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Antimicrobial Agents and Chemotherapy, August 2005, p. 3550-3553, Vol. 49, No. 8
0066-4804/05/$08.00+0     doi:10.1128/AAC.49.8.3550-3553.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.

Ceftazidime in Acute Myeloid Leukemia Patients with Febrile Neutropenia: Helpfulness of Continuous Intravenous Infusion in Maximizing Pharmacodynamic Exposure

Federico Pea,1* Pierluigi Viale,2 Daniela Damiani,3 Federica Pavan,1 Francesco Cristini,2 Renato Fanin,3 and Mario Furlanut1

Institute of Clinical Pharmacology and Toxicology, Department of Experimental and Clinical Pathology and Medicine,1 Clinic of Infectious Diseases, Department of Medical and Morphological Research,2 Chair of Hematology, Department of Medical and Morphologic Research, and Division of Hematology, Medical School, University of Udine, Udine, Italy3

Received 7 February 2005/ Returned for modification 24 March 2005/ Accepted 7 May 2005

The pharmacokinetic-pharmacodynamic profile of a fixed 6-g daily continuous intravenous infusion of ceftazidime was assessed in 20 febrile neutropenic patients with acute myeloid leukemia. Mean steady-state ceftazidime concentrations averaging 40 mg/liter from day 2 on ensured maximized pharmacodynamic exposure (values close to four to five times the MIC breakpoint against Pseudomonas aeruginosa). However, large intra- and interindividual pharmacokinetic variability was documented throughout the study period.


* Corresponding author. Mailing address: Institute of Clinical Pharmacology and Toxicology, DPMSC, University of Udine, P. le S. Maria della Misericordia 3, 33100 Udine, Italy. Phone and fax: 39 0432 559833. E-mail: federico.pea{at}med.uniud.it.


Antimicrobial Agents and Chemotherapy, August 2005, p. 3550-3553, Vol. 49, No. 8
0066-4804/05/$08.00+0     doi:10.1128/AAC.49.8.3550-3553.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.




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