Optimising antimicrobial therapy through the use of Bayesian dosing programs

Int J Clin Pharm. 2019 Oct;41(5):1121-1130. doi: 10.1007/s11096-019-00886-4. Epub 2019 Aug 7.

Abstract

The optimisation of antibiotic dosing therapy with therapeutic drug monitoring is widely recommended. The aim of therapeutic drug monitoring is to help the clinician to achieve target pharmacokinetic/pharmacodynamic parameters, maximising efficacy and minimising toxicity. Computerised programs, utilising the Bayesian estimation procedures, are able to achieve target concentrations in a greater percentage of patients earlier in the course of therapy compared to linear regression analysis and population methods. This article summarises various methods for dose optimisation of antibiotics with a focus on Bayesian programs.

Keywords: Antibiotics; Bayesian statistics; Pharmacodynamics; Pharmacokinetics; Software.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / pharmacokinetics
  • Anti-Bacterial Agents / therapeutic use
  • Anti-Infective Agents / administration & dosage*
  • Anti-Infective Agents / pharmacokinetics
  • Anti-Infective Agents / therapeutic use*
  • Bayes Theorem*
  • Drug Monitoring / methods*
  • Humans

Substances

  • Anti-Bacterial Agents
  • Anti-Infective Agents