Augmented Renal Clearance, Bacterial Meningitis
Conditions
Brief summary
The investigator's purpose is to study the population pharmacokinetics of commonly used antimicrobial agents in children of bacterial meningitis with augmented renal clearance and assess dosage individualization feasibility.
Detailed description
The investigator's purpose is to study the population pharmacokinetics of meropenem, vancomycin, ceftazidime, ceftriaxone, ceftizoxime and linezolid in children of bacterial meningitis with augmented renal clearance and assess dosage individualization feasibility. In this study, the investigator will detect drug concentration in both plasma and cerebrospinal fluid to construct population pharmacokinetics.
Interventions
The use of antimicrobial agents depends on the clinical practice
Sponsors
Study design
Eligibility
Inclusion criteria
* Children have been diagnosed with bacterial meningitis with augmented renal clearance (eGFR ≥ 160 mL/(min\*1.73m2)); * Age: 2 months-18 years; * Meropenem, vancomycin, ceftazidime, ceftriaxone, ceftizoxime and/ or linezolid used as part of regular treatment; * Meropenem, vancomycin, ceftazidime, ceftriaxone, ceftizoxime and linezolid was administered intravenously.
Exclusion criteria
* Patients who die within the treatment cycle; * Severe congenital malformation; * Receive other systemic experimental drug therapy; * Other factors that the researchers consider unsuitable for inclusion.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The peak plasma and cerebrospinal fluid drug concentration of meropenem,vancomycin,ceftazidime,ceftriaxone,ceftizoxime,linezolid. | at (5-10) minutes after intravenous administration | To detect the peak plasma and cerebrospinal fluid drug concentration of meropenem,vancomycin,ceftazidime,ceftriaxone,ceftizoxime,linezolid after intravenous administration. |
| The random plasma and cerebrospinal fluid drug concentration of meropenem,vancomycin,ceftazidime,ceftriaxone,ceftizoxime,linezolid. | at (0.5-10) hours after intravenous administration | To detect the random plasma and cerebrospinal fluid drug concentration of meropenem,vancomycin,ceftazidime,ceftriaxone,ceftizoxime,linezolid after intravenous administration. |
| The trough plasma and cerebrospinal fluid drug concentration of meropenem,vancomycin,ceftazidime,ceftriaxone,ceftizoxime,linezolid. | at 1-2 hours before the next administration | To detect the trough plasma and cerebrospinal fluid drug concentration of meropenem,vancomycin,ceftazidime,ceftriaxone,ceftizoxime,linezolid after intravenous administration. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| clinical response | Through study completion, an average of 14 days | Blood routine examination, cerebrospinal fluid routine examination and infection indicators (C-reaction protein, procalcitonin) |
Countries
China