如果最低抑菌浓度为2,那么无论接受高剂量或低剂量的万古霉素,曲线下面积与最低浓度比值达标率概率,即药效学达标率概率,基本上为零。
And You can see the probability of AUC/ MIC attainment, the target attainment, is essentially zero, if MIC is 2 whether or not you receive high dose or low dose of vancomycin
因此,从药代动力学和药效动力学角度来看,MIC值为2确实是一个问题。第二,有一些临床研究暗示如果病人的万古霉素MIC值为2,那么他们的万古霉素治疗失败机率增加 北京翻译公司。
so from PK/PD perspective, MIC of 2 is really a problem. Secondly, there have been a number of clinical studies that suggest that patients who have vancomycin MIC of 2 have increased risk of vancomycin treatment failures.
所有这些研究是观察性研究,没有一项是随机研究,并且其中大部分研究是回顾性的,但是所有这些研究都得出相似结论:万古霉素的MIC值为2可能增加患者万古霉素治疗失败的危险 韩语翻译。
All of these were observational studies and none were randomized studies, and most of them were retrospective, but they all came to similar conclusions that vancomycin MIC of 2 potentially increases one’s risk of treatment failure with vancomycin. |
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