Oseltamivir Is Adequately Absorbed Following Nasogastric Administration to Adult Patients with Severe H5N1 Influenza
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{"title"=>"Oseltamivir is adequately absorbed following nasogastric administration to adult patients with severe H5N1 influenza", "type"=>"journal", "authors"=>[{"first_name"=>"Walter R.J.", "last_name"=>"Taylor", "scopus_author_id"=>"7402886619"}, {"first_name"=>"Bui Nghia", "last_name"=>"Thinh", "scopus_author_id"=>"25626828300"}, {"first_name"=>"Giang Thuc", "last_name"=>"Anh", "scopus_author_id"=>"25626140300"}, {"first_name"=>"Peter", "last_name"=>"Horby", "scopus_author_id"=>"34975069600"}, {"first_name"=>"Heiman", "last_name"=>"Wertheim", "scopus_author_id"=>"6602423153"}, {"first_name"=>"Niklas", "last_name"=>"Lindegardh", "scopus_author_id"=>"6602946991"}, {"first_name"=>"Menno D.", "last_name"=>"de Jong", "scopus_author_id"=>"7201366838"}, {"first_name"=>"Kasia", "last_name"=>"Stepniewska", "scopus_author_id"=>"6701362958"}, {"first_name"=>"Tran Thuy", "last_name"=>"Hanh", "scopus_author_id"=>"24171135700"}, {"first_name"=>"Nguyen Duc", "last_name"=>"Hien", "scopus_author_id"=>"23466999100"}, {"first_name"=>"Ngo Minh", "last_name"=>"Bien", "scopus_author_id"=>"25626267100"}, {"first_name"=>"Ngo Quy", "last_name"=>"Chau", "scopus_author_id"=>"25626012300"}, {"first_name"=>"Annette", "last_name"=>"Fox", "scopus_author_id"=>"57191591689"}, {"first_name"=>"Nghiem My", "last_name"=>"Ngoc", "scopus_author_id"=>"25626478900"}, {"first_name"=>"Martin", "last_name"=>"Crusat", "scopus_author_id"=>"25227245900"}, {"first_name"=>"Jeremy J.", "last_name"=>"Farrar", "scopus_author_id"=>"7103292979"}, {"first_name"=>"Nicholas J.", "last_name"=>"White", "scopus_author_id"=>"7401767314"}, {"first_name"=>"Nguyen Hong", "last_name"=>"Ha", "scopus_author_id"=>"25626320900"}, {"first_name"=>"Trinh Thi", "last_name"=>"Lien", "scopus_author_id"=>"26967902700"}, {"first_name"=>"Nguyen Vu", "last_name"=>"Trung", "scopus_author_id"=>"24785297500"}, {"first_name"=>"Nicholas", "last_name"=>"Day", "scopus_author_id"=>"36071528500"}, {"first_name"=>"Nguyen Gia", "last_name"=>"Binh", "scopus_author_id"=>"24833025600"}], "year"=>2008, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-54849438704", "pui"=>"352564634", "doi"=>"10.1371/journal.pone.0003410", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "sgr"=>"54849438704", "pmid"=>"18923671"}, "id"=>"75bb57fb-8bd8-332a-a2f2-a4e4b465b176", "abstract"=>"In the absence of a parenteral drug, oral oseltamivir is currently recommended by the WHO for treating H5N1 influenza. Whether oseltamivir absorption is adequate in severe influenza is unknown. We measured the steady state, plasma concentrations of nasogastrically administered oseltamivir 150 mg bid and its active metabolite, oseltamivir carboxylate (OC), in three, mechanically ventilated patients with severe H5N1 (male, 30 yrs; pregnant female, 22 yrs) and severe H3N2 (female, 76 yrs). Treatments were started 6, 7 and 8 days after illness onset, respectively. Both females were sampled while on continuous venovenous haemofiltration. Admission and follow up specimens (trachea, nose, throat, rectum, blood) were tested for RNA viral load by reverse transcriptase PCR. In vitro virus susceptibility to OC was measured by a neuraminidase inhibition assay. Admission creatinine clearances were 66 (male, H5N1), 82 (female, H5N1) and 6 (H3N2) ml/min. Corresponding AUC(0-12) values (5932, 10,951 and 34,670 ng.h/ml) and trough OC concentrations (376, 575 and 2730 ng/ml) were higher than previously reported in healthy volunteers; the latter exceeded 545 to 3956 fold the H5N1 IC(50) (0.69 ng/ml) isolated from the H5N1 infected female. Two patients with follow-up respiratory specimens cleared their viruses after 5 (H5N1 male) and 5 (H3N2 female) days of oseltamivir. Both female patients died of respiratory failure; the male survived. 150 mg bid of oseltamivir was well absorbed and converted extensively to OC. Virus was cleared in two patients but two patients died, suggesting viral efficacy but poor clinical efficacy.", "link"=>"http://www.mendeley.com/research/oseltamivir-adequately-absorbed-following-nasogastric-administration-adult-patients-severe-h5n1-infl", "reader_count"=>42, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>3, "Researcher"=>17, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>2, "Other"=>7, "Student > Master"=>2, "Student > Bachelor"=>1, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>2, "Professor"=>2}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>3, "Researcher"=>17, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>2, "Other"=>7, "Student > Master"=>2, "Student > Bachelor"=>1, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>2, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Biochemistry, Genetics and Molecular Biology"=>2, "Materials Science"=>1, "Mathematics"=>1, "Medicine and Dentistry"=>23, "Agricultural and Biological Sciences"=>10, "Arts and Humanities"=>1, "Computer Science"=>1, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Materials Science"=>{"Materials Science"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>23}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>10}, "Computer Science"=>{"Computer Science"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>2}, "Arts and Humanities"=>{"Arts and Humanities"=>1}}, "reader_count_by_country"=>{"Ecuador"=>1, "Vietnam"=>3, "Netherlands"=>1, "Argentina"=>1, "Japan"=>1, "Brazil"=>1}, "group_count"=>0}

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Figshare

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  • {"files"=>["https://ndownloader.figshare.com/files/918616"], "description"=>"*<p>Cockroft Gault formula.</p>¶<p>Arterial blood gas prior to ventilation, mmHg: PO<sub>2</sub>, PCO<sub>2</sub>, mmol/L:HCO<sub>3</sub><sup>−</sup>.</p>#<p>OP = oseltamivir phosphate, OC = oseltamivir carboxylate.</p>", "links"=>[], "tags"=>["pharmacokinetic", "virological"], "article_id"=>589046, "categories"=>["Infectious Diseases", "Medicine", "Pharmacology"], "users"=>["Walter R. J. Taylor", "Bui Nghia Thinh", "Giang Thuc Anh", "Peter Horby", "Heiman Wertheim", "Niklas Lindegardh", "Menno D. de Jong", "Kasia Stepniewska", "Tran Thuy Hanh", "Nguyen Duc Hien", "Ngo Minh Bien", "Ngo Quy Chau", "Annette Fox", "Nghiem My Ngoc", "Martin Crusat", "Jeremy J. Farrar", "Nicholas J. White", "Nguyen Hong Ha", "Trinh Thi Lien", "Nguyen Vu Trung", "Nicholas Day", "Nguyen Gia Binh"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0003410.t001", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Patients_clinical_pharmacokinetic_and_virological_features_/589046", "title"=>"Patients' clinical, pharmacokinetic and virological features.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 07:51:30"}

PMC Usage Stats | Further Information

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