Influence of arterio-venous haemofiltration on teicoplanin elimination

Br J Clin Pharmacol. 1995 Jul;40(1):95-7. doi: 10.1111/j.1365-2125.1995.tb04543.x.

Abstract

The pharmacokinetics of teicoplanin infused for 30 min at a dose of 6 mg kg-1 was studied in 11 infected patients under continuous arterio-venous haemofiltration (CAVH). Serum teicoplanin levels were assayed by h.p.l.c. over 24 h. After 0.5 h, i.e. at the end of the infusion, the mean plasma concentration was 49.6 +/- 15.1 mg l-1. At the last sampling time (24 h), the mean concentration was 2.6 +/- 1.0 mg l-1. The concentration of teicoplanin was determined in the haemofiltrates. The percentage of the administered dose recovered in the haemofiltrate was low: less than 1% for seven patients, between 1.8 and 3.7% for three patients and 7% for one patient. CAVH patients should be given teicoplanin using the same dosage regimens as previously described for patients with renal impairment.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / blood
  • Anti-Bacterial Agents / pharmacokinetics*
  • Calibration
  • Chromatography, High Pressure Liquid
  • Female
  • Half-Life
  • Hemofiltration*
  • Humans
  • Intensive Care Units
  • Male
  • Middle Aged
  • Teicoplanin / administration & dosage
  • Teicoplanin / blood
  • Teicoplanin / pharmacokinetics*

Substances

  • Anti-Bacterial Agents
  • Teicoplanin