Table 2.
Institutional Dosing Recommendations According to Renal Function for Extended Infusion (3 hour) Cefepime Infusions
Renal Function a | Meningitis | Severe Infection b | Moderate Infection c |
---|---|---|---|
>50 mL/min | 2 grams q8h | 1 gram q6h | 1 gram q8h |
30–50 mL/min | 2 grams q12h | 1 gram q8h | 1 gram q8h |
<30 mL/min | 2 grams q24h | 1 gram q12h | 1 gram q12–24h |
HD | 2 grams q24h | 1 gram q24h | 1 gram q24h |
CVVH (effluent rate 2–2.5 L/h) | 2 grams q12h | 1 gram q12h | 1 gram q12h |
Note. q6h, every 6 hours; q8h, every 8 hours; q12h, every 12 hours; q 24h, every 24 hours; HD, hemodialysis; CVVH, continuous veno-venous hemofiltration.
Determined by Cockroft-Gault equation.
Sepsis, pneumonia, neutropenic fever, and P. aeruginosa infections.
Intra-abdominal, skin and soft-tissue, and pyelonephritis infections.