Augmented Renal Clearance of Vancomycin in Hematologic Malignancy Patients
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- Izumisawa Tomohiro
- Laboratory of Physiological Chemistry, Institute of Medicinal Chemistry, Hoshi University Department of Laboratory Medicine, The Jikei University Kashiwa Hospital
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- Kaneko Tomoyoshi
- Department of Laboratory Medicine, The Jikei University Kashiwa Hospital
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- Soma Masakazu
- Department of Laboratory Medicine, The Jikei University Kashiwa Hospital
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- Imai Masahiko
- Laboratory of Physiological Chemistry, Institute of Medicinal Chemistry, Hoshi University
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- Wakui Nobuyuki
- Division of Applied Pharmaceutical Education and Research, Hoshi University
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- Hasegawa Hideo
- Department of Laboratory Medicine, The Jikei University Kashiwa Hospital
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- Horino Tetsuya
- Department of Infectious Diseases and Infection Control, Jikei University School of Medicine
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- Takahashi Noriko
- Laboratory of Physiological Chemistry, Institute of Medicinal Chemistry, Hoshi University
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Abstract
<p>The pharmacokinetics of vancomycin (VAN) was retrospectively examined based on trough concentrations at large scale to identify pharmacokinetic differences between Japanese hematologic malignancy and non-malignancy patients. Data from 261 hematologic malignancy patients and 261 non-malignancy patients, including the patient’s background, VAN dose, and pharmacokinetics of VAN estimated by an empirical Bayesian method, were collected and analyzed. Our results showed significantly higher values for VAN clearance and shorter elimination half-lives in patients with hematologic malignancies than non-malignancy patients. In addition, multiple regression analysis under adjusting for confounding factors by propensity score, showed that VAN clearance significantly increased in relation to hematologic malignancies. In conclusion, since in hematologic cancer patients VAN clearance is increased, the blood concentration of VAN becomes lower than expected and this may contribute to the survival of resistant bacteria when VAN is administered at low doses. These results suggest that early monitoring of VAN levels in hematologic cancer patients might be recommended to maintain desired effects without side-effects.</p>
Journal
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- Biological and Pharmaceutical Bulletin
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Biological and Pharmaceutical Bulletin 42 (12), 2089-2094, 2019-12-01
The Pharmaceutical Society of Japan
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Details 詳細情報について
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- CRID
- 1390845702329923584
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- NII Article ID
- 130007754502
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- NII Book ID
- AA10885497
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- ISSN
- 13475215
- 09186158
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- NDL BIB ID
- 030099493
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- PubMed
- 31534058
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- Text Lang
- en
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- Data Source
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
- KAKEN
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- Abstract License Flag
- Disallowed