Table 3.
PTA at existing CLSI breakpointsa
| Antimicrobial and dosing regimen | PTA (%) |
|---|---|
| Piperacillin-tazobactam | |
| 3.375 g every 4 h | 91 |
| 3.375 g every 6 h | 6 |
| 4.5 g every 6 h | 21 |
| Cefepime | |
| 1 g every 12 h | 2 |
| 1 g every 8 h | 57 |
| 2 g every 12 h | 21 |
| 2 g every 8 h | 87 |
| Ceftizoxime | |
| 1 g every 8 h | 5 |
| Ceftriaxone | |
| 1 g every 24 h | 0 |
| 2 g every 24 h | 17 |
| Ceftazidime | |
| 1 g every 8 h | 68 |
| 2 g every 8 h | 98 |
| Ertapenem | |
| 1 g every 24 h | 59 |
| Imipenem | |
| 500 mg every 6 h | 99 |
| Meropenem | |
| 1 g every 8 h | 98 |
| Aztreonam | |
| 1 g every 8 h | 26 |
| 2 g every 8 h | 90 |
| Gentamicin | |
| 5 mg/kg every 24 h | 20 |
| Tobramycin | |
| 5 mg/kg every 24 h | 20 |
| Ciprofloxacin | |
| 400 mg every 8 h | 0 |
| 400 mg every 12 h | 0 |
| Levofloxacin | |
| 500 mg every 24 h | 0 |
| 750 mg every 24 h | 0 |
The CLSI breakpoints are consistent for all antibiotics evaluated against Enterobacteriaceae, P. aeruginosa and A. baumannii, except for piperacillin-tazobactam (breakpoint for P. aeruginosa, 64 mg/L). Table 3 reflects the PTA for piperacillin-tazobactam when a breakpoint of 16 mg/L was used. If a breakpoint of 64 mg/L were used instead (i.e. P. aeruginosa), the corresponding probabilities of target attainment for piperacillin-tazobactam would be: 3.375 g every 4 h (0%), 3.375 g every 6 h (0%) and 4.5 g every 6 h (0%).