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. 2025 Mar 11;69(4):e01118-24. doi: 10.1128/aac.01118-24

TABLE 1.

Complex model-derived dosing regimen of amikacin in neonates based on postnatal age and current body weight; in case of ibuprofen co-administration, the dosing interval is prolonged with 10 hours (2, 9)

Postnatal age (days) Group Current weight (grams) Amikacin dose
<14 1 <800 16 mg/kg every 48 hours
3 800 to 1,200 16 mg/kg every 42 hours
5 1,200 to 2,000 15 mg/kg every 36 hours
7a 2,000 to 2,800 15 mg/kg every 30 hours
9a >2,800 15 mg/kg every 24 hours
≥14 2 <800 20 mg/kg every 42 hours
4 800 to 1,200 20 mg/kg every 36 hours
6 1,200 to 2,000 18 mg/kg every 30 hours
8 2,000 to 2,800 18 mg/kg every 24 hours
10 >2,800 18 mg/kg every 20 hours
a

An additional prolonged dosing interval of +6 hours is suggested for subgroups 7 and 9 in the original publication (9). Since amikacin plasma concentrations were measured without this extended interval, the dosing regimen as listed in this table is used for the current evaluation.