TABLE 3.
Patient and therapy | Dosing regimen | Cmax (μg/ml) | Cmin (μg/ml) | AUC0-24 (μg · h/ml) | t1/2 (h) | V (liter/kg) | CLSa
|
CLNRa
|
CRRT CLa
|
% CLSb | S/Sab | |||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ml/min | ml/min/kg | ml/min | ml/min/kg | ml/min | ml/min/kg | |||||||||
CVVH | ||||||||||||||
1 | 0.5 g every 12 h | 22.8 | 0.1c | 99.2 | 1.31 | 0.28 | 173 ± 14 | 2.47 ± 0.20 | 147 ± 12 | 2.10 ± 0.17 | 26 ± 11 | 0.37 ± 0.14 | 15 | 1.16 |
2 | 0.5 g every 12 h | 18.9 | 0.3 | 112.6 | 1.87 | 0.32 | 157 ± 18 | 1.98 ± 0.23 | 102 ± 17 | 1.29 ± 0.21 | 55 ± 19 | 0.69 ± 0.21 | 35 | 1.31 |
3 | 0.5 g every 12 h | 16.0 | 1.8 | 160.5 | 3.65 | 0.43 | 121 ± 16 | 1.36 ± 0.18 | 73 ± 18 | 0.83 ± 0.20 | 47 ± 12 | 0.53 ± 0.16 | 39 | 1.18 |
4 | 0.5 g every 12 h | 12.3 | 2.3 | 145.7 | 4.72 | 0.51 | 139 ± 14 | 1.25 ± 0.12 | 115 ± 15 | 1.04 ± 0.13 | 24 ± 10 | 0.21 ± 0.09 | 17 | 1.34 |
5 | 0.5 g every 8 h | 15.7 | 2.3 | 175.5 | 2.72 | 0.36 | 146 ± 13 | 1.53 ± 0.14 | 116 ± 12 | 1.22 ± 0.12 | 29 ± 9 | 0.31 ± 0.16 | 20 | 1.03 |
6 | 0.5 g every 8 h | 21.3 | 1.5 | 191.0 | 1.98 | 0.25 | 134 ± 7 | 1.46 ± 0.08 | 101 ± 9 | 1.11 ± 0.10 | 32 ± 9 | 0.35 ± 0.10 | 24 | 1.25 |
Mean ± SD | 17.8 ± 3.9 | 1.4 ± 1.0 | 147.4 ± 35.8 | 2.71 ± 1.27 | 0.36 ± 0.10 | 145 ± 18d | 1.67 ± 0.46d | 109 ± 24d | 1.30 ± 0.44d | 36 ± 13d | 0.41 ± 0.17d | 25 ± 10 | 1.21 ± 0.11 | |
CVVHDF | ||||||||||||||
7 | 0.5 g every 12 h | 16.2 | 0.2c | 91.5 | 1.75 | 0.33 | 192 ± 21 | 2.17 ± 0.24 | 84 ± 22 | 0.96 ± 0.25 | 108 ± 31 | 1.22 ± 0.32 | 56 | 1.26 |
8 | 0.5 g every 12 h | 10.6 | 2.5 | 137.6 | 5.56 | 0.58 | 151 ± 16 | 1.21 ± 0.13 | 84 ± 18 | 0.67 ± 0.14 | 66 ± 10 | 0.53 ± 0.15 | 44 | 1.39 |
9 | 0.5 g every 12 h | 15.6 | 0.3 | 101.7 | 2.09 | 0.37 | 176 ± 19 | 2.05 ± 0.22 | 146 ± 22 | 1.70 ± 0.26 | 30 ± 11 | 0.35 ± 0.12 | 17 | 1.28 |
10 | 0.5 g every 8 h | 18.5 | 0.4 | 125.7 | 1.39 | 0.29 | 203 ± 17 | 2.41 ± 0.20 | 160 ± 15 | 1.90 ± 0.18 | 43 ± 9 | 0.51 ± 0.15 | 21 | 1.03 |
11 | 0.5 g every 8 h | 12.7 | 2.4 | 153.5 | 3.09 | 0.45 | 167 ± 6 | 1.68 ± 0.06 | 113 ± 7 | 1.14 ± 0.07 | 53 ± 13 | 0.54 ± 0.24 | 32 | 1.17 |
12 | 0.5 g every 8 h | 20.1 | 0.6 | 142.7 | 1.46 | 0.21 | 179 ± 11 | 1.66 ± 0.10 | 136 ± 10 | 1.26 ± 0.09 | 43 ± 16 | 0.40 ± 0.13 | 24 | 1.52 |
Mean ± SD | 15.6 ± 3.5 | 1.1 ± 1.1 | 125.4 ± 24.3 | 2.56 ± 1.59 | 0.37 ± 0.13 | 178 ± 18d | 1.86 ± 0.43d | 120 ± 32d | 1.30 ± 0.46d | 57 ± 28d | 0.59 ± 0.32d | 32 ± 15 | 1.28 ± 0.17 | |
P valuee | 0.309 | 0.916 | 0.392 | 0.860 | 0.884 | 0.010 | 0.477 | 0.505 | 1.00 | 0.109 | 0.252 | 0.364 | 0.417 |
Values are means ± standard deviations (SD) calculated from parameter values determined during each of the three or four postdose sampling intervals within each patient: 1 to 2 h, 2 to 4 h, 4 to 8 h, and 8 to 12 h (except with 8-h-dosing-interval regimens).
Calculated from mean CRRT clearance for each patient.
Calculated values rather than directly measured.
Means ± standard deviations calculated from means of the three or four parameter values determined within each patient.
Values determined during CVVH regimens versus CVVHDF regimens.