Perez de la Cruz A, Pita Calandre E, Perez Alferez N, Martinez Brocal A, Vazquez Mata G. Gentamicin therapy monitoring in seriously compromised patients.
Intensive Care Med 1981;
7:301-3. [PMID:
7328221 DOI:
10.1007/bf01709726]
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Abstract
Gentamicin therapy was monitored in 30 patients with severe infection and other concomitant disease states. The application of the nomogram of Hull and Sarubbi [6] produced good plasma levels and disappearance of the infective agent without evidence of drug toxicity in 70% of patients. The remaining 30% did not respond satisfactorily to the treatment and showed low drug serum concentrations; and them had heavy fluid losses; when we modified their treatment, outside of the nomogram guidelines, we observed a better response. Since gentamicin distributes essentially in extracellular water, subjects who have alterations of body fluids regulation should be carefully controlled.
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