- 위암 환자에서 반코마이신의 임상약물동태
- Clinical Pharmacokinetics of Vancomycin in Gastric Cancer Patients
- ㆍ 저자명
- 최준식,장일효,범진필,Choi. Jun-Shik,Chang. Il-Hyo,Burm. Jin-Pil
- ㆍ 간행물명
- 약학회지
- ㆍ 권/호정보
- 1997년|41권 2호|pp.195-202 (8 pages)
- ㆍ 발행정보
- 대한약학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
The purpose of this study was to determine pharmacokinetic parameters of vancomycin using two point calculation(TPC) and Bayesian methods in 16 Korean normal volunteers and 15 g astric cancer patients. Nonparametric expected maximum(NPEM) algorithm for calculation of population pharmacokinetic parameter was used, and these parameters were applied for clinical pharmacokinetic parameters by Bayesian analysis. Vancomycin was administered 1.0g every 12 hrs for 3 days by IV infusion over 60 minutes. The volume of distribution(Vd), elimination rate constant(Kel) and total body clearance(CLt) of vancomycin in normal volunteers using TPC method were $0.34{pm}0.06 L/kg,; 0.19{pm}0.01 hr^{-1}$ and $4.08 {pm} 0.93 L/hr$, respectively, The Vd, Kel and CLt of vancomycin in gastric cancer patients using TPC method were $0.46 {pm} 0.06 L/kg, 0.17{pm}0.02 hr^{-1}$ and $4.84 {pm} 0.57 L/hr$ respectively. There were significant differences(p<0.05) in Vd. Kel and CLt between normal volunteers and gastric cancer patients. Polpulation pharmacokinetic parameter, the slope(KS) of the relationship beetween Kel versus creatinine Clearance, and the Vd were $0.00157{pm}0.00029(hr{cdot}mL/min/1.73m^2)^{-1},; 0.631 {pm} 0.0036 L/kg$ in gastric cancer patients using NPEM algorithm respectively. The Vd and Kel were $0.63{pm}0.005 L/kg, 0.15 {pm}0.027 hr^{-1}$ for gastric cancer patients using Bayesian method. There were significant differences(p<0.05) in vancomycin pharmacokinetics between Bayesian and TPC methods. It is considered that the population parameter in the patient population is necessary for effective Bayesian method in clinical pharmacy practise.