TABLE 3.
CFR for fosfomycin and meropenem against non-MBL and MBL-producing P. aeruginosa clinical isolates by dosing regimens in monotherapy and combination therapya
Antimicrobial and regimen | Total daily dose (g) | CFR (%) |
|
---|---|---|---|
Monotherapy | Combination therapy | ||
Fosfomycin | |||
4 g i.v. q8h | 12 | 11 | 81 |
4 g i.v. q6h | 16 | 17 | 86 |
6 g i.v. q8h | 18 | 22 | 88 |
8 g i.v. q8h | 24 | 33 | 91 |
Meropenem (0.5-h infusion) | |||
1 g q8h | 3 | 53 | 72 |
1.5 g q6h | 6 | 63 | 79 |
2 g q8h | 6 | 62 | 79 |
Meropenem (3-h infusion) | |||
1 g q8h | 3 | 56 | 73 |
1.5 g q6h | 6 | 65 | 80 |
2 g q8h | 6 | 64 | 80 |
The pharmacodynamic surrogate index for fosfomycin was an fAUC/MIC of 40.8 for a CLCR of >40 ml/min, and that for meropenem was an ƒT>MIC of 40% for a CLCR of >50 ml/min.