe on Antimicrobial susceptibility testing (EUCAST) of Enterobacteriaceae and Pseudomonas aeruginosa |