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Pharmacokinetics and Modelling of Beta-Lactam in ECMO-VA Patients
Sponsor: University Hospital, Grenoble
Summary
The use of antibiotic therapy is common in intensive care units and primarily involves beta-lactams. Its optimal implementation is made difficult by the pharmacokinetic changes inherent in critically ill patients. Despite the current recommendations from the French Society of Anesthesiology and Intensive Care (SFAR) and the French Society of Pharmacology and Therapeutics (SFPT), there are no recommendations on prescription modalities for patients under veno-arterial extracorporeal membrane oxygenation (VA-ECMO). The use of antibiotic therapy is common in VA-ECMO patients and their pharmacokinetic variability factors are then exacerbated. We aim to conduct a prospective, multicenter, interventional study designed to identify predictive factors for failure to achieve therapeutic target circulating concentrations of beta-lactams in patients under VA-ECMO treated with one of the studied beta-lactams
Official title: Pharmacokinetics and Modelling of Beta-Lactam in Patients Undergoing Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO)
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
225
Start Date
2024-09-01
Completion Date
2028-09-01
Last Updated
2024-03-29
Healthy Volunteers
No
Conditions
Interventions
Therapeutic drug monitoring of beta-lactam
During the 24 first hours after inclusion, 5 blood samples will be collected to mesure plasmatic concentrations of the studied beta-lactam, of creatinin and of albumin
Locations (5)
CHU de Clermont Ferrand - Hôpital Gabriel Montpied
Clermont-Ferrand, France
CHU Dijon-Bourgogne
Dijon, France
Aphp Pitie Salpetriere
Paris, France
CHU ROUEN - Hôpital Charles-Nicolle
Rouen, France
Hôpital Rangueil - CHU Toulouse
Toulouse, France