TABLE 4.
PTA of single-dose cefoxitin regimens in obese patients with BMIs of >30 kg/m2 against Escherichia coli, Bacteroides fragilis, and Staphylococcus aureus
| Compartment and pharmacodynamic target | Cefoxitin dose | PTA by pathogen (%)a |
|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
E. coli at indicated time after dose (h) |
B. fragilis at indicated time after dose (h) |
S. aureus at indicated time after dose (h) |
|||||||||||
| 1 | 2 | 3 | 4 | 1 | 2 | 3 | 4 | 1 | 2 | 3 | 4 | ||
| Serum | |||||||||||||
| fT>MIC of 100% | 40 mg/kg | 97 | 95 | 76 | 46 | 92 | 79 | 47 | 18 | 100 | 100 | 78 | 36 |
| 2 g | 89 | 68 | 37 | 14 | 74 | 36 | 10 | 2 | 100 | 68 | 19 | 3 | |
| 2 g in nonobese patients (from reference 34) | 98 | 35 | 12 | 4 | 69 | 13 | 3 | 0 | 98 | 35 | 12 | 4 | |
| fT>MIC of 70% | 40 mg/kg | 98 | 95 | 91 | 80 | 94 | 90 | 77 | 54 | 100 | 100 | 99 | 84 |
| 2 g | 92 | 84 | 66 | 42 | 82 | 60 | 32 | 13 | 100 | 95 | 62 | 26 | |
| Tissue | |||||||||||||
| fT>MIC of 100% | 40 mg/kg | 27 | 7 | 2 | 1 | 0 | 0 | 0 | 0 | 55 | 26 | 8 | 2 |
| 2 g | 4 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 17 | 3 | 1 | 0 | |
| fT>MIC of 70% | 40 mg/kg | 38 | 16 | 6 | 3 | 0 | 0 | 0 | 0 | 63 | 44 | 26 | 10 |
| 2 g | 6 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 25 | 10 | 3 | 0 | |
Values meeting the desired goal of PTA of ≥90% at each time point are in bold.