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Q koorts - SWAB

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no. of observations<br />

no. of observations<br />

2. Continu infuus van vancomycine…<br />

Infusion will push music to its limits<br />

• zal de werkzaamheid maximaliseren… door<br />

gemakkelijker toedieningschema en<br />

dosisaanpassing…<br />

Een "klinishe apotheker" studie over "klassieke toediening"<br />

van vancomycine (2 X / dag en "piek en dal" staalname)<br />

eligible patients: 102<br />

timing of vancomycin peak<br />

timing of vancomycin trough<br />

inclusion: 94 patients<br />

exclusions:<br />

• 2 for inability to perform<br />

observation<br />

• 6 for limited life expectancy<br />

20<br />

16<br />

40<br />

30<br />

111 treatments<br />

12<br />

8<br />

20<br />

vancomycin: 46<br />

peak: 44<br />

amikacin: 65 trough: 62<br />

4<br />

0<br />

-150 to -90<br />

-90 to -30<br />

-30 to + 30<br />

+30 to +90<br />

+90 to +150<br />

> 150<br />

deviation from scheduled time (min)<br />

10<br />

0<br />

-60 to -30<br />

-30 to +30<br />

+30 to +60<br />

+120 to +180<br />

+60 to 120<br />

> 180<br />

deviation from scheduled time (min)<br />

Ampe et al., in preparation<br />

43 % fouten in<br />

tijd afnaam staalname tijd ...<br />

17-06-2010 Therapeutic Drug Monitoring: A pharmacodynamic approach (<strong>SWAB</strong>, Utrecht) 248

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