0000000000518943
AUTHOR
Stéphanie Leroux
Population pharmacokinetic meta-analysis of individual data to design the first randomized efficacy trial of vancomycin in neonates and young infants.
Abstract Objectives In the absence of consensus, the present meta-analysis was performed to determine an optimal dosing regimen of vancomycin for neonates. Methods A ‘meta-model’ with 4894 concentrations from 1631 neonates was built using NONMEM, and Monte Carlo simulations were performed to design an optimal intermittent infusion, aiming to reach a target AUC0–24 of 400 mg·h/L at steady-state in at least 80% of neonates. Results A two-compartment model best fitted the data. Current weight, postmenstrual age (PMA) and serum creatinine were the significant covariates for CL. After model validation, simulations showed that a loading dose (25 mg/kg) and a maintenance dose (15 mg/kg q12h if <…
Monsoon Multidisciplinary Analysis (AMMA) : an integrated project for understanding of the West African climate system and its human dimension
International audience; The intraseasonal time scale is critical in West Africa where resources are highly rainfall dependent. Three main modes of variability have been identified, two with a mean periodicity of 15 days and one with a mean periodicity around 40 days. These modes have a regional scale and can strongly influence precipitation and convective activity. They are mainly controlled by atmospheric dynamics and land-surface interactions. They can also modulate the very specific phase of the African summer monsoon onset. A better knowledge of the mechanisms controlling this scale is necessary to improve its predictability.