TABLE 1.
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 |
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.”
The guidelines suggested a dosing interval range of 24 to 48 h, and therapeutic drug monitoring was recommended after the first dose.
Subgroups are based on demographic characteristics, as indicated in the guidelines.