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

TABLE 3.

Probability of target attainment for predefined peak and trough concentration targets following an optimal dosing regimen (i.e., the administration of 7.5 mg/kg over different dosing intervals according to patient characteristics)a

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
a

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%.

b

Dosing regimens are expressed as follows: amount (mg/kg); interval (h). Hence, “4; 36” indicates “4 mg/kg administered every 36 h.”