Table II.
Parameter | Final pharmacokinetic covariate model (CV%) |
---|---|
Fixed effects | |
System specific parameters: (Eq. 9) | |
L1 | 2.23 (6.23) |
M | −0.065 (−12.1) |
Drug specific parameters: | |
CLgenta 4 kg (L/h) | 0.21 (2.01) |
CLtobra 4 kg (L/h) | 0.28 (2.47) |
CL vanco 4 kg (L/h) | 0.39 (2.72) |
V1genta 4 kg (L) | 1.45 (2.94) |
V1tobra 4 kg (L) | 1.90 (1.99) |
V1vanco 4 kg (L) | 2.22 (2.63) |
V1genta=V4 kg×(BW/4 kg)k2 (Eq. 8) | |
k2 | 0.759 (4.35) |
V1tobra=V4 kg×(BW/4 kg)k3 (Eq. 8) | |
k3 | 0.735 (2.56) |
V1vanco=V4kg×(BW/4 kg)k4 (Eq. 8) | |
k4 | 1 FIX |
Qgenta=CLgenta | – |
Qtobra=CLtobra | – |
Qvanco=CLvanco | – |
V2genta=V1genta | – |
V2tobra=V1tobra | – |
V2vanco=V1vanco | – |
Interindividual variability | |
ω2 on CLgenta | 0.143 (12.5) |
ω2 on CLtobra | 0.158 (16.5) |
ω2 on CLvanco | 0.171 (10) |
Residual variability | |
σ2 (proportional) | 0.0886 (5.21) |
σ2 (additive) (mg/L) | 0.0494 (22.7) |
CL clearance, CL4 kg clearance for a full term neonate of 4 kg, Q intercompartmental clearance, V1 volume of distribution of the central compartment, V2 volume of distribution of the peripheral compartment, BW bodyweight (g), L1 coefficient of the bodyweight dependent exponent function, M bodyweight dependent exponent, k2 the exponent of bodyweight on V1 of gentamicin, k3 the exponent of bodyweight on V1 of tobramycin, k4 the exponent of bodyweight on V1 of vancomycin