Table 1.
Polymyxin dosing protocol followed for hospital inpatients at the study site
| Colistin | |
|---|---|
| Loading dose: 9 MU irrespective of baseline creatinine clearance | |
| Maintenance dose is given 12 h after the loading dose based on creatinine clearance (mL/min) as follows | |
|
| |
| Creatinine clearance (mL/min) | Maintenance dose |
|
| |
| >80 | 3 MU every 8 h |
| 50–80 | 4 MU every 12 h |
| 30–50 | 3 MU every 12 h |
| <30 | 2 MU every 12 h |
|
| |
| Polymyxin B | |
|
| |
| Body weight (kg) | Dose |
|
| |
| 50–69 | Loading dose: 15 lakhs units |
| Maintenance dose: 10 lakh units every 12 h | |
| 70–89 | Loading dose: 20 lakh units |
| Maintenance dose: 10 lakh units every 12 h | |
| <50 and >90 (for patients weighing >90, adjusted body weight* should be used to calculate the dose) | Loading dose: 3 mg/kg/dose |
| Maintenance dose: 1.5 mg/kg every 12 h | |
*Adjusted body weight (kg)=IBW +0.4 (actual body weight−IBW). MU=Million units, IBW=Ideal body weight