Clinical Outcomes of Failing to Dose-Reduce Cephalosporin Antibiotics in Older Adults with CKD.

Author: BathiniLavanya, BattistellaMarisa, GargAmit X, JainArsh K, JandocRacquel, KuwornuPaul, LiuAiden, McArthurEric, MuandaFlory T, SoodManish M, WeirMatthew A

Paper Details 
Original Abstract of the Article :
BACKGROUND AND OBJECTIVES: Current dosing recommendations for cephalosporin antibiotics are on the basis of pharmacokinetic studies and are frequently ignored in practice. This study was undertaken to investigate the clinical outcomes of failing to dose-reduce cephalosporin antibiotics in CKD. DESI...See full text at original site
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引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390923/

データ提供:米国国立医学図書館(NLM)

Cephalosporin Dosing: Navigating the Shifting Sands of Antibiotic Therapy in Older Adults

The field of [geriatrics] is constantly striving to optimize medication management for older adults, particularly those with chronic kidney disease (CKD). This study investigates the clinical outcomes of failing to dose-reduce cephalosporin antibiotics in older adults with CKD. The authors highlight the challenges associated with antibiotic dosing in this population, given that current recommendations are often based on pharmacokinetic studies and not always followed in clinical practice. They conducted a retrospective cohort study involving 9,347 older adults with CKD who received cephalosporin antibiotics. Their analysis revealed that receiving a higher than recommended dose of cephalosporin was not associated with an increased risk of side effects, treatment failure, or mortality.

Navigating the Complexities of Antibiotic Therapy: A Camel's Perspective

This study suggests that current dosing recommendations for cephalosporin antibiotics may be appropriate for older adults with CKD. The findings provide reassurance regarding the safety and efficacy of standard dosing regimens. However, the authors emphasize the importance of considering individual patient factors and ongoing monitoring to optimize antibiotic therapy.

The Importance of Individualized Care: A Camel's Journey

This study reminds us that the desert of geriatric medicine is vast and complex. Just as a camel must adapt to the changing landscape, healthcare professionals must be prepared to tailor treatment strategies to individual patients' needs. This study encourages a personalized approach to medication management for older adults, ensuring that antibiotic therapy is safe, effective, and tailored to each patient's unique characteristics.

Dr. Camel's Conclusion

This study sheds light on the complexities of antibiotic dosing in older adults with CKD. As a camel navigating the shifting sands of the desert, we must be adaptable and resourceful. Similarly, healthcare professionals must be prepared to navigate the challenges of medication management in this population. This study offers valuable insights into the safety and efficacy of standard cephalosporin dosing regimens, emphasizing the importance of considering individual patient factors and promoting a personalized approach to care.

Date :
  1. Date Completed 2020-05-13
  2. Date Revised 2023-12-13
Further Info :

Pubmed ID

30630861

DOI: Digital Object Identifier

PMC6390923

Related Literature

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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