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. 2023 May 8;12(5):870. doi: 10.3390/antibiotics12050870

Table 1.

Maximum concentrations for commonly used for beta-lactam drugs.

Drug Maximum Unbound Trough Concentration Toxicity with Reported Associated with Supratherapeutic Concentration
Flucloxacillin 20 mg/L neurotoxicity [75] *
Cefepime 20 mg/L neurotoxicity [100]
Piperacillin 130 mg/L neurotoxicity, nephrotoxicity [74]
Meropenem 44 mg/L neurotoxicity, nephrotoxicity [74]

* Based on expert opinion; concentrations above 20 mg/L are more than 10 times above the EUCAST ECOFF for oxacillin.