Amikacin dose optimization is challenging in critically ill patients. The use of BestDose software algorithm-based drug optimization could help to achieve the recommended target concentrations (60-80 mg/L) after administration of the second dose of amikacin, associated with improved outcome. The study investigators hypothesize that 80% of patients undergoing drug dosing optimization using the BestDose software in the interventional group will reach the predefined PK/PD targets.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
180
Therapeutic drug optimization of amikacin using the BestDose software algorithm
CHU de Nimes
Nîmes, France
Patients reaching target amikacin maximum concentration following second dose
Yes/no; Cmax 60-80mg/l
Time frame: 30 minutes after second dose of amikacin
Patients reaching target amikacin minimum concentration following second dose
Yes/no
Time frame: 24 hours after second dose of amikacin
Patients reaching target amikacin maximum concentration following third dose
Yes/no; Cmax 60-80mg/l
Time frame: 30 minutes after third dose of amikacin
Patients reaching target amikacin minimum concentration following third dose
Yes/no
Time frame: 24 hours after third dose of amikacin
Time taken to reach recommended Cmax during amikacin therapy
Hours
Time frame: Maximum 7 days
Clinical cure test
Either clinical-evaluated or assessed according to patient medical files: classified as resolved, improved, failed
Time frame: At end of treatment (Maximum day 7)
Clinical cure test
Either clinical-evaluated or assessed according to patient medical files: classified as resolved, improved, failed
Time frame: Day 7
Number of days without renal replacement therapy
Number
Time frame: Day 28
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Number of days without vasopressors
Number
Time frame: Day 28
Number of days without mechanical ventilation
Number
Time frame: Day 28
Mortality
Time frame: Day 28