Hemoadsorption with CytoSorb® and the early course of linezolid plasma concentration during septic shock

Thomas Köhler, Elke Schwier, Carmen Kirchner, Günther Winde, Dietrich Henzler, Claas Eickmeyer

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

13 Citas (Scopus)

Resumen

Hemoadsorption with CytoSorb® becomes increasingly established in treatment of various, predominantly inflammation-associated diseases. In septic shock, results suggest improvements in hemodynamics and organ function. However, little is known about the in vivo adsorption properties for various antibiotics. We present the case of a 61-year-old female patient with known Ulrich Turner syndrome who treated supportively with CytoSorb® and with linezolid due to a Staphylococcus epidermidis bloodstream infection as part of her intensive care treatment for septic shock. After establishment of a new adsorber, 600 mg of linezolid administered over 1 h. Linezolid levels measured before adsorber inlet (cpre) and after adsorber outlet (cpost) at 0, 15, 60, 120 and 480 min after starting infusion. Out of the ten samples, only the cpre samples 60 min (3.25 mg/l) and 120 min (4.7 mg/l) showed sufficiently high linezolid levels (therapeutic range 3–9 mg/l). After 480 min, cpre decreased to 2.8 mg/l, cpost increased to 1.85 mg/l, and thus clearance decreased to 67.86 ml/min (from 200 ml/min at 60 min), with greatly reduced adsorption capacity of CytoSorb® after 8 h. A loading dose (additional 600 mg) would have been urgently needed. Linezolid therapy under hemadsorption with CytoSorb® requires a clear indication and close monitoring of levels to avoid underdosing.

Idioma originalEnglish
Páginas (desde-hasta)86-90
Número de páginas5
PublicaciónJournal of Artificial Organs
Volumen25
N.º1
DOI
EstadoPublished - mar. 2022
Publicado de forma externa

Nota bibliográfica

Funding Information:
TK and DH has received lecture fees from the company Cytosorbent Europe. The clinic received an unrestricted research grant from Cytosorbent Europe.

Publisher Copyright:
© 2021, The Author(s).

ASJC Scopus Subject Areas

  • Medicine (miscellaneous)
  • Biomaterials
  • Biomedical Engineering
  • Cardiology and Cardiovascular Medicine

PubMed: MeSH publication types

  • Case Reports
  • Journal Article

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