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. 2012 Jul 19;2012:782656. doi: 10.5402/2012/782656

Table 3.

Probability of pharmacokinetic/pharmacodynamic target (fT > MIC ≥ 35%) attainment by CVVHDF flow rate in acute kidney impairment subjects.

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.