Table 1.
Therapeutic Goal |
BGA (wk)* |
PNA on day 1* |
Serum creatinine mg/dl |
Dose (mg/kg) |
Interval (hours) |
Duration (days) |
PK/PD Target # |
---|---|---|---|---|---|---|---|
Treatment IC very preterm |
25 (23–29) |
21 (1–50) |
<1.3 | 6–12 | 24–48 | 14 | 90 % with AUC>400 Median AUC 600–800 AUC/MIC>50 for MIC≤8 |
Treatment IC late preterm-term |
35 (30–40) |
21 (1–50) |
<1.3 | 6–12 | 24 | 14 | 90 % with AUC>400 Median AUC 600–800 AUC/MIC>50 for MIC≤8 |
Early Prevention from birth |
25 (23–29) |
2 (1–5) |
<1.3 | 3–6 | 24–96 | 42 | None available, summarize exposure with concentration time profile, AUC, and T>MIC |
Late Prevention during high risk |
25 (23–29) |
21 (7–50) |
<1.3 | 3–6 | 24–72 | 21 |
IC, invasive candidiasis
median (range), wk (week), BGA (gestational age at birth in weeks), PNA (post natal age on 1st day of fluconazole treatment)
AUC, area under the concentration curve at steady state per 24 hour dosing interval (mg*hour/L). T>MIC is the percent of dosing interval time that the fluconazole concentration is maintained above the MIC of the Candida species.