Table 2. PK variables of MEM, TZP and CEF in the obese cohort, in those with a measured or estimated creatinine clearance greater than 80 ml min−1 and data in non-obese patients found in the literature.
PK variables for each antibiotic | Obese cohort (N=56) | Obese cohort with CrCL24h or CrCLCG >80 ml min−1 (N=36) | Non-obese patients [4,13–14,16,19–24] |
---|---|---|---|
MEM | |||
VD (L) | 48.0±25.1 | 54.6±23.6 | 12.5–17.8 |
VD (L)/kg | 0.5±0.2 | 0.5±0.2 | 0.2 |
CL (L/H) | 18.0±9.0 | 19.9±8.8 | 9.4–13.2 |
t½ (H) | 2.0±0.9 | 2.0±0.9 | 1.0 |
TZP | |||
VD (L) | 31.4±26.0 | 26.9±15.9 | 8.2–15.8 |
VD (L)/kg | 0.3±0.3 | 0.2±0.1 | 0.2 |
CL (L/H) | 8.9±4.7 | 13.1±10.4 | 8.0–14.5 |
t½ (H) | 2.2±1.8 | 1.5±1.4 | 0.6–1.1 |
CEF | |||
VD (L) | 33.9±27.7 | 42.9±31.6 | 14.3–19.3 |
VD (L)/kg | 0.3±0.2 | 0.4±0.3 | 0.2 |
CL (L/H) | 13.1±20.1 | 18.7±23.9 | 5.6–9.1 |
t½ (H) | 3.1±2.2 | 2.2±0.8 | 1.3–2.0 |
Abbreviations: CEF, cefepime/ceftazidime; CL, total body clearance; CrCL24h, measured urinary creatinine clearance using 24-h urine collect; CrCLCG, calculated creatinine clearance using the Cockcroft-Gault equation; MEM, meropenem; PK, pharmacokinetic; t½: half-life; TZP, piperacillin-tazobactam; VD, volume of distribution.
Data for the obese cohort are expressed as mean values with standard deviations. Data for the non-obese patients are expressed in ranges of mean values found in the literature.