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. 2018 Mar 27;62(4):e02004-17. doi: 10.1128/AAC.02004-17

TABLE 1.

Probability of target attainment for guidelines and Swiss centers for effective peak concentrations (≥5 or ≥10 mg/liter) and trough concentrations (>2 mg/liter)a

Guidelineb Demographic characteristics Dose (mg/kg) Interval (h) No. of subgroupsc Targets (mg/liter)
Peak (%)
Trough (%) (>2)
≥5 ≥10
No demographic variable
    Center 5 4 24 1 96 26 4
    Center 7c
        1 5 24 1 99 54 12
        2 5 36 1 99 54 <0.5
        3 5 48 1 99 54 <0.5
One demographic variable
    BNFc PNA 5 24/36 2 99 54 3
    Blue Book (min) GA 4 24/36 2 96 26 1
    Blue Book (max) GA 5 24/36 2 99 54 4
Two demographic variables
    Center 1 PNA, wt 4/5 24–48 5 97 39 2
    Center 2 PNA, wt 5/6 24–48 7 99 58 4
    Center 3 (min) PNA, GA 4/5 24–48 6 96 28 1
    Center 3 (max) PNA, GA 5 24–48 6 99 54 4
    Center 4 PNA, PMA 4/4.5/5 24–48 6 96 30 2
    Center 6 PNA, GA 4/4.5/5 24–48 6 96 30 1
    Nelson PNA, GA 4/4.5/5 24–48 7 97 37 1
    NNF7 PNA, GA 5 24–48 4 99 55 5
    Lexicomp PNA, GA 4/4.5/5 24–48 6 98 43 1
    Red Book (min) PNA, wt 4/5 24–48 6 97 39 2
    Red Book (max) PNA, wt 4/5 24–48 6 98 44 2
    Neofax PNA, PMA 4/4.5/5 24–48 5 96 30 1
    Shann PNA, wt 5/6 24–48 7 99 58 4
a

Abbreviations: BNFc, British National Formulary for Children; Blue Book, Manual of Childhood Infections Blue Book; Nelson, Nelson Textbook of Pediatrics; NNF7, Neonatal Formulary, 7th ed.; Lexicomp, Lexicomp Pediatric and Neonatal Dosage Handbook; Red Book, The Red Book Report of the Committee on Infectious Diseases; Shann, Drug Doses (Frank Shann) PNA, postnatal age; GA, gestational age; wt; weight; PMA, postmenstrual age. Slashes (/) between numbers indicate “or.”

b

The guidelines suggested a dosing interval range of 24 to 48 h, and therapeutic drug monitoring was recommended after the first dose.

c

Subgroups are based on demographic characteristics, as indicated in the guidelines.