TABLE 3.
Renal function and dose regimena | MIC (μg/ml)b | % Probability of attaining PK/PD target (% fT>MIC)c |
||
---|---|---|---|---|
25 | 30 | 35 | ||
Normal function to mild impairment (CLCR > 50 ml/min), 500 mg q8h | ||||
1-h infusion | 1 | 99.58 | 97.24 | 91.84 |
2 | 95.34 | 82.96 | 68.4 | |
4 | 66.46 | 43.1 | 25.3 | |
4-h infusion | 1 | 100 | 100 | 100 |
2 | 100 | 100 | 100 | |
4 | 94.54 | 93.06 | 90.0 | |
Moderate impairment, 250 mg q8h | ||||
Upper bound (CLCR = 50 ml/min) | ||||
1-h infusion | 1 | 100 | 100 | 99.78 |
2 | 99.8 | 98.06 | 91 | |
4 | 70.4 | 38.5 | 16.18 | |
4-h infusion | 1 | 100 | 100 | 100 |
2 | 100 | 100 | 99.94 | |
4 | 73.2 | 63.18 | 49.48 | |
Lower bound (CLCR = 30 ml/min) | ||||
1-h infusion | 1 | 100 | 100 | 100 |
2 | 100 | 99.96 | 99.84 | |
4 | 97.42 | 89.06 | 71.4 | |
4-h infusion | 1 | 100 | 100 | 100 |
2 | 100 | 100 | 100 | |
4 | 94.46 | 91.28 | 85.54 | |
Severe impairment, 250 mg q12h | ||||
Upper bound (CLCR = 29 ml/min) | ||||
1-h infusion | 1 | 100 | 99.96 | 99.44 |
2 | 99.7 | 96.5 | 86.98 | |
4 | 63.96 | 33.64 | 14.78 | |
4-h infusion | 1 | 100 | 100 | 100 |
2 | 100 | 99.98 | 99.86 | |
4 | 82.7 | 64.92 | 40.84 | |
Lower bound (CLCR = 10 ml/min) | ||||
1-h infusion | 1 | 100 | 100 | 100 |
2 | 100 | 100 | 100 | |
4 | 99.9 | 99.38 | 97.46 | |
4-h infusion | 1 | 100 | 100 | 100 |
2 | 100 | 100 | 100 | |
4 | 99.78 | 99.54 | 98.66 |
Abbreviations: CLCR, creatinine clearance; q8h, every 8 h; q12h, every 12 h.
Note that results are presented for MICs of 1 to 4 μg/ml because it is in this range of pathogen susceptibilities that the greatest amount of variation was seen in the target attainment rates.
Proportion of patients with higher than PK/PD target, % fT>MIC.