Table 3.
MIC (mg/L) | CVVHDF flow rate (L/hr) | ||||||||
---|---|---|---|---|---|---|---|---|---|
1.25 | 1.75 | 2.25 | 2.5 | 2.75 | 3.25 | 3.5 | 3.75 | 4.5 | |
Anephric subjectsa (250 mg q12h, 4-hour infusion) | |||||||||
| |||||||||
1 | 0.985 | 0.981 | 0.978 | 0.975 | 0.973 | 0.968 | 0.966 | 0.963 | 0.954 |
2 | 0.578 | 0.547 | 0.514 | 0.500 | 0.482 | 0.452 | 0.439 | 0.424 | 0.379 |
4 | 0.017 | 0.014 | 0.011 | 0.010 | 0.009 | 0.008 | 0.006 | 0.006 | 0.005 |
8 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 |
| |||||||||
Subjects with residual kidney functionb (500 mg q12h, 4-hour infusion) | |||||||||
| |||||||||
1 | 0.999 | 0.999 | 0.999 | 0.998 | 0.998 | 0.998 | 0.998 | 0.998 | 0.998 |
2 | 0.952 | 0.944 | 0.937 | 0.933 | 0.929 | 0.919 | 0.914 | 0.911 | 0.896 |
4 | 0.367 | 0.345 | 0.323 | 0.311 | 0.3 | 0.279 | 0.269 | 0.259 | 0.231 |
8 | 0.005 | 0.003 | 0.003 | 0.002 | 0.002 | 0.002 | 0.002 | 0.001 | 0.001 |
aPharmacokinetic/pharmacodynamic target attainment probabilities for CVVHDF are based on a simulation of 5000 anephric subjects using mean pharmacokinetic parameter estimates from Cirillo et al. [14] with inflated between-subject variability (40% CV) and assuming a protein binding of 8.5%. Total CL represented the sum of 2 × CLNR and CVVHDF clearance.
bThe renal component of the clearance allowed residual kidney function with a CrCL of 30 mL/min.