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. 2010 Apr 12;54(6):2360–2364. doi: 10.1128/AAC.01843-09

TABLE 3.

Probability of PK/PD target attainment by renal function, duration of doripenem infusion, and MIC of pathogen

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
a

Abbreviations: CLCR, creatinine clearance; q8h, every 8 h; q12h, every 12 h.

b

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.

c

Proportion of patients with higher than PK/PD target, % fT>MIC.