Pharmacokinetic-pharmacodynamic correlation of imipenem in pediatric burn patients using a bioanalytical liquid chromatographic method

A bioanalytical method was developed and applied to quantify the free imipenem concentrations for pharmacokinetics and PK/PD correlation studies of the dose adjustments required to maintain antimicrobial effectiveness in pediatric burn patients. A reverse-phase Supelcosil LC18 column (250 x 4.6 mm 5 micra), binary mobile phase consisting of 0.01 M, pH 7.0 phosphate buffer and acetonitrile (99:1, v/v), flow rate of 0.8 mL/min, was applied. The method showed good absolute recovery (above 90%), good linearity (0.25-100.0 µg/mL, r2=0.999), good sensitivity (LLOQ: 0.25 µg/mL; LLOD: 0.12 µg/mL) and acceptable stability. Inter/intraday precision values were 7.3/5.9%, and mean accuracy was 92.9%. A bioanalytical method was applied to quantify free drug concentrations in children with burns. Six pediatric burn patients (median 7.0 years old, 27.5 kg), normal renal function, and 33% total burn surface area were prospectively investigated; inhalation injuries were present in 4/6 (67%) of the patients. Plasma monitoring and PK assessments were performed using a serial blood sample collection for each set, totaling 10 sets. The PK/PD target attained (40%T>MIC) for each minimum inhibitory concentration (MIC: 0.5, 1.0, 2.0, 4.0 mg/L) occurred at a percentage higher than 80% of the sets investigated and 100% after dose adjustment. In conclusion, the purification of plasma samples using an ultrafiltration technique followed by quantification of imipenem plasma measurements using the LC method is quite simple, useful, and requires small volumes for blood sampling. In addition, a small amount of plasma (0.25 mL) is needed to guarantee drug effectiveness in pediatric burn patients. There is also a low risk of neurotoxicity, which is important because pharmacokinetics are unpredictable in these critical patients with severe hospital infection. Finally, the PK/PD target was attained for imipenem in the control of sepsis in pediatric patients with burns.</p

Crescimento de pimentão em diferentes arranjos espaciais

The objective of this work was to evaluate the growth of green pepper cv. Atlantis under different spatial arrangements. Three spacing arrangements between double and simple planting rows (1.5x0.5 m, 1.6x0.4 m and 1.7x0.3 m) and four spacing distances between plants in the rows (0.2, 0.3, 0.4 and 0.5 m) combined in factorial scheme were evaluated. A randomized block design in split-plots divided in time with three replicates was used. The growth assessment was done in nine occasions, 14 days apart, and the first one was performed 14 days after transplanting (DAT). Leaf area (LA), leaf area index (LAI), dry masses of leaves (LDM), stem (SDM), fruit (FrDM) and total shoot (TDM); absolute growth rate (AGR), rates of net assimilation (NAR) and relative growth (RGR); and leaf area (LAR) and leaf mass (LWR) ratios were evaluated until 126 DAT. The changes in LA, RGR, LWR and LAR did not depend on row spacing, but spacing influenced LDM, SDM, FrDM and TDM, LAI and AGR. The increase in spacing reduces LAI and LAR, and increases LA, LDM, SDM, FrDM, TDM, AGR and NAR, but does not influence RGR and LWR.O objetivo deste trabalho foi avaliar o crescimento do pimentão cv. Atlantis sob diferentes arranjos espaciais. Foram avaliados três arranjos de espaçamentos entre fileiras duplas e fileiras simples de plantio (1,5x0,5, 1,6x0,4 e 1,7x0,3 m), e quatro espaçamentos entre plantas nas fileiras (0,2, 0,3, 0,4 e 0,5 m), combinados em esquema fatorial. Utilizou-se o delineamento de blocos ao acaso, com três repetições e parcelas subdivididas no tempo. A avaliação de crescimento foi realizada em nove épocas espaçadas em 14 dias, com a primeira avaliação realizada 14 dias após o transplantio (DAT). Até os 126 DAT, foram avaliados: área foliar (AF); índice de área foliar (IAF); massas secas de folhas (MSF), do caule (MSC), de frutos (MSFr) e do total da parte aérea (MST); taxa de crescimento absoluto (TCA), assimilatória líquida (TAL) e de crescimento relativo (TCR); e as razões de área foliar (RAF) e de massa foliar (RMF). As alterações em AF, TCR, RMF e RAF foram independentes do espaçamento entre fileiras que, no entanto, influenciou MSF, MSC, MSFr e MST, IAF e TCA. O aumento do espaçamento entre plantas reduz o IAF e a RAF e aumenta a AF, MSF, MSC, MSFr, MST, TCA e TAL, mas não influencia a TCR e RMF