TABLE 3.
Dosing regimen (mg/kg; h)b | Demographic characteristics | First dose |
After 1 wk of treatment |
||||
---|---|---|---|---|---|---|---|
% neonates with ratio peak/MIC of >10 | % neonates with trough of: |
% neonates with ratio peak/MIC of >10 | % neonates with trough of: |
||||
<1 mg/liter | <2 mg/liter | <1 mg/liter | <2 mg/liter | ||||
MIC = 0.5 mg/liter | |||||||
4; 36 | PNA < 7, GA ≤ 28 | 98 | 62 | 100 | 98 | 43 | 94 |
4; 36 | PNA < 7, GA > 28 | 97 | 91 | 100 | 97 | 86 | 99 |
4; 36 | PNA ≥ 7, GA ≤ 28 | 96 | 88 | 100 | 97 | 70 | 96 |
4; 24 | PNA ≥ 7, GA > 28 | 94 | 80 | 99 | 95 | 65 | 93 |
MIC = 1.0 mg/liter | |||||||
7.5; 48 | PNA < 7, GA ≤ 28 | 98 | 40 | 98 | 98 | 38 | 87 |
7.5; 48 | PNA < 7, GA > 28 | 91 | 85 | 99 | 92 | 84 | 97 |
7.5; 48 | PNA ≥ 7, GA ≤ 28 | 95 | 81 | 99 | 95 | 67 | 92 |
7.5; 36 | PNA ≥ 7, GA > 28 | 90 | 83 | 99 | 91 | 74 | 95 |
Abbreviations: PNA, postnatal age (days); GA, gestational age (weeks). To achieve a probability of target attainment (PTA) of 90% would require a dosing interval of 60 h (PTA = 97%). After a second dose with a dosing interval of 48 h (96 h after the start of treatment), the PTA would still be 93%.
Dosing regimens are expressed as follows: amount (mg/kg); interval (h). Hence, “4; 36” indicates “4 mg/kg administered every 36 h.”