Τόμος 16 (1998) – Τεύχος 2+2Σ – Άρθρο 5 – Επιθεώρηση Κλινικής Φαρμακολογίας και Φαρμακοκινητικής-Ελληνική Έκδοση – Volume 16 (1998) – Issue 2+2Σ – Article 5 – Epitheorese Klinikes Farmakologias και Farmakokinetikes-Greek Edition

 

Τίτλος – Title

Βανκομυκίνη: Είναι Αναγκαίος ο Προσδιορισμός της Συγκεντρώσεώς της στον Ορό;

Vancomycin: Is it Necessary the Therapeutic Drug Monitoring?

Συγγραφέας – Author

Γεώργιος Ν. Καραχάλιος και Ευσταθία Μ. Τζιβίσκου

Εργαστήριο Φυσιολογίας, Τμήμα Νοσηλευτικής, Πανεπιστήμιο Αθηνών

G.N. Karachalios and E.M. Tziviskou

Third Clinic of Internal Medicine, Hellenic Red Cross Hospital, Athens, Greece

Παραπομπή – Citation

Καραχάλιος,Γ.Ν.,Τζιβίσκου,Ε.Μ.  : Βανκομυκίνη: Είναι Αναγκαίος ο Προσδιορισμός της Συγκεντρώσεώς της στον Ορό; , Επιθεώρηση Κλιν. Φαρμακολ. Φαρμακοκινητ. 16 :  (1998)

Karachalios,G.N., Tziviskou,E.M. : Vancomycin: Is it Necessary the Therapeutic Drug Monitoring?, Epitheorese Klin. Farmakol. Farmakokinet. 16:  (1998)

Ημερομηνία Δημοσιευσης – Publication Date
Γλώσσα Πλήρους Κειμένου –
Full Text Language

Ελληνικά – Greek

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Λέξεις κλειδιά – Keywords

Βανκομυκίνη, συγκεντρώσεις ορού, αναγκαιότητα

Vancomycin, serum concentrations, necessity
Λοιποί Όροι – Other Terms

Άρθρο

Article

Περίληψη – Summary

Στην εργασία αυτή α­να­σκο­πεί­ται η βι­βλιο­γρα­φί­α ό­σον α­φο­ρά τη χρη­σι­μό­τη­τα ή μη του προσ­διο­ρι­σμού της συ­γκε­ντρώ­σε­ως της βαν­κο­μυ­κί­νης του ο­ρού. Αν και η ε­μπει­ρί­α με τη χρή­ση της βαν­κο­μυ­κί­νης εί­ναι με­γα­λύ­τε­ρη των 40 ε­τών, εν τού­τοις ε­ξα­κο­λου­θούν να υ­πάρ­χουν αλ­λη­λο­συ­γκρου­ό­με­νες α­πό­ψεις κα­τά πό­σον οι συ­γκε­ντρώ­σεις της βαν­κο­μυ­κί­νης του ο­ρού συ­σχε­τί­ζο­νται στε­νώς με την κλι­νι­κή α­πο­τε­λε­σμα­τι­κό­τη­τα ή το­ξι­κό­τη­τά της. Όμως, υ­πάρ­χουν ει­δι­κές ο­μά­δες α­σθε­νών στους ο­ποί­ους κρί­νε­ται α­πα­ραί­τη­τος ο προσ­διο­ρι­σμός της συ­γκε­ντρώ­σε­ως της βαν­κο­μυ­κί­νης του ο­ρού, ό­πως εί­ναι α­σθε­νείς με νε­φρι­κή α­νε­πάρ­κει­α, νέ­οι και γέ­ρο­ντες α­σθε­νείς και α­σθε­νείς οι ο­ποί­οι λαμ­βά­νουν ταυ­το­χρό­νως νε­φρο­το­ξι­κά φάρ­μα­κα, ό­πως α­μι­νο­γλυ­κο­σί­δες, αμ­φο­τε­ρι­κί­νη Β κ.λπ.

Renewed interest in vancomycin over the past decade has led to an abundance of data concerning. The pharmacokinetics of van­comycin, and its dosage selection and concentra­tion-response and toxicity relationships. There is still skeptikism, about the relationship between serum vancomycin concentrations and clinical ef­ficacy or toxicity. Despite these limitations, recent data suggest that monitoring serum vancomycin concentrations will be adjust in specific patient populations, including critically ill patients, patients with renal impairment or failure, young and old patients, and patients receiving concominant nephrotoxocic drugs such aminoglycosides. In conclusion, determination of serum vancomycin concetrations in the clinical setting and their use­fulness in patient care is questionable and unecessary in the majority of patients.

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